(a) If, as described in this subchapter, HHSC proposes
to terminate the contract of a program provider or FMSA, proposes
to recoup funds paid to a program provider or FMSA, or imposes a vendor
hold on a program provider or FMSA, the program provider or FMSA may
request an administrative hearing in accordance with §357.484
of this title (relating to Request for a Hearing).
(b) If, as described in this subchapter, an MCO proposes
to terminate the contract of a program provider or FMSA, proposes
to recoup funds paid to a program provider or FMSA, or imposes a vendor
hold on a program provider or FMSA, the program provider or FMSA may
appeal the proposed action in accordance with the MCO's policy.
|