An official State of Texas website.
Revision 22-2; Effective September 1, 2022
Member rights and responsibilities are included in the Member Handbook. The required critical elements can be found in Chapter 3.4 Medicaid Managed Care Member Handbook of the Uniform Managed Care Manual at: https://hhs.texas.gov/services/health/medicaid-chip/managed-care-contract-management/texas-medicaid-chip-uniform-managed-care-manual.
The Member Handbook must be provided to the member or legally authorized representative (LAR) at application. This document is shared in the language preference expressed by the applicant or member.
In addition, a member or LAR may refer to the Texas Administrative Code, Title 1 Administration, Part 15 Texas Health and Human Services Commission, Chapter 353, Medicaid Managed Care, Subchapter C, Member Bill of Rights and Responsibilities to view the full list of member rights and responsibilities. The Texas Administrative Code is available at: https://www.sos.state.tx.us/tac/index.shtml.