Texas § 540.0603 REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT.

Texas Statutes

§ 540.0603 — REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT.

Texas § 540.0603

Code GVGovernment Code

This text of Texas § 540.0603 (REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT.) 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. § 540.0603 (2026).

Text

Sec. 540.0603. REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT. 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.

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Sec. 540.0603. REPORT ON COMMISSION INVESTIGATION OF PROVIDER COMPLAINT. 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.