Sec. 533.058. COLLECTION ACTIVITIES RELATED TO PROFIT SHARING. To strengthen the commission's process for collecting shared profits from managed care organizations, the commission shall develop, document, and implement monitoring processes in the Medicaid and CHIP services department of the commission to ensure that the commission:
(1) identifies experience rebates deposited in the commission's suspense account and timely transfers those rebates to the appropriate accounts; and
(2) timely follows up on and resolves disputes over experience rebates claimed by managed care organizations.
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