|
7.1.8.3 Primary Care Provider-to-Client Ratio and Capacity
HHSC oversees all Medicaid managed care providers for accessibility and quality of care. If HHSC determines that providers do not have, or fail to maintain, the capacity or capability of providing quality, accessible care, their clients will be reduced through a freeze on new enrollments to the provider's panel. HHSC may reassign current clients from the provider's panel roster if required accessibility and quality of care to clients is jeopardized.
|