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Texas Government Code - GOV'T § 540.0603. Report on Commission Investigation of Provider Complaint

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

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:

(1) a description of any corrective action required of the organization that was the subject of the complaint;  and

(2) if applicable, a conclusion regarding the amount of reimbursement owed to an out-of-network provider.

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Cite this article: FindLaw.com - Texas Government Code - GOV'T § 540.0603. Report on Commission Investigation of Provider Complaint - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-540-0603/

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