Text of section effective on April 01, 2025
Sec. 544.0501.  RECOVERY MONITORING SYSTEM.  (a)  The commission shall use an automated recovery monitoring system to monitor the collections process for a settled case of fraud, abuse, or insufficient quality of care in Medicaid.
(b)  The recovery monitoring system must:
(1)  monitor the collection of funds resulting from settled cases, including by recording:
(A)  monetary payments received from a provider who agreed to a monetary payment plan; and
(B)  deductions taken through the recoupment program from subsequent Medicaid claims the provider filed; and
(2)  provide immediate notice of a provider who:
(A)  agreed to a monetary payment plan or to deductions through the recoupment program from subsequent Medicaid claims; and
(B)  fails to comply with the settlement agreement, including by providing notice of a provider who:
(i)  does not make a scheduled payment; or
(ii)  pays less than a scheduled amount.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.