Texas § 532.0255 COMPLIANCE STANDARDS AND STANDARDIZED PROCESSES.

Texas Statutes

§ 532.0255 — COMPLIANCE STANDARDS AND STANDARDIZED PROCESSES.

Texas § 532.0255

Code GVGovernment Code

This text of Texas § 532.0255 (COMPLIANCE STANDARDS AND STANDARDIZED PROCESSES.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Government Code Code Ann. § 532.0255 (2026).

Text

Sec. 532.0255. COMPLIANCE STANDARDS AND STANDARDIZED PROCESSES.

(a)In implementing the electronic visit verification system:

(1)subject to Subsection (b), the executive commissioner shall adopt compliance standards for health care providers; and

(2)the commission shall ensure that:

(A)the information required to be reported by health care providers is standardized across Medicaid managed care organizations and commission programs;

(B)processes Medicaid managed care organizations require to retrospectively correct data are standardized and publicly accessible to health care providers;

(C)standardized processes are established for addressing the failure of a Medicaid managed care organization to provide a timely authorization for delivering services necessary to ensure continuity of ca

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Sec. 532.0255. COMPLIANCE STANDARDS AND STANDARDIZED PROCESSES. (a) In implementing the electronic visit verification system:
(1) subject to Subsection (b), the executive commissioner shall adopt compliance standards for health care providers; and
(2) the commission shall ensure that:
(A) the information required to be reported by health care providers is standardized across Medicaid managed care organizations and commission programs;
(B) processes Medicaid managed care organizations require to retrospectively correct data are standardized and publicly accessible to health care providers;
(C) standardized processes are established for addressing the failure of a Medicaid managed care organization to provide a timely authorization for delivering services necessary to ensure continuity of care; and
(D) a health care provider is allowed to enter a variable schedule into the system.
(b) In establishing compliance standards for health care providers under Subsection (a), the executive commissioner shall consider:
(1) the administrative burdens placed on health care providers required to comply with the standards; and
(2) the benefits of using emerging technologies for ensuring compliance, including Internet-based, mobile telephone-based, and global positioning-based technologies.