Tex. Gov't Code Section 544.0152
Exchange of Criminal History Record Information Between Participating Agencies


(a)

This section applies only to:

(1)

criminal history record information a participating agency holds that relates to a health care professional; and

(2)

information a participating agency holds that relates to a health care professional or managed care organization that is the subject of an investigation by a participating agency for alleged Medicaid fraud or abuse.

(b)

A participating agency may submit to another participating agency a written request for information to which this section applies. The participating agency that receives the request shall provide the requesting agency with the requested information unless releasing the information:

(1)

would jeopardize an ongoing investigation or prosecution by the participating agency that possesses the information; or

(2)

is prohibited by other law.

(c)

Notwithstanding any other law, a participating agency may enter into a memorandum of understanding or agreement with another participating agency for exchanging criminal history record information relating to a health care professional that both participating agencies are authorized access to under Chapter 411 (Department of Public Safety of the State of Texas). Confidential criminal history record information in a participating agency’s possession that is provided to another participating agency remains confidential while in the possession of the participating agency that receives the information.

(d)

A participating agency that discovers information that may indicate fraud or abuse by a health care professional or managed care organization may provide the information to any other participating agency unless the release of the information is prohibited by other law.

(e)

If after receiving a request for information under Subsection (b) a participating agency determines that the agency is prohibited from releasing the information, the agency shall, not later than the 30th day after the date the agency received the request, inform the requesting agency of that determination in writing.

(f)

Confidential information shared under this section is subject to the same confidentiality requirements and legal restrictions on access to the information that are imposed by law on the participating agency that originally obtained or collected the information. Sharing information under this section does not affect whether the information is subject to disclosure under Chapter 552 (Public Information).

(g)

A participating agency that receives information from another participating agency under this section must obtain written permission from the agency that shared the information before using the information in a licensure or enforcement action.

(h)

This section does not affect a participating agency’s authority to exchange information under other law.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 544.0152 — Exchange of Criminal History Record Information Between Participating Agencies, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­544.­htm#544.­0152 (accessed May 18, 2024).

544.0001
Definitions
544.0002
Reference to Office of Investigations and Enforcement
544.0003
Authority of State Agency or Governmental Entity Not Limited
544.0051
Coordination with Office of Attorney General
544.0052
Rules Regarding Enforcement and Punitive Actions
544.0053
Provision of Information to Pharmacy Subject to Audit
544.0054
Records of Allegations of Fraud or Abuse
544.0055
Record and Confidentiality of Informal Resolution Meetings
544.0056
Expunction of Child’s Chemical Dependency Diagnosis in Certain Records
544.0101
Appointment of Inspector General
544.0102
Commission Powers and Duties Related to Office of Inspector General
544.0103
Office of Inspector General: General Powers and Duties
544.0104
Employment of Medical Director
544.0105
Employment of Dental Director
544.0106
Contract for Review of Investigative Findings by Qualified Expert
544.0107
Employment of Peace Officers
544.0108
Investigative Process Review
544.0109
Performance Audits and Coordination of Audit Activities
544.0110
Reports on Audits, Inspections, and Investigations
544.0111
Compliance with Federal Coding Guidelines
544.0112
Hospital Utilization Reviews and Audits: Provider Education Process
544.0113
Program Exclusions
544.0114
Report
544.0151
Definitions
544.0152
Exchange of Criminal History Record Information Between Participating Agencies
544.0153
Provider Eligibility for Medicaid Participation: Criminal History Record Information
544.0154
Monitoring of Certain Federal Databases
544.0155
Period for Determining Provider Eligibility for Medicaid
544.0201
Selection and Review of Medicaid Claims to Determine Resource Allocation
544.0202
Duties Related to Fraud Prevention
544.0203
Fraud, Waste, and Abuse Detection Training
544.0204
Health and Human Services Agency Medicaid Fraud, Waste, and Abuse Detection Goal
544.0205
Award for Reporting Medicaid Fraud, Abuse, or Overcharges
544.0251
Claims Criteria Requiring Commencement of Investigation
544.0252
Circumstances Requiring Commencement of Preliminary Investigation of Alleged Fraud or Abuse
544.0253
Conduct of Preliminary Investigation of Alleged Fraud or Abuse
544.0254
Finding of Certain Medicaid Fraud or Abuse Following Preliminary Investigation: Criminal Referral or Full Investigation
544.0255
Immediate Criminal Referral Under Certain Circumstances
544.0256
Continuation of Payment Hold Following Referral to Law Enforcement Agency
544.0257
Completion of Full Investigation of Alleged Medicaid Fraud or Abuse
544.0258
Memorandum of Understanding for Assisting Attorney General Investigations Related to Medicaid
544.0259
Subpoenas
544.0301
Imposition of Payment Hold
544.0302
Notice
544.0303
Expedited Administrative Hearing
544.0304
Informal Resolution
544.0305
Website Posting
544.0351
Applicability of Subchapter
544.0352
Special Investigative Unit or Contracted Entity to Investigate Fraud and Abuse
544.0353
Fraud and Abuse Prevention Plan
544.0354
Assistance and Oversight by Office of Inspector General
544.0355
Rules
544.0401
Definition
544.0402
False or Misleading Information Related to Financial Assistance Eligibility
544.0403
Commission Action Following Determination of Violation
544.0404
Ineligibility for Financial Assistance Following Violation
544.0405
Household Eligibility for Financial Assistance Not Affected
544.0406
Rules
544.0451
Learning, Neural Network, or Other Technology Relating to Medicaid
544.0452
Medicaid Fraud Investigation Tracking System
544.0453
Medicaid Fraud Detection Technology
544.0454
Data Matching Against Federal Felon List
544.0455
Electronic Data Matching
544.0456
Methods to Reduce Fraud, Waste, and Abuse in Certain Public Assistance Programs
544.0501
Recovery Monitoring System
544.0502
Payment Recovery Efforts by Certain Persons
544.0503
Process for Managed Care Organizations to Recoup Overpayments Related to Electronic Visit Verification Transactions
544.0504
Recovery Audit Contractors
544.0505
Annual Report on Certain Fraud and Abuse Recoveries
544.0506
Notice and Informal Resolution of Proposed Recoupment of Overpayment or Debt
544.0507
Appeal of Determination to Recoup Overpayment or Debt

Accessed:
May 18, 2024

§ 544.0152’s source at texas​.gov