Sec. 533.055. AGREED-UPON PROCEDURES ENGAGEMENTS AND CORRECTIVE ACTION PLANS. To enhance the commission's use of agreed-upon procedures engagements to identify managed care organizations' performance and compliance issues, the commission shall:
(1) ensure that financial risks identified in agreed-upon procedures engagements are adequately and consistently addressed; and
(2) establish policies and procedures to determine under what circumstances the commission must issue a corrective action plan based on an agreed-upon procedures engagement.
Added by Acts 2017, 85th Leg., R.S., Ch. 909 (S.B. 894), Sec. 4, eff. September 1, 2017.
Structure Texas Statutes
Subtitle I - Health and Human Services
Chapter 533 - Medicaid Managed Care Program
Subchapter B. Strategy for Managing Audit Resources
Section 533.052. Applicability and Construction of Subchapter
Section 533.053. Overall Strategy for Managing Audit Resources
Section 533.054. Performance Audit Selection Process and Follow-Up
Section 533.055. Agreed-Upon Procedures Engagements and Corrective Action Plans
Section 533.056. Audits of Pharmacy Benefit Managers
Section 533.057. Collection of Costs for Audit-Related Services
Section 533.058. Collection Activities Related to Profit Sharing
Section 533.059. Use of Information From External Quality Reviews
Section 533.060. Security and Processing Controls Over Information Technology Systems