Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 1. ADMINISTRATION |
PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 371. MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY |
SUBCHAPTER C. UTILIZATION REVIEW |
SECTION 371.224. Appeals of Reconsideration Results
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If a nursing facility provider disagrees with the results of a reconsideration review, the provider may request a hearing to appeal a RUG change pursuant to Chapter 357, Subchapter I of this title (relating to Hearings Under the Administrative Procedure Act). A nursing facility provider may not request a hearing to appeal a RUG change unless the provider made a timely and complete request for a reconsideration review.
Source Note: The provisions of this §371.224 adopted to be effective February 9, 2023, 48 TexReg 503