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 371.228. Recoveries
Latest version.
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(a) OIG recovers any overpayments associated with a minimum data set (MDS) assessment error. OIG may recover an overpayment if the overpayment was identified during an OIG utilization review of a nursing facility provider. The provider is reimbursed for any underpayments. (b) An overpayment amount is a debt owed to the Texas Medicaid program. Source Note: The provisions of this §371.228 adopted to be effective February 9, 2023, 48 TexReg 503