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| <<Prev Rule | Texas Administrative Code |
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| TITLE 1 | ADMINISTRATION |
| PART 15 | TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
| CHAPTER 353 | MEDICAID MANAGED CARE |
| SUBCHAPTER L | TEXAS DUAL ELIGIBLES INTEGRATED CARE DEMONSTRATION PROJECT |
| RULE §353.1113 | Appeals and Fair Hearings |
For Medicaid covered services, members enrolled in the Dual Demonstration have 60 days from a notice of action to file an appeal with the STAR+PLUS MMP. Members may also file a request for an HHSC fair hearing instead of, or in addition to, a health plan appeal. Rules governing fair hearings for Medicaid covered services are in Chapter 357, Subchapter A, of this title (relating to Uniform Fair Hearing Rules). |
| Source Note: The provisions of this §353.1113 adopted to be effective April 1, 2015, 40 TexReg 1705 |
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