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