CHAPTER
MEDICAID MANAGED CARE PROGRAM
- SUBCHAPTER A. GENERAL PROVISIONS1 section§§ 540.0001
- SUBCHAPTER B. ADMINISTRATION OF MEDICAID MANAGED CARE PROGRAM10 sections§§ 540.0051 · 540.0052 · 540.0053 · 540.0054 · 540.0055 · 540.0056 · 540.0057 · 540.0058 · 540.0059 · 540.0060
- SUBCHAPTER C. FISCAL PROVISIONS4 sections§§ 540.0101 · 540.0102 · 540.0103 · 540.0104
- SUBCHAPTER D. STRATEGY FOR MANAGING AUDIT RESOURCES10 sections§§ 540.0151 · 540.0152 · 540.0153 · 540.0154 · 540.0155 · 540.0156 · 540.0157 · 540.0158 · 540.0159 · 540.0160
- SUBCHAPTER E. CONTRACT ADMINISTRATION12 sections§§ 540.0201 · 540.0202 · 540.0203 · 540.0204 · 540.0205 · 540.0206 · 540.0207 · 540.0208 · 540.0209 · 540.0210 · 540.0211 · 540.0212
- SUBCHAPTER F. REQUIRED CONTRACT PROVISIONS32 sections§§ 540.0251 · 540.0252 · 540.0253 · 540.0254 · 540.0255 · 540.0256 · 540.0257 · 540.0258 · 540.0259 · 540.0260 · 540.0261 · 540.0262 · 540.0263 · 540.0264 · 540.0265 · 540.0266 · 540.0267 · 540.0268 · 540.0269 · 540.0270 · 540.0271 · 540.0272 · 540.02721 · 540.0273 · 540.0274 · 540.0275 · 540.0276 · 540.0277 · 540.0278 · 540.0279 · 540.0280 · 540.0283
- SUBCHAPTER G. PRIOR AUTHORIZATION AND UTILIZATION REVIEW PROCEDURES7 sections§§ 540.0301 · 540.0302 · 540.0303 · 540.0304 · 540.0305 · 540.0306 · 540.0307
- SUBCHAPTER H. PREMIUM PAYMENT RATES3 sections§§ 540.0351 · 540.0352 · 540.0353
- SUBCHAPTER I. ENCOUNTER DATA3 sections§§ 540.0401 · 540.0402 · 540.0403
- SUBCHAPTER J. MANAGED CARE PLAN REQUIREMENTS2 sections§§ 540.0451 · 540.0452
- SUBCHAPTER K. MEDICAID MANAGED CARE PLAN ENROLLMENT AND DISENROLLMENT5 sections§§ 540.0501 · 540.0502 · 540.0503 · 540.0504 · 540.0505
- SUBCHAPTER L. CONTINUITY OF CARE AND COORDINATION OF BENEFITS2 sections§§ 540.0551 · 540.0552
- SUBCHAPTER M. PROVIDER NETWORK ADEQUACY6 sections§§ 540.0601 · 540.0602 · 540.0603 · 540.0604 · 540.0605 · 540.0606
- SUBCHAPTER N. PROVIDERS9 sections§§ 540.0651 · 540.0652 · 540.0653 · 540.0654 · 540.0655 · 540.0656 · 540.0657 · 540.0658 · 540.0659
- SUBCHAPTER O. DELIVERY OF SERVICES: GENERAL PROVISIONS14 sections§§ 540.0701 · 540.0702 · 540.0703 · 540.0704 · 540.0705 · 540.0706 · 540.0707 · 540.0708 · 540.0709 · 540.0710 · 540.0711 · 540.0712 · 540.0713 · 540.0714
- SUBCHAPTER P. DELIVERY OF SERVICES: STAR+PLUS MEDICAID MANAGED CARE PROGRAM5 sections§§ 540.0751 · 540.0752 · 540.0753 · 540.0754 · 540.0755
- SUBCHAPTER Q. DELIVERY OF SERVICES: STAR HEALTH PROGRAM7 sections§§ 540.0801 · 540.0802 · 540.0803 · 540.0804 · 540.0805 · 540.0806 · 540.0807
- SUBCHAPTER R. DELIVERY OF SERVICES: STAR KIDS MANAGED CARE PROGRAM5 sections§§ 540.0851 · 540.0852 · 540.0853 · 540.0854 · 540.0855
- SUBCHAPTER S. PRESCRIPTION DRUG BENEFITS UNDER CERTAIN OUTPATIENT PHARMACY BENEFIT PLANS1 section§§ 540.0901