Texas HB5183 regulates contracts with managed care organizations under Medicaid and the child health plan program.
Texas HB5183 amends the procurement process for managed care contracts under Medicaid and the child health plan program. The Health and Human Services Commission must adopt clear measures to evaluate managed care organizations based on cost efficiency, quality of care, and other factors. Contracts do not have a set term length and can only be terminated through a specific process or at the request of the managed care organization. The commission must also limit the number of managed care organizations operating in each Medicaid program and region.
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