Tex. Government Code § 540.0159
USING INFORMATION FROM EXTERNAL QUALITY REVIEWS
Texas · Texas Government Code · Status: effective
Cite this
- Citation
- Tex. Government Code § 540.0159, USING INFORMATION FROM EXTERNAL QUALITY REVIEWS, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/656269
- Permanent ID
ys:prov:656269@1- SHA-256
8e7cf255040ae6270ac7ccdb6435facd6eb089573e68592280f78f3421dbae5e
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) To enhance the commission's monitoring of managed care organizations, the commission shall use the information provided by the external quality review organization, including:
(1) detailed data from results of surveys of:
(A) recipients and, if applicable, child health plan program enrollees;
(B) caregivers of those recipients and enrollees; and
(C) Medicaid and, as applicable, child health plan program providers; and
(2) the validation results of matching paid claims data with medical records.
(b) The commission shall document how the commission uses the information described by Subsection (a) to monitor managed care organizations.