Sec. 525.0102. SUBROGATION AND THIRD-PARTY REIMBURSEMENT CONTRACTS. (a) Except as provided by Subsection (d), the commission shall enter into a contract under which the contractor is authorized on behalf of the commission or a health and human services agency to recover money under a subrogation or third-party reimbursement right the commission or agency holds that arises from payment of medical expenses. The contract must provide that: (1) the commission or agency, as appropriate, shall compensate the contractor based on a percentage of the amount of money the contractor recovers for the commission or agency; and (2) the contractor may represent the commission or agency in a court proceeding to recover money under a subrogation or third-party reimbursement right if: (A) the attorney required by other law to represent the commission or agency in court approves; and (B) the representation is cost-effective and specifically authorized by the commission. (b) The commission shall develop a process to: (1) identify claims for the recovery of money under a subrogation or third-party reimbursement right described by this section; and (2) refer the identified claims to a contractor authorized under this section. (c) A health and human services agency shall cooperate with a contractor authorized under this section on a claim the agency refers to the contractor for recovery. (d) If the commission cannot identify a contractor who is willing to contract with the commission under this section on reasonable terms, the commission: (1) is not required to enter into a contract under Subsection (a); and (2) shall develop and implement alternative policies to ensure the recovery of money under a subrogation or third-party reimbursement right. (e) The commission may allow a state agency other than a health and human services agency to be a party to the contract required by Subsection (a). If the commission allows an additional state agency to be a party to the contract, the commission shall modify the contract as necessary to reflect the services the contractor is to provide to that agency.
‹ Prev All Texas sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.