Tex.
Gov't Code Section 533.002571
Delivery of Nonemergency Transportation Services to Certain Medicaid Recipients Through Medicaid Managed Care Organization
(a)
In this section:(1)
“Nonemergency transportation service” has the meaning assigned by Section 531.02414 (Nonemergency Transportation Services Under Medical Transportation Program).(2)
“Nonmedical transportation service” and “transportation network company” have the meanings assigned by Section 533.00258 (Nonmedical Transportation Services Under Medicaid Managed Care Program).(b)
The commission shall require each Medicaid managed care organization to arrange and provide nonemergency transportation services to a recipient enrolled in a managed care plan offered by the organization using the most cost-effective and cost-efficient method of delivery, including by delivering nonmedical transportation services through a transportation network company or other transportation vendor as provided by Section 533.002581 (Delivery of Nonmedical Transportation Services Under Medicaid Managed Care Program), if available and medically appropriate. The commission shall supervise the provision of the services.(c)
Subject to Subsection (d), the executive commissioner shall adopt rules as necessary to ensure the safe and efficient provision of nonemergency transportation services by a Medicaid managed care organization under this section.(d)
A Medicaid managed care organization may subcontract with a transportation network company to provide nonemergency transportation services under this section. A rule or other requirement adopted by the executive commissioner under Subsection (c) or Section 531.02414 (Nonemergency Transportation Services Under Medical Transportation Program) does not apply to the subcontracted transportation network company or a motor vehicle operator who is part of the company’s network. The commission or the Medicaid managed care organization may not require a motor vehicle operator who is part of the subcontracted transportation network company’s network to enroll as a Medicaid provider to provide services under this section.(e)
The commission or a Medicaid managed care organization that subcontracts with a transportation network company under Subsection (d) may require the transportation network company or a motor vehicle operator who provides services under this section to be periodically screened against the list of excluded individuals and entities maintained by the Office of Inspector General of the United States Department of Health and Human Services.(f)
Notwithstanding any other law, a motor vehicle operator who is part of the network of a transportation network company that subcontracts with a Medicaid managed care organization under Subsection (d) and who satisfies the driver requirements in Section 2402.107 (Driver Requirements), Occupations Code, is qualified to provide services under this section. The commission and the Medicaid managed care organization may not impose any additional requirements on a motor vehicle operator who satisfies the driver requirements in Section 2402.107 (Driver Requirements), Occupations Code, to provide services under this section.(g)
For purposes of this section and notwithstanding Section 2402.111 (Vehicle Requirements)(a)(2)(A), Occupations Code, a motor vehicle operator who provides services under this section may use a wheelchair-accessible vehicle equipped with a lift or ramp that is capable of transporting passengers using a fixed-frame wheelchair in the cabin of the vehicle if the vehicle otherwise meets the requirements of Section 2402.111 (Vehicle Requirements), Occupations Code.(h)
The commission may temporarily waive the applicability of Subsection (b) to a Medicaid managed care organization as necessary based on the results of a review conducted under Section 533.007 (Contract Compliance) and until enrollment of recipients in a managed care plan offered by the organization is permitted under that section.
Source:
Section 533.002571 — Delivery of Nonemergency Transportation Services to Certain Medicaid Recipients Through Medicaid Managed Care Organization, https://statutes.capitol.texas.gov/Docs/GV/htm/GV.533.htm#533.002571 (accessed Jun. 5, 2024).
