System updates will be applied on February 19, 2026 at 6:00 PM. These updates will include changes to the user interface. Work is expected to take approximately 30 minutes to complete, during which the site will be unavailable.
Amend CSHB 2292 by striking page 80, line 3, through page 81,
line 11, and substituting the following:
Sec. 531.1063. MEDICAID FRAUD PILOT PROGRAM. (a) The
commission, with cooperation from the Texas Department of Human
Services, shall develop and implement a back-end Medicaid fraud
reduction pilot program in one or more counties in this state to
address provider fraud and appropriate cases of third-party and
recipient fraud.
(b) The program must be designed to reduce:
(1) the number of fraud cases arising from
authentication fraud and abuse; and
(2) the number of fraudulent participants.
(c) The program must include:
(1) development and implementation of back-end fraud
detection technology, other than technology located or based at the
provider level; and
(2) procedures and systems to identify patterns of
fraud by Medicaid providers, recipients, or third-parties.
(d) The commission may extend the program to additional
counties if the commission determines that expansion would be
cost-effective.