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Texas Government Code - GOV'T § 544.0501. Recovery Monitoring System

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

(a) The commission shall use an automated recovery monitoring system to monitor the collections process for a settled case of fraud, abuse, or insufficient quality of care in Medicaid.

(b) The recovery monitoring system must:

(1) monitor the collection of funds resulting from settled cases, including by recording:

(A) monetary payments received from a provider who agreed to a monetary payment plan; and

(B) deductions taken through the recoupment program from subsequent Medicaid claims the provider filed; and

(2) provide immediate notice of a provider who:

(A) agreed to a monetary payment plan or to deductions through the recoupment program from subsequent Medicaid claims; and

(B) fails to comply with the settlement agreement, including by providing notice of a provider who:

(i) does not make a scheduled payment; or

(ii) pays less than a scheduled amount. (Gov. Code, Sec. 531.1062.)

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Cite this article: FindLaw.com - Texas Government Code - GOV'T § 544.0501. Recovery Monitoring System - last updated January 01, 2024 | https://codes.findlaw.com/tx/government-code/gov-t-sect-544-0501/

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