CAPITATION RATES.
Tex. GOV'T Code § 540.0253.
in effectA contract to which this subchapter applies must contain capitation rates that:
(1) include acuity and risk adjustment methodologies that consider the costs of providing acute care services and long-term services and supports, including private duty nursing services, provided under the Medicaid managed care plan; and
(2) ensure the cost-effective provision of quality health care.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611 ), Sec. 1.01, eff. April 1, 2025.