Texas § 540.0402 CERTIFIER OF ENCOUNTER DATA QUALIFICATIONS.

Texas Statutes

§ 540.0402 — CERTIFIER OF ENCOUNTER DATA QUALIFICATIONS.

Texas § 540.0402

Code GVGovernment Code

This text of Texas § 540.0402 (CERTIFIER OF ENCOUNTER DATA QUALIFICATIONS.) 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. § 540.0402 (2026).

Text

Sec. 540.0402. CERTIFIER OF ENCOUNTER DATA QUALIFICATIONS.

(a)The state Medicaid director shall appoint a person as the certifier of encounter data.

(b)The certifier of encounter data must have:

(1)demonstrated expertise in estimating premium payment rates paid to a managed care organization under a managed care plan; and

(2)access to actuarial expertise, including expertise in estimating premium payment rates paid to a managed care organization under a managed care plan.

(c)A person may not be appointed as the certifier of encounter data if the person participated with the commission in developing premium payment rates for managed care organizations under managed care plans in this state during the three-year period before the date the certifier is appointed.

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Sec. 540.0402. CERTIFIER OF ENCOUNTER DATA QUALIFICATIONS. (a) The state Medicaid director shall appoint a person as the certifier of encounter data.
(b) The certifier of encounter data must have:
(1) demonstrated expertise in estimating premium payment rates paid to a managed care organization under a managed care plan; and
(2) access to actuarial expertise, including expertise in estimating premium payment rates paid to a managed care organization under a managed care plan.
(c) A person may not be appointed as the certifier of encounter data if the person participated with the commission in developing premium payment rates for managed care organizations under managed care plans in this state during the three-year period before the date the certifier is appointed.