The Texas Health and Human Services Commission has proposed new 1 TAC §371.37 and new 1 TAC §353.6. The purpose of the proposed new rules is to implement sections of the Government Code amended by Senate Bills 200 and 207 (84R). Section 533.015(b) Government Code requires the Executive Commissioner to define the roles in, jurisdiction over, and frequency of audits of managed care organizations participating in Medicaid conducted by various divisions of HHSC, including the Office of the Inspector General (OIG). Proposed §371.37 clarifies the roles of HHSC and the OIG with respect to audits of managed care organizations and requires coordination between HHSC and the OIG in conducting such audits. Proposed §353.6 requires coordination between various divisions of HHSC in conducting such audits, as directed by the HHSC Executive Commissioner through specific policy directives.
Written comments will be accepted until the end of May and a public hearing will be scheduled in the same time period. The earliest possible date of adoption is May 29.