Sec. 32.047. PROHIBITION OF CERTAIN HEALTH CARE SERVICE PROVIDERS    


Latest version.
  • (a) A person is permanently prohibited from providing or arranging to provide health care services under the medical assistance program if:

    (1) the person is convicted of an offense arising from a fraudulent act under the program; and

    (2) the person's fraudulent act results in injury to an elderly person, as defined by Section 48.002(a)(1), a disabled person, as defined by Section 48.002(a)(8)(A), or a person younger than 18 years of age.

    (b) The executive commissioner of the Health and Human Services Commission shall adopt rules for prohibiting a person from participating in the medical assistance program as a health care provider for a reasonable period, as determined by the executive commissioner, if the person:

    (1) fails to repay overpayments under the program; or

    (2) owns, controls, manages, or is otherwise affiliated with and has financial, managerial, or administrative influence over a provider who has been suspended or prohibited from participating in the program.

Added by Acts 1997, 75th Leg., ch. 1153, Sec. 3.03, eff. Sept. 1, 1997. Amended by: Acts 2011, 82nd Leg., R.S., Ch. 980 , Sec. 30, eff. September 1, 2011.