We strongly encourage all providers to review the marketing rules set forth by the Texas Health and Human Services Commission (HHSC) and ensure your practice is adhering to them. HHSC's marketing rules define how MCNA (the Managed Care Organization or MCO) and our contracted providers may market and advertise to potential Medicaid and CHIP members and their families.

For your convenience, we have listed them below. These marketing rules may also be found in MCNA's Provider Manual.

• Providers are permitted to educate/inform their patients about the CHIP/Medicaid Managed Care Programs in which they participate.
• Providers may inform their patients of the benefits, services, and specialty care services offered through the MCO in which they participate. Providers may not, however, recommend one (1) MCO over another MCO, offer incentives to select one (1) MCO over another MCO, or assist the patient in deciding to select a specific MCO.
• Providers are not allowed to do direct marketing (mass mailings, calls, etc.) to people that are not their patients.
• At the patient's request, providers may give them the information necessary to contact a particular MCO.
• Providers must distribute and/or display health-related materials for all contracted MCO's or choose not to distribute and/or display for any contracted MCO:
  • Health-related posters cannot be larger than 16"x24"
  • Children's books donated by MCO's must be in common areas
  • Materials may have the MCO's name, logo, and phone number
  • Providers are not required to distribute and/or display all health-related materials provided by each MCO with whom they contract. Providers can choose which items to distribute or display from each contracted MCO, as long as they distribute or display one or more items from each contracted MCO.
• Providers must display stickers provided by all contracted MCOs or choose to not display stickers for any contracted MCOs.
• MCO stickers indicating that the provider participates with a particular health plan cannot be larger than 5" x 7" and cannot indicate anything more than "the dental plan is accepted here" or "dental plan is welcomed here"
• Providers may choose to display children's books provided by each MCO's with whom they contract. Providers can choose which books to display as long as they display one or more from each contracted MCO. Children's books may only be displayed in common areas.
• Providers may distribute CHIP/Children's Medicaid applications to families of uninsured children and assist with their completion.
• Providers may direct patients to enroll in CHIP and Medicaid Managed Care Programs by calling the HHSC ASC.
• The MCO may conduct member orientation for its members in a private/conference room at a provider's office, but NOT in any common areas.