Establishes the Managed Care Consumer Choice Program in Texas for STAR, CHIP, STAR Kids, and STAR + PLUS programs.
The bill creates the Managed Care Consumer Choice Program, allowing the Health and Human Services Commission to contract with managed care organizations for health care services. Managed care organizations must meet financial solvency and performance criteria. The commission will evaluate organizations based on cost efficiency, quality of care, and provider network quality. The commission will post annual performance evaluations online. The program will be the exclusive means for new contracts for the specified programs, excluding STAR Health.
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- Overview
- Core Provisions
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- Legal Framework
- Critical Issues
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