Text of section effective on April 01, 2025
Sec. 540.0057.  COORDINATION OF EXTERNAL OVERSIGHT ACTIVITIES.  (a)  To the extent possible, the commission shall coordinate all external oversight activities to minimize duplicating oversight of Medicaid managed care plans and disrupting operations under those plans.
(b)  The executive commissioner, after consulting with the commission's office of inspector general, shall by rule define the commission's and office's roles in, jurisdiction over, and frequency of audits of Medicaid managed care organizations that are conducted by the commission and the office.
(c)  In accordance with Section 544.0109, the commission shall share with the commission's office of inspector general, at the office's request, the results of any informal audit or on-site visit that could inform the office's risk assessment when determining:
(1)  whether to conduct an audit of a Medicaid managed care organization; or
(2)  the scope of the audit.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.