SECTION 366.537. Information from Other Agencies

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(a) HHSC and other state and federal agencies compare the information they have stored on computer files.
(b) After comparing information with another agency, HHSC contacts the Medicaid applicant or recipient if the information does not match so that HHSC can confirm the correct information.
(1) If the mismatch of information does not affect eligibility, HHSC does not take action to adjust or deny Medicaid.
(2) If the mismatch of information affects eligibility, HHSC takes appropriate action to adjust or deny Medicaid and sends a written notice of action taken to the applicant or recipient.

Source Note: The provisions of this §366.537 adopted to be effective January 1, 2014, 38 TexReg 9467

                    
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