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Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Government Code § 540.0158: COLLECTION ACTIVITIES RELATED TO PROFIT SHARING.

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Where this section sits in the code
  1. GOVERNMENT CODE
  2. TITLE 4. EXECUTIVE BRANCH
  3. SUBTITLE I. HEALTH AND HUMAN SERVICES
  4. CHAPTER 540. MEDICAID MANAGED CARE PROGRAM
  5. SUBCHAPTER D. STRATEGY FOR MANAGING AUDIT RESOURCES

To strengthen the commission's process for collecting shared profits from managed care organizations, the commission shall develop, document, and implement monitoring processes in the commission's Medicaid and CHIP services department to ensure that the commission:

(1) identifies experience rebates deposited in the commission's suspense account and timely transfers those rebates to the appropriate accounts; and

(2) timely follows up on and resolves disputes over experience rebates managed care organizations claim.

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Collected 2026-08-27T01:47:16Z. Source file · JSON

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