SECTION 370.503. Managed Care Organization's Contracts

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If a Managed Care Organization (MCO) contracts for the investigation of fraudulent claims and other types of programs abuse by recipients and providers under subsection 370.501(e), within 10 working days of executing the contract the MCO shall file with the Health and Human Services Commission, Office of Inspector General (HHSC-OIG):
(1) A copy of the written contract including any and all attachments.
(2) The names, titles, addresses, telephone numbers, and fax numbers of the principals of the entity with which the MCO has contracted; and
(3) A description of the qualifications of the principals of the entity with which the MCO has contracted to perform the contracted responsibilities.

Source Note: The provisions of this §370.503 adopted to be effective August 8, 2004, 29 TexReg 7302

                    
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