Texas SB2458 amends Medicaid recovery audit contractor procedures to include notification requirements and exclusion directives from the office of.

Texas SB2458 modifies the Texas Government Code to update procedures for Medicaid recovery audit contractors. The bill requires contractors to notify the office of inspector general or its designee before initiating a claim review and to exclude a claim if directed by the office. It also mandates that managed care organizations or providers submit necessary information to the contractor or office upon request. The bill establishes a process for appeals related to overpayments and allows the commission to contract with a third party to administer these processes.

Texas SB2458 amends Medicaid recovery audit contractor procedures to include notification requirements and exclusion directives from the office of.

Texas SB2458 modifies the Texas Government Code to update procedures for Medicaid recovery audit contractors. The bill requires contractors to notify the office of inspector general or its designee before initiating a claim review and to exclude a claim if directed by the office. It also mandates that managed care organizations or providers submit necessary information to the contractor or office upon request. The bill establishes a process for appeals related to overpayments and allows the commission to contract with a third party to administer these processes.