Texas Human Resources Code

§ 32.0281 — RULES AND NOTICE RELATING TO PAYMENT RATES

HR § 32.0281Title 2. HUMAN SERVICES AND PROTECTIVE SERVICES IN GENERAL · Part C. ASSISTANCE PROGRAMS · Ch. 32. MEDICAL ASSISTANCE PROGRAM · Art. B. ADMINISTRATIVE PROVISIONS

Statute text

View on source

(a)The executive commissioner shall by rule describe the process used to determine payment rates for medical assistance and shall notify providers, consumers, the Legislative Budget Board, and the Governor's Office of Budget, Planning, and Policy of that process.

(b)The executive commissioner shall adopt rules relating to payment rates that include:

(1)a description of the process used to determine payment rates;

(2)a description of each cost of living index used in calculating inflation rates and the procedure for determining the level of inflation used in the executive commissioner's calculations;

(3)the criteria for desk audits;

(4)the procedure for notifying providers of exclusions and adjustments to reported expenses, if notification is requested; and

…

Legislative history

Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 4.097, eff. April 2, 2015.