Healthier. Happier. Smarter.

Texas partners with private health insurers known as Medicaid managed care plans to connect more than 4 million Texans to the personalized care and support they need to stay healthy and live the fullest lives possible. 

Managed care works just like private health insurance. Every month, Texas pays the Medicaid health plan a health care premium for each person they cover. Medicaid health plans use that premium to cover medical expenses, coordinate complex medical care, and help Texans with Medicaid coverage stay as healthy and active as possible.

How Does Medicaid Managed Care Work?

Medicaid managed care is more than health coverage

Today’s Texas Medicaid health plans provide more than health care coverage—they connect Texans to the personalized care and support they need to stay healthy and live the fullest lives possible. They provide one-on-one support and walk families through every step of the complicated and overwhelming health care system.

Medicaid health plans also provide services that go beyond the walls of a doctor’s office, including helping with transportation, coordinating meals, and navigating challenges at school and work. They invest in local communities to ensure Texans have the care and services they need to lead healthy, active lives and live independently in their own homes and communities.

Personalized Care and Support
Navigating a Complicated Health Care System
Investing in Innovative Solutions

Medicaid Managed Care is More Than Health Coverage

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TExas medicaid managed care

Covers Prescription drugs
&
coordinates total medical care

Texas has lead the national in modernizing Medicaid by transforming an outdated system into a modern, patient-centered Medicaid health insurance program. The results have been remarkable. Here are a few ways Medicaid keeps Texans healthy.

Access to a Network of  DOCTORS & Providers that Care

Access to care is robust, with more than 80% of Texas doctors participating in Medicaid health insurance networks.

coordinating care

Medicaid health insurance providers walk Texans through every step of the health care system, from coordinating appointments, seeing the right doctors or specialists, arranging transportation, handling medical records, monitoring medications and treatments, and more.

prevention and wellness

The modern Texas Medicaid program focuses on  preventive health care and chronic disease management, using wellness visits and screenings to keep Texans healthy and avoid or manage common illnesses.

Studies show Medicaid beneficiaries have better health outcomes for certain conditions than people without insurance:
  • Individuals with Medicaid coverage are 4 to 5 times more likely to have access to steady, reliable health care. 
  • Adults with Medicaid receive more preventive care & screenings - blood pressure checks, cholesterol monitoring & flu shots.
  • Children with Medicaid coverage are nearly 3 times more likely to receive preventive health care services like vital immunizations.  
Texas Medicaid's focus on prevention and wellness is keeping people healthy and out of the hospital. Hospital admissions are dramatically declining 25 to 35 percent for common illnesses like diabetes, asthma and pneumonia.

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