Sec. 533.0062. PENALTIES AND OTHER REMEDIES FOR FAILURE TO COMPLY WITH PROVIDER ACCESS STANDARDS. If a managed care organization that has contracted with the commission to provide health care services to recipients fails to comply with one or more provider access standards established under Section 533.0061 and the commission determines the organization has not made substantial efforts to mitigate or remedy the noncompliance, the commission:
(1) may:
(A) elect to not retain or renew the commission's contract with the organization; or
(B) require the organization to pay liquidated damages in accordance with Section 533.005(a)(20)(C); and
(2) shall suspend default enrollment to the organization in a given service delivery area for at least one calendar quarter if the organization's noncompliance occurs in the service delivery area for two consecutive calendar quarters.
Added by Acts 2015, 84th Leg., R.S., Ch. 1272 (S.B. 760), Sec. 5, eff. September 1, 2015.
Section: Previous 533.00511 533.0052 533.0053 533.0055 533.006 533.0061 533.0062 533.0063 533.0064 533.0066 533.007 533.0071 533.0072 533.0073 NextLast modified: September 28, 2016