SECTION 421.63. Schedule for Filing Event Files

(a) For patient events occurring on or after January 1, 2009, as specified by DSHS, facilities shall file event files according to the following schedule as shown in paragraphs (1) - (4) of this subsection:

(1) Each event claim covering patient events occurring between January 1 and March 31, inclusive, shall be submitted no later than June 1 of the calendar year in which the discharge occurred.

(2) Each event file covering patient events occurring between April 1 and June 30, inclusive, shall be submitted no later than September 1 of the calendar year in which the discharge occurred.

(3) Each event file covering patient events occurring between July 1 and September 30, inclusive, shall be submitted no later than December 1 of the calendar year in which the discharge occurred.

(4) Each event file covering patient events occurring between October 1 and December 31, inclusive, shall be submitted no later than March 1 of the year following the year in which the discharge occurred.

(b) Extensions to processing due dates may be granted by DSHS in response to a written request signed by the facility's chief executive officer. Requests must be in writing, must be received at least 5 working days prior to the due date and must be accompanied by adequate justification for the delay. A timely written request shall constitute a stay (delay) of the due date until a decision is issued by DSHS.

Source Note: The provisions of this §421.63 adopted to be effective August 29, 2004, 29 TexReg 8123; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842; amended to be effective February 26, 2009, 33 TexReg 9694; amended to be effective January 30, 2019, 44 TexReg 429