Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 354. MEDICAID HEALTH SERVICES |
SUBCHAPTER A. PURCHASED HEALTH SERVICES |
DIVISION 23. FEDERALLY QUALIFIED HEALTH CENTER SERVICES |
SECTION 354.1323. Reviews/Appeals
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If a federally qualified health center (FQHC) is dissatisfied with a tentative or final settlement, the FQHC may submit a request for review to the Texas Department of Health (department) or its designee within 60 days of notification of the tentative or final settlement. Unless otherwise specified by the department or its designee, the department or its designee follows the procedures in 42 Code of Federal Regulations §§405.1801-405.1890. The department or its designee will conduct the review as soon as possible and notify the FQHC of the results. If the FQHC is dissatisfied with the results of the review, the FQHC may request a formal hearing under the procedures contained in Chapter 1 of this title (relating to Texas Board of Health), except that, in the event of conflict, the procedures in this section apply.
Source Note: The provisions of this §354.1323 adopted to be effective August 1, 1990, 15 TexReg 4120; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561