Texas Government Code 540.0402 – Certifier of Encounter Data Qualifications
Current as of: 2024 | Check for updates
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(a) The state Medicaid director shall appoint a person as the certifier of encounter data.
(b) The certifier of encounter data must have:
(1) demonstrated expertise in estimating premium payment rates paid to a managed care organization under a managed care plan; and
(2) access to actuarial expertise, including expertise in estimating premium payment rates paid to a managed care organization under a managed care plan.
Terms Used In Texas Government Code 540.0402
- Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005
(c) A person may not be appointed as the certifier of encounter data if the person participated with the commission in developing premium payment rates for managed care organizations under managed care plans in this state during the three-year period before the date the certifier is appointed.
Text of section effective on April 01, 2025