Sec. 533.056. AUDITS OF PHARMACY BENEFIT MANAGERS. To obtain greater assurance about the effectiveness of pharmacy benefit managers' internal controls and compliance with state requirements, the commission shall:
(1) periodically audit each pharmacy benefit manager that contracts with a managed care organization; and
(2) develop, document, and implement a monitoring process to ensure that managed care organizations correct and resolve negative findings reported in performance audits or agreed-upon procedures engagements of pharmacy benefit managers.
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