Tex. Gov't Code § 544.0355 · Subchapter H. MANAGED CARE ORGANIZATION PREVENTION AND INVESTIGATION OF FRAUD AND ABUSE
RULES.
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 as necessary to accomplish the purposes of this subchapter, including rules defining the investigative role of the office with respect to the investigative role of special investigative units established by managed care organizations under Section 544.0352(a)(1) and entities with which managed care organizations contract under Section 544.0352(a)(2).
(b) The rules must specify the office of inspector general's role in:
(1) reviewing the findings of special investigative units and contracted entities;
(2) investigating cases in which the overpayment amount sought to be recovered exceeds $100,000; and
(3) investigating providers who are enrolled in more than one managed care organization.
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 3e54dcad13c14eccc6e356eaeb4aa88e8babbb2f512786b360be3eec16f65af6
- 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
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