Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 26. HEALTH AND HUMAN SERVICES |
PART 1. HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 87. OMBUDSMAN SERVICES |
SUBCHAPTER B. OMBUDSMAN MANAGED CARE ASSISTANCE |
SECTION 87.213. Intake of Contacts
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(a) A contact received through an online submission is automatically loaded in the HEART system and assigned to available OMCAT staff for action. (b) A contact received by postal mail, fax, or email is uploaded to the HEART system and assigned to available OMCAT staff for action within one business day of receipt. (c) A call received by OMCAT staff is immediately entered in the HEART system. (d) When OMCAT staff begin to review a contact, they take the following actions: (1) notify the consumer, the consumer's LAR, or a health care provider of OMCAT's roles and responsibilities; (2) explain any referrals to other HHS staff or external organizations that are recommended; (3) explain the OMCAT complaint resolution process; (4) clarify the preferred method and timeline of follow-up communications; and (5) provide an estimated timeline in which a response can be expected. Source Note: The provisions of this §87.213 adopted to be effective January 10, 2019, 44 TexReg 252; amended to be effective December 21, 2022, 47 TexReg 8273