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        <Desc>TCA-CVO PROJECT: TO REDUCE CREDENTIALING BURDENS FOR ALL TEXAS PROVIDERS WITH TEXAS MEDICAL ASSOCIATION AND HHSC CONTRACTED MANAGED CARE ORGANIZATIONS. APERTURE CREDENTIALING LLC WAS SELECTED TO MANAGE A STATEWIDE CREDENTIALING VERIFICATION ORGANIZATION CONTRACT USED BY ALL MEDICAID AND CHIP MCOS IN TEXAS TO STREAMLINE THE PROVIDER CREDENTIALING PROCESS. THE INITIATIVE FULFILLS THE LONG-TIME, MUTUAL GOAL OF HELPING REDUCE ADMINISTRATIVE BARRIERS AND COSTS.</Desc>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154780</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS MEMBERS. MEMBERSHIP IS AVAILABLE TO HMOS AND INSURANCE COMPANIES LICENSED BY THE STATE OF TEXAS. MEMBERS ARE ORGANIZED INTO SEVERAL TIERS, WHICH ARE BASED ON COMPANY ENROLLMENT AMOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ELECTION OF OFFICERS OCCURS ANNUALLY. AT SUCH TIME DESIGNATED BY THE EXECUTIVE COMMITTEE, THE BOARD ELECTS, FROM NAMES SUBMITTED BY THE NOMINATING COMMITTEE, EIGHT (8) PERSONS FROM THE OPERATIONAL MEMBERSHIP TO THE FOLLOWING POSITIONS: VICE PRESIDENT/PRESIDENT-ELECT, SECRETARY/TREASURER, AND SIX OPERATIONAL MEMBERS-AT-LARGE. THESE EIGHT (8) PERSONS, THE PRESIDENT AND IMMEDIATE PAST PRESIDENT, SHALL SERVE AS THE EXECUTIVE COMMITTEE OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ONLY OPERATIONAL MEMBERS ARE ENTITLED TO VOTE ON MATTERS TO BE DECIDED BY THE MEMBERSHIP. EACH OPERATIONAL MEMBER IS ENTITLED TO ONE (1) VOTE AND, EXCEPT IN THE CASE OF MAIL, ELECTRONIC MAIL, OR TELEPHONIC VOTES, A DESIGNATED REPRESENTATIVE MUST BE PRESENT AT THE MEETING WHEN THE VOTE IS CAST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR REVIEWS THE RETURN. IF IT MEETS APPROVAL, THE BOARD REVIEWS THE RETURN AT THE NEXT BOARD MEETING FOR COMMENTS AND APPROVAL. UPON BOARD APPROVAL, THE RETURN IS SIGNED BY THE EXECUTIVE DIRECTOR AND MAILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE DETERMINES THE COMPENSATION. THEY MEET IN EXECUTIVE SESSION, WITHOUT THE EXECUTIVE DIRECTOR, TO UPDATE THE COMPENSATION AS THEY SEE FIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND TAX RETURN ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED - MEDICAID CAMPAIGN -282,091.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>