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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) A managed care organization to which this subchapter applies shall:
(1) establish and maintain a special investigative unit within the organization to investigate fraudulent claims and other types of program abuse by recipients or enrollees, as applicable, and service providers; or
(2) contract with another entity to investigate fraudulent claims and other types of program abuse by recipients or enrollees, as applicable, and service providers.
(b) A managed care organization that contracts for the investigation of fraudulent claims and other types of program abuse by recipients or enrollees, as applicable, and service providers under Subsection (a)(2) shall file with the office of inspector general:
(1) a copy of the written contract;
(2) the names, addresses, telephone numbers, and fax numbers of the principals of the entity with which the organization contracts; and
(3) a description of the qualifications of the principals of the entity with which the organization contracts.
Cite this article: FindLaw.com - Texas Government Code - GOV'T § 544.0352. Special Investigative Unit or Contracted Entity to Investigate Fraud and Abuse - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-544-0352/
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 before relying on it for your legal needs.
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