Tex. Gov't Code § 540.0603 · Subchapter M. PROVIDER NETWORK ADEQUACY
REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
Not later than the 60th day after the date a provider files a complaint with the commission regarding reimbursement for or overuse of out-of-network providers by a Medicaid managed care organization, the commission shall provide to the provider a report regarding the conclusions of the commission's investigation. The report must include:
(1) a description of any corrective action required of the organization that was the subject of the complaint; and
(2) if applicable, a conclusion regarding the amount of reimbursement owed to an out-of-network provider.
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 4ca09f3128ba2f73cbe23ffa2e2d67d2a49dd861f68307b8ce02d713c982cee4
- 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.