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Texas Government Code - GOV'T § 540.0210. Internet Posting of Sanctions Imposed for Contractual Violations

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

(a) The commission shall prepare and maintain a record of each enforcement action the commission initiates that results in a sanction, including a penalty, being imposed against a managed care organization for failure to comply with the terms of a contract to provide health care services to recipients through a Medicaid managed care plan the organization issues.

(b) The record must include:

(1) the managed care organization's name and address;

(2) a description of the contractual obligation the organization failed to meet;

(3) the date of determination of noncompliance;

(4) the date the sanction was imposed;

(5) the maximum sanction that may be imposed under the contract for the violation;  and

(6) the actual sanction imposed against the organization.

(c) The commission shall:

(1) post and maintain on the commission's Internet website the records required by this section:

(A) in English and Spanish;  and

(B) in a format that is readily accessible to and understandable by the public;  and

(2) update the list of records on the website at least quarterly.

(d) The commission may not post information under this section that relates to a sanction while the sanction is the subject of an administrative appeal or judicial review.

(e) A record prepared under this section may not include information that is excepted from disclosure under Chapter 552.

(f) The executive commissioner shall adopt rules as necessary to implement this section.

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Cite this article: FindLaw.com - Texas Government Code - GOV'T § 540.0210. Internet Posting of Sanctions Imposed for Contractual Violations - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-540-0210/

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