Texas Administrative Code

Texas Administrative Code

TITLE 26	HEALTH AND HUMAN SERVICES
PART 1	HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 261	INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM--CONTRACTING
SUBCHAPTER E	ELIGIBILITY, ENROLLMENT AND REVIEW
RULE §261.243	Reconsideration of Level of Need

(a) If a program provider who has requested an LON for a person disagrees with the LON assigned by the department, the program provider may request that the department reconsider the LON.

(b) A program provider may receive reconsideration only if the program provider submitted the supporting documentation as required by §419.240(b) of this title (relating to Level of Need).

(c) To request reconsideration of an LON assigned by the department, a program provider must submit a written request for reconsideration to the department within 10 days after receiving notice that the recommended LON was denied. The program provider must include additional clinical and supporting documentation with the request.

(d) Within 21 days after receiving a request for reconsideration from a program provider, the department will electronically approve the recommended LON or send written notification to the program provider that the recommended LON has been denied.

Source Note: The provisions of this §261.243 adopted to be effective September 1, 2001, 26 TexReg 5384; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8841; transferred effective October 1, 2020, as published in the Texas Register August 28, 2020, 45 TexReg 6127