Bill Text: TX SB2055 | 2023-2024 | 88th Legislature | Introduced
Bill Title: Relating to the process for recovering overpayments under Medicaid.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2023-03-21 - Referred to Health & Human Services [SB2055 Detail]
Download: Texas-2023-SB2055-Introduced.html
88R13391 KKR-D | ||
By: Hinojosa | S.B. No. 2055 |
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relating to the process for recovering overpayments under Medicaid. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 531.1131(f), Government Code, is amended | ||
to read as follows: | ||
(f) In adopting rules establishing due process procedures | ||
under Subsection (e), the executive commissioner shall require that | ||
a managed care organization or an entity with which the managed care | ||
organization contracts under Section 531.113(a)(2) that engages in | ||
payment recovery efforts in accordance with this section and | ||
Section 531.1135 provide: | ||
(1) written notice to a provider required to use | ||
electronic visit verification of the organization's intent to | ||
recoup overpayments in accordance with Section 531.1135; and | ||
(2) any [ |
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least 60 days after the provider has exhausted all rights to an | ||
appeal to cure any defect in a claim, including by submitting | ||
necessary documentation for the claim or resubmitting the claim, | ||
before the organization may begin any efforts to collect | ||
overpayments. | ||
SECTION 2. If before implementing any provision of this Act | ||
a state agency determines that a waiver or authorization from a | ||
federal agency is necessary for implementation of that provision, | ||
the agency affected by the provision shall request the waiver or | ||
authorization and may delay implementing that provision until the | ||
waiver or authorization is granted. | ||
SECTION 3. This Act takes effect September 1, 2023. |