SECTION 306.154. Notification and Appeals Process for Local Mental Health Authority or Local Behavioral Health Authority Services

(a) Right of an individual eligible for Medicaid to request a fair hearing. Any individual eligible for Medicaid whose request for eligibility to receive LMHA or LBHA services is denied or is not acted upon with reasonable promptness, or whose services have been terminated, suspended, or reduced by HHSC, is entitled to a fair hearing in accordance with 1 TAC Chapter 357, Subchapter A (relating to Uniform Fair Hearings Rules).

(b) Right of an individual not eligible for Medicaid to request an appeal. Any individual who has not applied for or is not eligible for Medicaid, whose request for eligibility to receive LMHA or LBHA services is denied or is not acted upon with reasonable promptness, or whose services have been terminated, suspended, or reduced by a provider, is entitled to notification and right of appeal in accordance with 25 TAC §401.464 (relating to Notification and Appeals Process).

(c) At any time, an individual may contact the Ombudsman for additional information and resources by calling toll-free (1-800-252-8154) or online at hhs.texas.gov/ombudsman.

Source Note: The provisions of this §306.154 adopted to be effective May 20, 2020, 45 TexReg 3301