Text of section effective on April 01, 2025

Sec. 544.0355.  RULES.  (a)  The executive commissioner, in consultation with the office of inspector general, shall adopt rules as necessary to accomplish the purposes of this subchapter, including rules defining the investigative role of the office with respect to the investigative role of special investigative units established by managed care organizations under Section 544.0352(a)(1) and entities with which managed care organizations contract under Section 544.0352(a)(2).
(b)  The rules must specify the office of inspector general's role in:
(1)  reviewing the findings of special investigative units and contracted entities;
(2)  investigating cases in which the overpayment amount sought to be recovered exceeds $100,000; and
(3)  investigating providers who are enrolled in more than one managed care organization.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.