1 Tex. Admin. Code § 353.419
Financial Standards
Effective Aug 10, 200530 TexReg 4466Source Note: The provisions of this §353.419 adopted to be effective December 18, 1996, 21 TexReg 11822; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561; amended to be effective August 10, 2005, 30 TexReg 4466.Texas Secretary of State
- (a) Health maintenance organizations (HMOs) must meet solvency standards established by the Texas Department of Insurance at 28 TAC Chapter 11, Subchapter S, and by the Commission in its competitive procurement proposals.
- (b) The Commission may share in the experience rebates in accordance with §353.3, Experience Rebate in Managed Care Organization.
- (c) The Commission may establish incentive payment programs to encourage HMOs to meet or exceed the goals and objectives of the Medicaid Managed Care Program established by the Commission through its contract.
Source Note:The provisions of this §353.419 adopted to be effective December 18, 1996, 21 TexReg 11822; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561; amended to be effective August 10, 2005, 30 TexReg 4466.