Text of section effective on April 01, 2025
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.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.