Managed Care Medical and Dental Plans

Most Medicaid services in Texas and All Children’s Health Insurance Program (CHIP) services are delivered through managed care. HHSC contracts with managed care organizations, licensed by the Texas Department of Insurance, and pays them a monthly amount to coordinate health services for the Medicaid or CHIP members enrolled in their health plan. The health plans contract directly with doctors and other health care providers to create provider networks their members can use. The health plans are required to provide all covered medically necessary services to their members.