Texas HHSC proposes Medicaid recovery audits for managed care claims
Issue
On October 23, 2026, the Texas Register published a proposed HHSC rule that would extend Medicaid recovery audits to managed care claims. The contractor could review claims one to five years old, and providers would have at least 30 calendar days to send records.
HHSC could adopt the rule as early as November 22, 2026.
Sources for this story
Texas Register, Vol. 51, No. 43 (October 23, 2026), Proposed Rules: Texas Health and Human Services Commission, 1 TAC §371.1725 (Medicaid Recovery Audit Contractor Program)Sources for your board packet
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FQHC Talent. (2026, October 23). Texas HHSC proposes Medicaid recovery audits for managed care claims. Source: Texas Register, Vol. 51, No. 43 (October 23, 2026), Proposed Rules: Texas Health and Human Services Commission, 1 TAC §371.1725 (Medicaid Recovery Audit Contractor Program). Retrieved October 27, 2026, from https://www.fqhctalent.com/intel/tx-hhsc-medicaid-recovery-audit-managed-care-rule-october-2026
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