Tex. Gov't Code § 540.0159 · Subchapter D. STRATEGY FOR MANAGING AUDIT RESOURCES
USING INFORMATION FROM EXTERNAL QUALITY REVIEWS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) To enhance the commission's monitoring of managed care organizations, the commission shall use the information provided by the external quality review organization, including:
(1) detailed data from results of surveys of:
(A) recipients and, if applicable, child health plan program enrollees;
(B) caregivers of those recipients and enrollees; and
(C) Medicaid and, as applicable, child health plan program providers; and
(2) the validation results of matching paid claims data with medical records.
(b) The commission shall document how the commission uses the information described by Subsection (a) to monitor managed care organizations.
Notes and commentary — not statutory text
History
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm
- Text hash
- sha256 14a8f192ba3be671a6d235dc3a0644ec5870f77705aba21dd5aace44c1a4e7f4
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.