Section 533.054 - [Repealed Effective 4/1/2025] Performance Audit Selection Process and Follow-Up(a) To improve the commission's processes for performance audits of managed care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 managed care organizations to audit;(2) include previous audit coverage as a risk factor in selecting managed care organizations to audit; and(3) prioritize the highest risk managed care 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 negative performance audit findings; and(B) verify that managed care 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 a managed care organization based on a performance audit; and(B) follow up on the managed care organization's implementation of the corrective action plan.Tex. Gov't. Code § 533.054
Repealed by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 3.01, eff. 4/1/2025.Added by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 909,Sec. 4, eff. 9/1/2017.