Tex. Gov't Code Section 532.0103
Biennial Financial Report


(a)

The commission shall prepare a biennial Medicaid financial report covering each state agency that operates a part of Medicaid and each component of Medicaid those agencies operate.

(b)

The report must include:

(1)

for each state agency that operates a part of Medicaid:

(A)

a description of each of the Medicaid components the agency operates; and

(B)

an accounting of all funds related to Medicaid the agency received and disbursed during the period the report covers, including:
(i)
the amount of any federal Medicaid funds allocated to the agency for the support of each of the Medicaid components the agency operates;
(ii)
the amount of any funds the legislature appropriated to the agency for each of those components; and
(iii)
the amount of Medicaid payments and related expenditures made by or in connection with each of those components; and

(2)

for each Medicaid component identified in the report:

(A)

the amount and source of funds or other revenue received by or made available to the agency for the component;

(B)

the amount spent on each type of service or benefit provided by or under the component;

(C)

the amount spent on component operations, including eligibility determination, claims processing, and case management; and

(D)

the amount spent on any other administrative costs.

(c)

The report must cover the three-year period ending on the last day of the previous fiscal year.

(d)

The commission may request from any appropriate state agency information necessary to complete the report. Each agency shall cooperate with the commission in providing information for the report.

(e)

Not later than December 1 of each even-numbered year, the commission shall submit the report to the governor, the lieutenant governor, the speaker of the house of representatives, the presiding officer of each standing committee of the senate and house of representatives having jurisdiction over health and human services issues, and the state auditor.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 532.0103 — Biennial Financial Report, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­532.­htm#532.­0103 (accessed Jun. 5, 2024).

532.0001
Definition
532.0051
Commission Administration of Medicaid
532.0052
Streamlining Administrative Processes
532.0053
Grievances
532.0054
Office of Community Access and Services
532.0055
Service Delivery Audit Mechanisms
532.0056
Federal Authorization for Reform
532.0057
Fees, Charges, and Rates
532.0058
Acute Care Billing Coordination System
532.0059
Recovery of Certain Third-party Reimbursements
532.0060
Dental Director
532.0061
Alignment of Medicaid and Medicare Diabetic Equipment and Supplies Written Order Procedures
532.0101
Financing Optimization
532.0102
Retention of Certain Money to Administer Certain Programs
532.0103
Biennial Financial Report
532.0151
Streamlining Provider Enrollment and Credentialing Processes
532.0152
Use of National Provider Identifier Number
532.0153
Enrollment of Certain Eye Health Care Providers
532.0154
Rural Health Clinic Reimbursement
532.0155
Rural Hospital Reimbursement
532.0156
Reimbursement System for Electronic Health Information Review and Transmission
532.0201
Data Collection System
532.0202
Information Collection and Analysis
532.0203
Public Access to Certain Data
532.0204
Data Regarding Treatment for Prenatal Alcohol or Controlled Substance Exposure
532.0205
Medical Technology
532.0206
Pilot Projects Relating to Technology Applications
532.0251
Definition
532.0252
Implementation of Certain Provisions
532.0253
Electronic Visit Verification System Implementation
532.0254
Information to Be Verified
532.0255
Compliance Standards and Standardized Processes
532.0256
Recipient Compliance
532.0257
Health Care Provider Compliance
532.0258
Health Care Provider: Use of Proprietary System
532.0259
Stakeholder Input
532.0260
Rules
532.0301
Bill of Rights and Bill of Responsibilities
532.0302
Uniform Fair Hearing Rules
532.0303
Support and Information Services for Recipients
532.0304
Nursing Services Assessments
532.0305
Therapy Services Assessments
532.0306
Wellness Screening Program
532.0307
Federally Qualified Health Center and Rural Health Clinic Services
532.0351
Tailored Benefit Packages for Certain Categories of Medicaid Population
532.0352
Waiver Program for Certain Individuals with Chronic Health Conditions
532.0353
Buy-in Programs for Certain Individuals with Disabilities
532.0401
Review of Prior Authorization and Utilization Review Processes
532.0402
Accessibility of Information Regarding Prior Authorization Requirements
532.0403
Notice Requirements Regarding Coverage or Prior Authorization Denial and Incomplete Requests
532.0404
External Medical Review
532.0451
Hospital Emergency Room Use Reduction Initiatives
532.0452
Physician Incentive Program to Reduce Hospital Emergency Room Use for Non-emergent Conditions
532.0453
Continued Implementation of Certain Interventions and Best Practices by Providers
532.0454
Health Savings Account Pilot Program
532.0455
Durable Medical Equipment Reuse Program

Accessed:
Jun. 5, 2024

§ 532.0103’s source at texas​.gov