190.019 Medicaid and Medicaid Managed Care


Medicaid and Medicaid Managed Care: The Texas Medical Association (1) advocates for Medicaid managed care reform including administrative simplification and (2) continues to explore development of alternative care delivery models for Medicaid managed care that incorporate the following principles: (a) patient access to a medical home; (b) access to prescription drugs; (c) evidence-based health and disease management for high-risk, chronically ill patients and patients with disabilities; (d) a flexible delivery system design to accommodate Texas’ diverse care delivery systems and geography; (e) physician-driven, clinically appropriate quality and utilization management systems; (f) simplified administration and claims payment processes; and (g) competitive payment that reflects the rapidly increasing practice costs of physicians who care for this patient population (Amended CSE Rep. 3-I-00; amended CSE Rep. 1-A-10, amended C-SE Rep 2 2020).

Last Updated On

October 29, 2020