{"data":{"id":"us-tx/tex.-government-code-540.0154","jurisdiction":"us-tx","citation":"Tex. Government Code § 540.0154","heading":"PERFORMANCE AUDIT SELECTION PROCESS AND FOLLOW-UP.","body":"(a) To improve the commission's processes for performance audits of managed care organizations, the commission shall:\n(1) document the process by which the commission selects organizations to audit;\n(2) include previous audit coverage as a risk factor in selecting organizations to audit; and\n(3) prioritize the highest risk organizations to audit.\n(b) To verify that managed care organizations correct negative performance audit findings, the commission shall:\n(1) establish a process to:\n(A) document how the commission follows up on those findings; and\n(B) verify that organizations implement performance audit recommendations; and\n(2) establish and implement policies and procedures to:\n(A) determine under what circumstances the commission must issue a corrective action plan to an organization based on a performance audit; and\n(B) follow up on the organization's implementation of the plan.\nAdded by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.","path":["GOVERNMENT CODE","TITLE 4. EXECUTIVE BRANCH","SUBTITLE I. HEALTH AND HUMAN SERVICES","CHAPTER 540. MEDICAID MANAGED CARE PROGRAM","SUBCHAPTER D. STRATEGY FOR MANAGING AUDIT RESOURCES"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm#540.0154","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"2fb7d00a6770a9612aadafb02bf27fda34da45d01b084766e283b10ab9302dca","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-540.0153","next":"us-tx/tex.-government-code-540.0155"},"notice":"GroundRules: Original legal text. Not legal advice."}