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Current as of January 01, 2024 | Updated by FindLaw Staff
(a) To improve the commission's processes for performance audits of managed care organizations, the commission shall:
(1) document the process by which the commission selects organizations to audit;
(2) include previous audit coverage as a risk factor in selecting organizations to audit; and
(3) prioritize the highest risk organizations to audit.
(b) To verify that managed care organizations correct negative performance audit findings, the commission shall:
(1) establish a process to:
(A) document how the commission follows up on those findings; and
(B) verify that organizations implement performance audit recommendations; and
(2) establish and implement policies and procedures to:
(A) determine under what circumstances the commission must issue a corrective action plan to an organization based on a performance audit; and
(B) follow up on the organization's implementation of the plan. (Gov. Code, Sec. 533.054.)
Cite this article: FindLaw.com - Texas Government Code - GOV'T § 540.0154. Performance Audit Selection Process and Follow-up - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-540-0154/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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