PL-06_TX_Manged Care_Service Map 01-25.pdf

PDF 666 KB Posted

Attached to
Enrollment Broker
Solicitation number
HHS0016867
Issued by
Travis County, Austin City, Texas

About this file

This is a Service Map document prepared for a Texas Managed Care program, detailing service delivery areas and organizational structure for managed care operations across the state. The document outlines the geographic service regions, network adequacy requirements, and service coordination frameworks that managed care organizations must implement to ensure comprehensive coverage and accessibility across Texas. The map identifies specific service areas, delivery networks, and regional boundaries that define where services will be provided, with particular attention to ensuring adequate provider networks and service accessibility across urban, suburban, and rural areas. The document establishes the organizational and operational parameters that managed care entities must follow, including service area definitions, network composition requirements, and geographic service delivery standards that form the foundation for managed care operations throughout the state.

The Service Map document functions as an operational reference guide establishing the framework for managed care service delivery rather than a traditional procurement instrument with pricing, timelines, or award dates. The map identifies the infrastructure and geographic parameters within which managed care organizations must operate, including service territory definitions, network adequacy standards, and regional service coordination protocols. This document serves as a foundational operational tool that managed care plans must reference and comply with when structuring their service networks and delivery areas, ensuring consistency and compliance with state requirements for managed care operations in Texas.

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