Texas Statutes
Chapter 531 - Health and Human Services Commission
Subchapter C. Medicaid and Other Health and Human Services Fraud, Abuse, or Overcharges

Section 531.101. Award for Reporting Medicaid Fraud, Abuse, or Overcharges - Sec. 531.101. AWARD FOR REPORTING MEDICAID FRAUD, ABUSE, OR OVERCHARGES....

Section 531.1011. Definitions - Sec. 531.1011. DEFINITIONS. For purposes of this subchapter: (1) "Abuse"...

Section 531.102. Office of Inspector General - Sec. 531.102. OFFICE OF INSPECTOR GENERAL. (a) The commission's office...

Section 531.1021. Subpoenas - Sec. 531.1021. SUBPOENAS. (a) The office of inspector general may...

Section 531.1022. Peace Officers - Sec. 531.1022. PEACE OFFICERS. (a) The commission's office of inspector...

Section 531.1023. Compliance With Federal Coding Guidelines - Sec. 531.1023. COMPLIANCE WITH FEDERAL CODING GUIDELINES. (a) The commission's...

Section 531.1024. Hospital Utilization Reviews and Audits: Provider Education Process - Sec. 531.1024. HOSPITAL UTILIZATION REVIEWS AND AUDITS: PROVIDER EDUCATION PROCESS....

Section 531.1025. Performance Audits and Coordination of Audit Activities - Sec. 531.1025. PERFORMANCE AUDITS AND COORDINATION OF AUDIT ACTIVITIES. (a)...

Section 531.103. Interagency Coordination - Sec. 531.103. INTERAGENCY COORDINATION. (a) The commission, acting through the...

Section 531.1031. Duty to Exchange Information - Sec. 531.1031. DUTY TO EXCHANGE INFORMATION. (a) In this section...

Section 531.1032. Office of Inspector General: Criminal History Record Information Check - Sec. 531.1032. OFFICE OF INSPECTOR GENERAL: CRIMINAL HISTORY RECORD INFORMATION...

Section 531.1033. Monitoring of Certain Federal Databases - Sec. 531.1033. MONITORING OF CERTAIN FEDERAL DATABASES. The office shall...

Section 531.1034. Time to Determine Provider Eligibility; Performance Metrics - Sec. 531.1034. TIME TO DETERMINE PROVIDER ELIGIBILITY; PERFORMANCE METRICS. (a)...

Section 531.104. Assisting Investigations by Attorney General - Sec. 531.104. ASSISTING INVESTIGATIONS BY ATTORNEY GENERAL. (a) The commission...

Section 531.105. Fraud Detection Training - Sec. 531.105. FRAUD DETECTION TRAINING. (a) The commission shall develop...

Section 531.106. Learning, Neural Network, or Other Technology - Sec. 531.106. LEARNING, NEURAL NETWORK, OR OTHER TECHNOLOGY. (a) The...

Section 531.1061. Fraud Investigation Tracking System - Sec. 531.1061. FRAUD INVESTIGATION TRACKING SYSTEM. (a) The commission shall...

Section 531.1062. Recovery Monitoring System - Sec. 531.1062. RECOVERY MONITORING SYSTEM. (a) The commission shall use...

Section 531.108. Fraud Prevention - Sec. 531.108. FRAUD PREVENTION. (a) The commission's office of inspector...

Section 531.1081. Integrity of Certain Public Assistance Programs - Sec. 531.1081. INTEGRITY OF CERTAIN PUBLIC ASSISTANCE PROGRAMS. (a) In...

Section 531.109. Selection and Review of Claims - Sec. 531.109. SELECTION AND REVIEW OF CLAIMS. (a) The commission...

Section 531.110. Electronic Data Matching Program - Sec. 531.110. ELECTRONIC DATA MATCHING PROGRAM. (a) In this section,...

Section 531.111. Fraud Detection Technology - Sec. 531.111. FRAUD DETECTION TECHNOLOGY. The commission may contract with...

Section 531.1112. Study Concerning Increased Use of Technology to Strengthen Fraud Detection and Deterrence; Implementation - Sec. 531.1112. STUDY CONCERNING INCREASED USE OF TECHNOLOGY TO STRENGTHEN...

Section 531.112. Expunction of Information Related to Certain Chemical Dependency Diagnoses in Certain Records - Sec. 531.112. EXPUNCTION OF INFORMATION RELATED TO CERTAIN CHEMICAL DEPENDENCY...

Section 531.113. Managed Care Organizations: Special Investigative Units or Contracts - Sec. 531.113. MANAGED CARE ORGANIZATIONS: SPECIAL INVESTIGATIVE UNITS OR CONTRACTS....

Section 531.1131. Fraud and Abuse Recovery by Certain Persons; Retention of Recovered Amounts - Sec. 531.1131. FRAUD AND ABUSE RECOVERY BY CERTAIN PERSONS; RETENTION...

Section 531.1132. Annual Report on Certain Fraud and Abuse Recoveries - Sec. 531.1132. ANNUAL REPORT ON CERTAIN FRAUD AND ABUSE RECOVERIES....

Section 531.1135. Managed Care Organizations: Process to Recoup Certain Overpayments - Sec. 531.1135. MANAGED CARE ORGANIZATIONS: PROCESS TO RECOUP CERTAIN OVERPAYMENTS....

Section 531.114. Financial Assistance Fraud - Sec. 531.114. FINANCIAL ASSISTANCE FRAUD. (a) For purposes of establishing...

Section 531.115. Federal Felony Match - Sec. 531.115. FEDERAL FELONY MATCH. The commission shall develop and...

Section 531.116. Compliance With Law Prohibiting Solicitation - Sec. 531.116. COMPLIANCE WITH LAW PROHIBITING SOLICITATION. A provider who...

Section 531.117. Recovery Audit Contractors - Sec. 531.117. RECOVERY AUDIT CONTRACTORS. To the extent required under...

Section 531.118. Preliminary Investigations of Allegations of Fraud or Abuse and Fraud Referrals - Sec. 531.118. PRELIMINARY INVESTIGATIONS OF ALLEGATIONS OF FRAUD OR ABUSE...

Section 531.119. Website Posting - Sec. 531.119. WEBSITE POSTING. The commission's office of inspector general...

Section 531.120. Notice and Informal Resolution of Proposed Recoupment of Overpayment or Debt - Sec. 531.120. NOTICE AND INFORMAL RESOLUTION OF PROPOSED RECOUPMENT OF...

Section 531.1201. Appeal of Determination to Recoup Overpayment or Debt - Sec. 531.1201. APPEAL OF DETERMINATION TO RECOUP OVERPAYMENT OR DEBT....

Section 531.1202. Record and Confidentiality of Informal Resolution Meetings - Sec. 531.1202. RECORD AND CONFIDENTIALITY OF INFORMAL RESOLUTION MEETINGS. (a)...

Section 531.1203. Rights of and Provision of Information to Pharmacies Subject to Certain Audits - Sec. 531.1203. RIGHTS OF AND PROVISION OF INFORMATION TO PHARMACIES...