{"data":{"id":"us-tx/tex.-government-code-540.0603","jurisdiction":"us-tx","citation":"Tex. Government Code § 540.0603","heading":"REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT.","body":"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:\n(1) a description of any corrective action required of the organization that was the subject of the complaint; and\n(2) if applicable, a conclusion regarding the amount of reimbursement owed to an out-of-network provider.\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 M. PROVIDER NETWORK ADEQUACY"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm#540.0603","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"285c73d4c649c41d14d1c81ea3314d106d549b2798b77005066e06191b506387","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-540.0602","next":"us-tx/tex.-government-code-540.0604"},"notice":"GroundRules: Original legal text. Not legal advice."}