Texas HB5185 regulates contracts with managed care organizations under Medicaid and the child health plan program.

Texas HB5185 amends the procurement of managed care contracts under Medicaid and the child health plan program. It mandates the Texas Health and Human Services Commission to adopt and publish clear measures for evaluating managed care organizations based on cost efficiency, quality of care, and provider network size. The commission must consider member and provider satisfaction, past performance, and the ability to process Medicaid claims electronically. Managed care organizations must provide necessary data for evaluation.

Texas HB5185 regulates contracts with managed care organizations under Medicaid and the child health plan program.

Texas HB5185 amends the procurement of managed care contracts under Medicaid and the child health plan program. It mandates the Texas Health and Human Services Commission to adopt and publish clear measures for evaluating managed care organizations based on cost efficiency, quality of care, and provider network size. The commission must consider member and provider satisfaction, past performance, and the ability to process Medicaid claims electronically. Managed care organizations must provide necessary data for evaluation.