Tex. Government Code § 540.0603
REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT
Texas · Texas Government Code · Status: effective
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- Citation
- Tex. Government Code § 540.0603, REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/656348
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Full text
Not later than the 60th day after the date a provider files a complaint with the commission regarding reimbursement for or overuse of out-of-network providers by a Medicaid managed care organization, the commission shall provide to the provider a report regarding the conclusions of the commission's investigation. The report must include:
(1) a description of any corrective action required of the organization that was the subject of the complaint; and
(2) if applicable, a conclusion regarding the amount of reimbursement owed to an out-of-network provider.