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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 371 | MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY |
| SUBCHAPTER C | UTILIZATION REVIEW |
| RULE §371.224 | Appeals of Reconsideration Results |
If a nursing facility provider disagrees with the results of a reconsideration review, the provider may request a hearing to appeal a RUG change pursuant to Chapter 357, Subchapter I of this title (relating to Hearings Under the Administrative Procedure Act). A nursing facility provider may not request a hearing to appeal a RUG change unless the provider made a timely and complete request for a reconsideration review. |
| Source Note: The provisions of this §371.224 adopted to be effective February 9, 2023, 48 TexReg 503 |
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