Sec. 531.1062. 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 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.
Added by Acts 1999, 76th Leg., ch. 206, Sec. 1, eff. Sept. 1, 1999.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 2.142, eff. April 2, 2015.
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