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Texas Government Code - GOV'T § 540.0159. Using Information from External Quality Reviews

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) To enhance the commission's monitoring of managed care organizations, the commission shall use the information provided by the external quality review organization, including:

(1) detailed data from results of surveys of:

(A) recipients and, if applicable, child health plan program enrollees;

(B) caregivers of those recipients and enrollees;  and

(C) Medicaid and, as applicable, child health plan program providers;  and

(2) the validation results of matching paid claims data with medical records.

(b) The commission shall document how the commission uses the information described by Subsection (a) to monitor managed care organizations.

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Cite this article: FindLaw.com - Texas Government Code - GOV'T § 540.0159. Using Information from External Quality Reviews - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-540-0159/

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