Recovery Monitoring System

Sec. 544.0501. RECOVERY MONITORING SYSTEM. (a) The commission shall use an automated recovery monitoring system to monitor the collections process for a settled case of fraud, abuse, or insufficient quality of care in Medicaid. (b) The recovery monitoring system must: (1) monitor the collection of funds resulting from settled cases, including by recording: (A) monetary payments received from a provider who agreed to a monetary payment plan; and (B) deductions taken through the recoupment program from subsequent Medicaid claims the provider filed; and (2) provide immediate notice of a provider who: (A) agreed to a monetary payment plan or to deductions through the recoupment program from subsequent Medicaid claims; and (B) fails to comply with the settlement agreement, including by providing notice of a provider who: (i) does not make a scheduled payment; or (ii) pays less than a scheduled amount. Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.