Statewide Effort To Promote Medicaid Eligibility Maintenance

Sec. 540.0053. STATEWIDE EFFORT TO PROMOTE MEDICAID ELIGIBILITY MAINTENANCE. (a) The commission shall develop and implement a statewide effort to assist recipients who satisfy Medicaid eligibility requirements and who receive Medicaid services through a Medicaid managed care organization with: (1) maintaining eligibility; and (2) avoiding lapses in Medicaid coverage. (b) As part of the commission's effort under Subsection (a), the commission shall: (1) require each Medicaid managed care organization to assist the organization's recipients with maintaining eligibility; (2) if the commission determines it is cost-effective, develop specific strategies for assisting recipients who receive Supplemental Security Income (SSI) benefits under 42 U.S.C. Section 1381 et seq. with maintaining eligibility; and (3) ensure information relevant to a recipient's eligibility status is provided to the recipient's Medicaid managed care organization. Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.