Tex. Gov't Code § 544.0052 · Subchapter B. HEALTH AND HUMAN SERVICES COMMISSION: ADMINISTRATIVE PROVISIONS
RULES REGARDING ENFORCEMENT AND PUNITIVE ACTIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The executive commissioner, in consultation with the office of inspector general, shall adopt rules establishing criteria for determining enforcement and punitive actions regarding a provider who violated state law, program rules, or the provider's Medicaid provider agreement.
(b) The rules must include:
(1) direction for categorizing provider violations according to the nature of the violation and for scaling resulting enforcement actions, taking into consideration:
(A) the seriousness of the violation;
(B) the prevalence of errors by the provider;
(C) the financial or other harm to this state or recipients resulting or potentially resulting from those errors; and
(D) mitigating factors the office of inspector general determines appropriate; and
(2) a specific list of potential penalties, including the amount of the penalties, for fraud and other Medicaid violations.
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.544.htm
- Text hash
- sha256 870e54822d91c3632c7ad88ad334c4a88d5f5f907dd20f871da6b0213ef8c21e
- 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
Cited by 1 provision
Provisions in this library whose text cites Tex. Gov't Code § 544.0052. Each shows the citation as that text prints it.
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