(a) HHSC may review a recommended or assigned LON at
any time to determine if it is appropriate. If HHSC reviews an LON,
a LIDDA must submit documentation supporting the LON to HHSC in accordance
with HHSC's request. Based on its review, HHSC may modify an LON.
(b) Documentation supporting a recommended LON must
be submitted by the LIDDA and received by HHSC within seven calendar
days after the LIDDA has entered the information from the completed
ID/RC Assessment in the HHSC data system and electronically submitted
the information to HHSC.
(c) Within 21 calendar days after receiving the supporting
documentation, HHSC:
(1) requests additional documentation;
(2) electronically approves the recommended LON and
establishes the effective date; or
(3) notifies the service coordinator in the HHSC data
system that the recommended LON has been denied.
(d) HHSC reviews any additional documentation submitted
in accordance with HHSC request and electronically approves the recommended
LON or notifies the service coordinator in the HHSC data system that
the recommended LON has been denied.
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