Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 353. MEDICAID MANAGED CARE |
SUBCHAPTER L. TEXAS DUAL ELIGIBLES INTEGRATED CARE DEMONSTRATION PROJECT |
SECTION 353.1113. Appeals and Fair Hearings
Latest version.
-
For Medicaid covered services, members enrolled in the Dual Demonstration have 60 days from a notice of action to file an appeal with the STAR+PLUS MMP. Members may also file a request for an HHSC fair hearing instead of, or in addition to, a health plan appeal. Rules governing fair hearings for Medicaid covered services are in Chapter 357, Subchapter A, of this title (relating to Uniform Fair Hearing Rules).
Source Note: The provisions of this §353.1113 adopted to be effective April 1, 2015, 40 TexReg 1705