Section 532.0255 - [Effective 4/1/2025] Compliance Standards And Standardized Processes(a) In implementing the electronic visit verification system: (1) subject to Subsection (b), the executive commissioner shall adopt compliance standards for health care providers; and(2) the commission shall ensure that: (A) the information required to be reported by health care providers is standardized across Medicaid managed care organizations and commission programs;(B) processes Medicaid managed care organizations require to retrospectively correct data are standardized and publicly accessible to health care providers;(C) standardized processes are established for addressing the failure of a Medicaid managed care organization to provide a timely authorization for delivering services necessary to ensure continuity of care; and(D) a health care provider is allowed to enter a variable schedule into the system.(b) In establishing compliance standards for health care providers under Subsection (a), the executive commissioner shall consider: (1) the administrative burdens placed on health care providers required to comply with the standards; and(2) the benefits of using emerging technologies for ensuring compliance, including Internet-based, mobile telephone-based, and global positioning-based technologies. (Gov. Code, Secs. 531.024172(d), (e).)Tex. Gov't. Code § 532.0255
Added by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 1.01, eff. 4/1/2025.