Section 540.0154 - [Effective 4/1/2025] Performance Audit Selection Process And Follow-Up(a) To improve the commission's processes for performance audits of managed care organizations, the commission shall: (1) document the process by which the commission selects organizations to audit;(2) include previous audit coverage as a risk factor in selecting organizations to audit; and(3) prioritize the highest risk organizations to audit.(b) To verify that managed care organizations correct negative performance audit findings, the commission shall: (1) establish a process to:(A) document how the commission follows up on those findings; and(B) verify that organizations implement performance audit recommendations; and(2) establish and implement policies and procedures to: (A) determine under what circumstances the commission must issue a corrective action plan to an organization based on a performance audit; and(B) follow up on the organization's implementation of the plan. (Gov. Code, Sec. 533.054.)Tex. Gov't. Code § 540.0154
Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 1.01, eff. 4/1/2025.