Text of section effective until April 01, 2025
Sec. 533.017.  QUALIFICATIONS OF CERTIFIER OF ENCOUNTER DATA.  (a)  The person acting as 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 under this section 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.
Added by Acts 2001, 77th Leg., ch. 506, Sec. 1, eff. Sept. 1, 2001.
Repealed by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 3.01(3), eff. April 1, 2025.