SECTION 382.121. Provider's Request for Review of Claim Denial

(a) Review of denied claim. An FPP health-care provider may request a review of a denied claim. The request must be submitted as an administrative appeal under Chapter 354, Subchapter I, Division 3 of this title (relating to Appeals).

(b) Appeal procedures. An administrative appeal is subject to the timelines and procedures set out in Chapter 354, Subchapter I, Division 3 of this title and all other procedures and timelines applicable to an FPP health-care provider's appeal of a Medicaid claim denial.

Source Note: The provisions of this §382.121 adopted to be effective July 1, 2016, 41 TexReg 4630