Texas lawmakers eye contract

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Wednesday, February 7, 2018

AUSTIN, Texas – Superior HealthPlan’s contract with the state of Texas could face scrutiny by a state ethics committee, according to local news reports.

Texas House Speaker Joe Straus has asked House members to investigate the Texas Health and Human Services Commission after an audit revealed it had mishandled its contract with the managed care plan.

Specifically, it found the state allowed Superior to report $29.6 million in bonus and incentive payments paid to medical providers' employees, even though such payments were not allowed under its contract with the state.

Superior Health Plan, part of Centene Corp., has contracted with Medline to serve as the “preferred provider” of DME and supplies to Medicaid recipients. The contract start date was delayed from Sept. 1 to Oct. 1, 2017, after a hearing in August in which lawmakers suggested that Superior HealthPlan amend its notice to patients to say they can “opt out” of using Medline.