Section 32.0291 - [Effective 4/1/2025] Prepayment Reviews and Payment Holds(a) Notwithstanding any other law, the commission may: (1) perform a prepayment review of a claim for reimbursement under the medical assistance program to determine whether the claim involves fraud or abuse; and(2) as necessary to perform that review, withhold payment of the claim for not more than five working days without notice to the person submitting the claim.(b) Subject to Sections 544.0104 and 544.0105 and Subchapter G, Chapter 544 , Government Code, and notwithstanding any other law, the commission may impose a payment hold on future claims submitted by a provider.(c) A payment hold authorized by this section is governed by the requirements and procedures specified for a payment hold under Sections 544.0104 and 544.0105 and Subchapter G, Chapter 544 , Government Code, including the notice requirements under Section 544.0302 .(d) Repealed by Acts 2013, 83rd Leg., R.S., Ch. 622, Sec. 6, eff. September 1, 2013.Tex. Hum. Res. Code § 32.0291
Amended by Acts 2023, Texas Acts of the 88th Leg.- Regular Session, ch. 769,Sec. 2.81, eff. 4/1/2025.Amended by Acts 2015, Texas Acts of the 84th Leg. - Regular Session, ch. 1,Sec. 4.101, eff. 4/2/2015.Amended by Acts 2013, 83rd Leg. - Regular Session, ch. 622,Sec. 6, eff. 9/1/2013.Amended by Acts 2013, 83rd Leg. - Regular Session, ch. 622,Sec. 5, eff. 9/1/2013.Amended by Acts 2013, 83rd Leg. - Regular Session, ch. 622,Sec. 4, eff. 9/1/2013.Added by Acts 2003, 78th Leg., ch. 198, Sec. 2.103, eff. 9/1/2003.This section is set out more than once due to postponed, multiple, or conflicting amendments.