SECTION 262.303. HHSC Review of an IPC

(a) HHSC may review an IPC to determine if:

(1) the type and amount of TxHmL Program services and CFC services specified in the IPC meet the requirements described in §262.301 of this subchapter (relating to IPC Requirements); and

(2) the IPC exceeds the cost limit as described in §262.101(a)(4) of this chapter (relating to Eligibility Criteria for TxHmL Program Services and CFC Services).

(b) If requested by HHSC for an IPC review described in subsection (a) of this section, a LIDDA must submit documentation supporting the IPC to HHSC.

(c) Based on a review of an IPC, HHSC may deny or reduce an TxHmL Program service or a CFC service in accordance with §262.504 of this chapter (relating to Denial of TxHmL Program Services or CFC Services) and §262.506 of this chapter (relating to Reduction of TxHmL Program Services or CFC Services).

Source Note: The provisions of this §262.303 adopted to be effective March 1, 2023, 48 TexReg 1055