(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).
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