Tex. Gov't Code Section 540A.0001
Definitions


In this chapter:

(1)

Notwithstanding Section 521.0001 (Definitions)(2), “commission” means the Health and Human Services Commission or an agency operating part of the Medicaid managed care program, as appropriate.

(2)

“Managed care plan” means a plan under which a person undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any health care service. A part of the plan must consist of arranging for or providing health care services as distinguished from indemnification against the cost of those services on a prepaid basis through insurance or otherwise. The term includes a primary care case management provider network. The term does not include a plan that indemnifies a person for the cost of health care services through insurance.

(3)

“Managed transportation organization” means:

(A)

a rural or urban transit district created under Chapter 458 (Rural and Urban Transit Districts), Transportation Code;

(B)

a public transportation provider as defined by Section 461.002 (Definitions), Transportation Code;

(C)

a regional contracted broker as defined by Section 526.0351 (Definitions);

(D)

a local private transportation provider the commission approves to provide Medicaid nonemergency medical transportation services; or

(E)

any other entity the commission determines meets the requirements of Subchapter B.

(4)

“Medical transportation program” has the meaning assigned by Section 526.0351 (Definitions).

(5)

“Nonemergency transportation service” has the meaning assigned by Section 526.0351 (Definitions).

(6)

“Nonmedical transportation service” means:

(A)

curb-to-curb transportation to or from a medically necessary, nonemergency covered health care service in a standard passenger vehicle that is scheduled not more than 48 hours before the transportation occurs, that is provided to a recipient enrolled in a Medicaid managed care plan offered by a Medicaid managed care organization, and that the organization determines meets the level of care that is medically appropriate for the recipient, including transportation related to:
(i)
discharging a recipient from a health care facility;
(ii)
receiving urgent care; and
(iii)
obtaining pharmacy services and prescription drugs; and

(B)

any other transportation to or from a medically necessary, nonemergency covered health care service the commission considers appropriate to be provided by a transportation vendor, as determined by commission rule or policy.

(7)

“Recipient” means a Medicaid recipient.

(8)

“Transportation network company” has the meaning assigned by Section 2402.001 (Definitions), Occupations Code.

(9)

“Transportation vendor” means an entity, including a transportation network company, that contracts with a Medicaid managed care organization to provide nonmedical transportation services.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 540A.0001 — Definitions, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­540A.­htm#540A.­0001 (accessed Jun. 5, 2024).

540A.0001
Definitions
540A.0051
Delivery of Medical Transportation Program Services Through Managed Transportation Organization
540A.0052
Minimum Quality and Efficiency Measures
540A.0053
Managed Transportation Organization: Contract with Medical Transportation Provider
540A.0054
Managed Transportation Organization: Subcontract with Transportation Network Company
540A.0055
Managed Transportation Organization: Vehicle Fleets
540A.0056
Periodic Screening of Transportation Network Company or Motor Vehicle Operator Authorized
540A.0057
Enrollment as Medicaid Provider by Certain Motor Vehicle Operators Not Required
540A.0058
Driver Requirements for Certain Motor Vehicle Operators
540A.0059
Motor Vehicle Operator: Vehicle Accessibility
540A.0101
Delivery of Nonemergency Transportation Services Through Medicaid Managed Care Organization
540A.0102
Rules for Nonemergency Transportation Services
540A.0103
Medicaid Managed Care Organization: Subcontract with Transportation Network Company
540A.0104
Periodic Screening of Transportation Network Company or Motor Vehicle Operator Authorized
540A.0105
Enrollment as Medicaid Provider by Certain Motor Vehicle Operators Not Required
540A.0106
Driver Requirements for Certain Motor Vehicle Operators
540A.0107
Motor Vehicle Operator: Vehicle Accessibility
540A.0151
Delivery of Nonmedical Transportation Services Through Medicaid Managed Care Organization
540A.0152
Rules for Nonmedical Transportation Services
540A.0153
Periodic Screening of Transportation Vendor or Motor Vehicle Operator Authorized
540A.0154
Enrollment as Medicaid Provider By, or Credentialing Of, Motor Vehicle Operator Not Required
540A.0155
Driver Requirements for Certain Motor Vehicle Operators
540A.0156
Motor Vehicle Operator: Vehicle Accessibility

Accessed:
Jun. 5, 2024

§ 540A.0001’s source at texas​.gov