This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:35 GMT
A member education program must present information in a manner that is easy to understand. In addition to any requirements specified in the contract between the managed care organization (MCO) and the Health and Human Services Commission, a program must include, at minimum, information on:(1) a member's rights and responsibilities under the Bill of Rights and the Bill of Responsibilities prescribed in Subchapter C of this chapter (relating to Member Bill of Rights and Responsibilities);(2) how to access dental services or health care services;(3) how to access complaint and appeal procedures, the member's right to request a fair hearing, and the process for requesting a fair hearing;(4) Medicaid policies, procedures, eligibility standards, and benefits;(5) the policies and procedures of the MCO; and(6) the importance of prevention, early intervention, and appropriate use of services.