SECTION 353.1451. Purpose and Authority

Latest version.

The purpose of this subchapter is to describe the due process a managed care organization (MCO) must give to recoup an overpayment related to an electronic visit verification visit transaction in accordance with Texas Government Code, §531.1135 and the due process an MCO must give to recoup an overpayment related to a determination of fraud or abuse in accordance with Texas Government Code, §531.1131.

Source Note: The provisions of this §353.1451 adopted to be effective February 7, 2022, 47 TexReg 496

                    
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