Managed Care Contract Management - Texas Health and Human …
Jan 3, 2023 · List of contracts, reports, manuals and handbooks for Managed Care Contract Management.
Allowable Expenses means all expenses related to the Contract between HHSC and the MCO that are incurred during the Contract Period, are not reimbursable or recovered from another …
Texas Medicaid and CHIP - Uniform Managed Care Manual
May 15, 2014 · The manual below defines procedures that Managed Care Organizations (MCOs) must follow in order to meet certain requirements in the HHSC managed care contracts, and to …
4100, Managed Care Organization Procedures - Texas Health and …
Dec 1, 2011 · If the decision is adverse to the member, the MCO must follow the procedures relating to the notice in UMCC Attachment B-1, Section 8.2.7.5. The MCO is responsible for …
Texas - Contracts Awarded by HHS
Oct 17, 2025 · In accordance with Texas Government Code Section 2261.253, Required Posting of Certain Contracts; Enhanced Contract and Performance Monitoring, HHSC has begun …
Community Health Choice is a managed care organization (MCO) in Texas, and is contracted to provide Medicaid STAR and CHIP health care services in the Texas Gulf Coast Region.
Jobs at HHS | Texas Health and Human Services
Jobs at HHS @JobsAtTexasHHSC Follow our X account for new job opportunities. Follow Here We help 7.5 million people every month, impacting the lives of every Texan who eats, needs …
CHIP Perinatal Program means the State of Texas program in which HHSC contracts with MCOs to provide, arrange for, and coordinate Covered Services for enrolled CHIP Perinate and CHIP …
MCOs face challenges in complying with different prior authorization processing requirements included in the Uniform Managed Care Contract (UMCC) and Texas Insurance Code (TIC).
Understanding UMCC Standards and MCO Responsibilities
Feb 12, 2020 · Hear HHSC staff discuss key sections of the UMCC, its standards and MCO responsibilities so that you know what standards the MCO’s must meet and why they may …