Sec. 1272.053.  MONITORING PLAN.  A delegation agreement required by Section 1272.052 must establish a monitoring plan that:
(1)  allows the health maintenance organization to monitor compliance with the minimum solvency requirements established under Subchapter D, if applicable;  and
(2)  includes:
(A)  a description of financial practices that will ensure that the delegated entity tracks and reports liabilities that have been incurred but not reported;
(B)  a summary of the total amount paid by the entity to physicians and providers on a monthly basis;  and
(C)  a summary of complaints from physicians, providers, and enrollees regarding delays in payment or nonpayment of claims, including the status of each complaint, on a monthly basis.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.