Texas Statutes
Subchapter C. Medicaid and Other Health and Human Services Fraud, Abuse, or Overcharges
Section 531.1062. Recovery Monitoring System

Sec. 531.1062. RECOVERY MONITORING SYSTEM. (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 under Medicaid.
(b) The recovery monitoring system must:
(1) monitor the collection of funds resulting from settled cases, including:
(A) recording monetary payments received from a provider who has agreed to a monetary payment plan; and
(B) recording deductions taken through the recoupment program from subsequent Medicaid claims filed by the provider; and
(2) provide immediate notice of a provider who has agreed to a monetary payment plan or to deductions through the recoupment program from subsequent Medicaid claims who fails to comply with the settlement agreement, including providing notice of a provider who does not make a scheduled payment or who pays less than the scheduled amount.
Added by Acts 1999, 76th Leg., ch. 206, Sec. 1, eff. Sept. 1, 1999.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.142, eff. April 2, 2015.

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