SECTION 376.519. What procedures must a contractor follow when authorizing or denying an applicant benefits?


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  • Contractors must follow procedures established by federal regulations under 45 CFR §400.54 as applicable for a public/private administered program when authorizing or denying services. This includes giving the participant a written notice that clearly states:

    (1) the action;

    (2) the reason(s) for the action; and

    (3) the right to a hearing in the case of denial.

Source Note: The provisions of this §376.519 adopted to be effective October 28, 2002, 27 TexReg 10044; transferred effective October 1, 2003, as published in the Texas Register July 2, 2004, 29 TexReg 6359