Texas Government Code 533.0062 – Penalties and Other Remedies for Failure to Comply With Provider Access Standards
Terms Used In Texas Government Code 533.0062
- Contract: A legal written agreement that becomes binding when signed.
- Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
If a managed care organization that has contracted with the commission to provide health care services to recipients fails to comply with one or more provider access standards established under § 533.0061 and the commission determines the organization has not made substantial efforts to mitigate or remedy the noncompliance, the commission:
(1) may:
(A) elect to not retain or renew the commission’s contract with the organization; or
(B) require the organization to pay liquidated damages in accordance with § 533.005(a)(20)(C); and
(2) shall suspend default enrollment to the organization in a given service delivery area for at least one calendar quarter if the organization’s noncompliance occurs in the service delivery area for two consecutive calendar quarters.
Text of section effective until April 01, 2025