Texas Insurance Code
§ 845.153 — REIMBURSEMENT AT STATE-DEFINED CAPITATION RATE
IN § 845.153Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 845. STATEWIDE RURAL HEALTH CARE SYSTEM · Art. D. STATE MANAGED CARE CONTRACTS
Statute text
View on source(a)To the extent the system operates under a certificate of authority issued under Chapter 843, the Medicaid contracting agency shall reimburse the system at the state-defined capitation rate for each service area in which the system operates.
(b)The system is not required as a condition of participation in a state contract awarded under Section 845.151 to accept from the Medicaid contracting agency a capitation rate that is lower than the state-defined capitation rate for each service area in which the system operates.
Legislative history
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.