SECTION 262.106. HHSC Review of LON

(a) HHSC may review a recommended or assigned LON at any time to determine if it is appropriate. If HHSC reviews an LON, a LIDDA must submit documentation supporting the LON to HHSC in accordance with HHSC's request. Based on its review, HHSC may modify an LON.

(b) Documentation supporting a recommended LON must be submitted by the LIDDA and received by HHSC within seven calendar days after the LIDDA has entered the information from the completed ID/RC Assessment in the HHSC data system and electronically submitted the information to HHSC.

(c) Within 21 calendar days after receiving the supporting documentation, HHSC:

(1) requests additional documentation;

(2) electronically approves the recommended LON and establishes the effective date; or

(3) notifies the service coordinator in the HHSC data system that the recommended LON has been denied.

(d) HHSC reviews any additional documentation submitted in accordance with HHSC request and electronically approves the recommended LON or notifies the service coordinator in the HHSC data system that the recommended LON has been denied.

Source Note: The provisions of this §262.106 adopted to be effective March 1, 2023, 48 TexReg 1055