Texas Government Code 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.
Text of section effective on April 01, 2025
Terms Used In Texas Government Code 544.0501
- 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.