TMPPM 2008 > Provider Information > Managed Care > Medicaid Managed Care

   
 

7.1.7.3 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.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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