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Texas Human Resources Code - HUM RES § 32.0291. Prepayment Reviews and Payment Holds

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

<Text of section effective until April 1, 2025. See, also, § 32.0291 effective April 1, 2025.>

(a) Notwithstanding any other law, the commission may:

(1) perform a prepayment review of a claim for reimbursement under the medical assistance program to determine whether the claim involves fraud or abuse; and

(2) as necessary to perform that review, withhold payment of the claim for not more than five working days without notice to the person submitting the claim.

(b) Subject to Section 531.102, Government Code, and notwithstanding any other law, the commission may impose a payment hold on future claims submitted by a provider.

(c) A payment hold authorized by this section is governed by the requirements and procedures specified for a payment hold under Section 531.102, Government Code, including the notice requirements under Subsection (g) of that section.

(d) Repealed by Acts 2013, 83rd Leg., ch. 622 (S.B. 1803), § 6.

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Cite this article: FindLaw.com - Texas Human Resources Code - HUM RES § 32.0291. Prepayment Reviews and Payment Holds - last updated January 01, 2024 | https://codes.findlaw.com/tx/human-resources-code/hum-res-sect-32-0291/

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