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 I. MEDICAID PROGRAM APPEALS PROCEDURES |
DIVISION 2. RECIPIENT NOTICE AND FAIR HEARING |
SECTION 354.2215. Fair Hearing
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(a) A fair hearing will be conducted under the department's fair hearing procedures found at §§1.51-1.55 of this title (relating to Fair Hearing Procedures). (b) A final decision must be made by the department within 90 days from the date the recipient makes a request for a fair hearing, unless waived in writing by the recipient. (c) The department will send a written notice of its decision to the recipient. (d) If the recipient is enrolled in a managed care organization (MCO), the department shall also notify the MCO of its decision. The decision of the department is binding on the MCO. Source Note: The provisions of this §354.2215 adopted to be effective May 29, 1997, 22 TexReg 4369; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4562