Not later than the 60th day after the date a provider files a complaint with the commission regarding reimbursement for or overuse of out-of-network providers by a Medicaid managed care organization, the commission shall provide to the provider a report regarding the conclusions of the commission’s investigation. The report must include:
(1) a description of any corrective action required of the organization that was the subject of the complaint; and
(2) if applicable, a conclusion regarding the amount of reimbursement owed to an out-of-network provider.

Text of section effective on April 01, 2025