(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 under Medicaid.
(b) The recovery monitoring system must:
(1) monitor the collection of funds resulting from settled cases, including:
(A) recording monetary payments received from a provider who has agreed to a monetary payment plan; and
(B) recording deductions taken through the recoupment program from subsequent Medicaid claims filed by the provider; and
(2) provide immediate notice of a provider who has agreed to a monetary payment plan or to deductions through the recoupment program from subsequent Medicaid claims who fails to comply with the settlement agreement, including providing notice of a provider who does not make a scheduled payment or who pays less than the scheduled amount.


Text of section effective until April 01, 2025

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Terms Used In Texas Government Code 531.1062

  • Fraud: Intentional deception resulting in injury to another.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.