Texas § GV.532.0103 - BIENNIAL FINANCIAL REPORT

§ GV.532.0103. BIENNIAL FINANCIAL REPORT

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. SUBCHAPTER D. PROVIDERS