SECTION 263.802. Program Provider's Right to Administrative Hearing


Latest version.
  • (a) A program provider may request an administrative hearing if HHSC takes or proposes to take the following action:

    (1) vendor hold;

    (2) contract termination;

    (3) recoupment of payments made to the program provider; or

    (4) denial of a program provider's claim for payment, including denial of a retroactive LOC and denial of a recommended LON.

    (b) If the basis of an administrative hearing requested under this section is a dispute regarding an LON assignment, the program provider may receive an administrative hearing only if reconsideration was requested by the program provider in accordance with §263.108 of this chapter (relating to Reconsideration of LON Assignment).

Source Note: The provisions of this §263.802 adopted to be effective March 1, 2023, 48 TexReg 1080