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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 1. ADMINISTRATION |
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PART 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
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CHAPTER 371. MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY |
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SUBCHAPTER G. ADMINISTRATIVE ACTIONS AND SANCTIONS |
| DIVISION 1. GENERAL PROVISIONS |
| § 371.1601. Applicability |
| § 371.1603. Legal Basis and Scope |
| § 371.1605. Provider Responsibility |
| § 371.1609. Notice and Service |
| § 371.1611. Due Process |
| § 371.1613. Informal Resolution Process |
| § 371.1615. Appeals |
| § 371.1617. Finality and Collections |
| § 371.1619. Award for Reporting Medicaid Fraud, Abuse, or Overcharges |
| DIVISION 2. GROUNDS FOR ENFORCEMENT |
| § 371.1651. Provider Eligibility |
| § 371.1653. Claims and Billing |
| § 371.1655. Program Compliance |
| § 371.1657. Unallowable Fiscal Gain |
| § 371.1659. Compliance with Health Care Standards |
| § 371.1661. Convictions and Prohibited Acts |
| § 371.1663. Managed Care |
| § 371.1665. Cost Report Violations |
| § 371.1667. Records and Documentation |
| § 371.1669. Self-Dealing |
| DIVISION 3. ADMINISTRATIVE ACTIONS AND SANCTIONS |
| § 371.1701. Administrative Actions |
| § 371.1703. Termination of Enrollment or Cancellation of Contract |
| § 371.1705. Mandatory Exclusion |
| § 371.1707. Permissive Exclusion |
| § 371.1709. Payment Hold |
| § 371.1711. Recoupment of Overpayments and Debts |
| § 371.1715. Damages and Penalties |
| § 371.1717. Reinstatement |
| § 371.1719. Recoupment of Overpayments Identified by Audit |