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Texas Health & Safety Code - Section 12.0123. External Audits Of Certain Medicaid Contractors

Legal Research Home > Texas Lawyer > Health & Safety Code > Texas Health & Safety Code - Section 12.0123. External Audits Of Certain Medicaid Contractors

§ 12.0123. EXTERNAL AUDITS OF CERTAIN MEDICAID 
CONTRACTORS.               

Text of section as added by Acts 1999, 76th Leg., ch. 1447, § 1 
and by Acts 1999, 76th Leg., ch. 1460, § 9.01
	(a)  In this section, "Medicaid contractor" means an entity 
that:            
		(1)  is not a health and human services agency as 
defined by Section 531.001, Government Code;  and
		(2)  under contract with or otherwise on behalf of the 
department, performs one or more administrative services in 
relation to the department's operation of a part of the state 
Medicaid program, such as claims processing, utilization review, 
client enrollment, provider enrollment, quality monitoring, or 
payment of claims.
	(b)  The department shall contract with an independent 
auditor to perform annual independent external financial and 
performance audits of any Medicaid contractor used by the 
department in the department's operation of a part of the state 
Medicaid program.
	(c)  The department shall ensure that audit procedures 
related to financial audits and performance audits are used 
consistently in audits under this section.
	(d)  An audit required by this section must be completed 
before the end of the fiscal year immediately following the fiscal 
year for which the audit is performed.

Added by Acts 1999, 76th Leg., ch. 1447, § 1, eff. June 19, 1999;  
Acts 1999, 76th Leg., ch. 1460, § 9.01, eff. Sept. 1, 1999.

For text of section as added by Acts 1999, 76th Leg., ch. 1411, § 
1.10, eff. Sept. 1, 1999, see § 12.0123, ante.

Last modified: August 10, 2007