skip to content
HHSC Home / State Seal Texas Health and Human Services Commission
HHSC Home / State Seal HHSC HomeAbout HHSCHHSC Services ProjectsChildren's Health Insurance Program (CHIP)Texas Medicaid ProgramMedicaid Fraud and Abuse PreventionResearch and Statistics
HHSC Home / State Seal News and EventsInformation TechnologySearch this SiteSearch for Information about ServicesContact Information for HHSCSite Map with Text Links
Skip Header

Texas Medicaid Managed Care
Medicaid Managed Care Rules
Links are all to off-site webpages and will open in new browser windows.

Managed Care Home
Texas Medicaid Home

About Managed Care
 - History
 - Rules
 - Reports
 - Meeting Schedules
 - Contact Info
 - FAQs /Q&A  
 - 1915(B) Waiver
 - HHSC/HMO Contract
 - Enrollment Information

Projects & Programs
 - Asthma Project
 - Expedited Eligibility for
    Pregnant Women
 - Newborn Enrollment
 - Newborn ID Project

Provider Info
 - STPs
 - Service Delivery Areas
 - Contracts
 - Complaint Tracking

 

Texas Administrative Code

TITLE 1 ADMINISTRATION
PART 15 TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 353 MEDICAID MANAGED CARE
SUBCHAPTER E STANDARDS FOR THE STATE OF TEXAS ACCESS REFORM (STAR)

Rules

§30.21  General Provisions
§30.22  Definitions
§30.23  Enrollment
§30.24  Marketing
§30.25  Selection of Managed Care Organizations (MCO)
§30.26  Scope of Services
§30.27  Accessibility of Services
§30.28  Managed Care Benefits and Services for Children Under 21 Years of Age
§30.29  Member Complaint Procedures
§30.30  Quality Improvement
§30.32  Financial Standards


Revised Federal Medicaid Managed Care Rules

The Centers for Medicare & Medicaid Services recently published final rules to reflect changes made by the Balanced Budget Act of 1997. These rules contain the general requirements for Managed Care Organization and Primary Care Case Management contracts. 

Note: To view the full report of the rules, enter the search term: "Revised Federal Medicaid Managed Care Rules".  You will be directed to a search results page. The correct link on the search page is titled: "Medicaid Program; Medicaid Managed Care: New Provisions".

 

This page maintained by the Texas Medicaid/CHIP Office.  Comments and suggestions can be emailed to: contact@hhsc.state.tx.us.  This page was last updated on February 29, 2008