Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 353 - MEDICAID MANAGED CARE
Subchapter F - SPECIAL INVESTIGATIVE UNITS
Section 353.503 - Managed Care Organization's Contracts
Current through Reg. 49, No. 38; September 20, 2024
If a managed care organization (MCO) contracts for the investigation of fraudulent claims and other types of programs abuse by recipients and providers under § RSA 353.501(e) of this chapter (relating to Purpose), within 10 working days of executing the contract the MCO must file with the Health and Human Services Commission, Office of Inspector General (HHSC-OIG):
(1) a copy of the written contract including any and all attachments.
(2) the names, titles, addresses, telephone numbers, and fax numbers of the principals of the entity with which the MCO has contracted; and
(3) a description of the qualifications of the principals of the entity with which the MCO has contracted to perform the contracted responsibilities.
