| (a) Before HHSC issues a notice of proposed recoupment
amount under 40 TAC §49.533(c) (relating to Recoupment), HHSC
gives a hospice:
(1) a description of the alleged rule violation warranting
the proposed recoupment;
(2) the amount of the proposed recoupment; and
(3) the option to:
(A) request an informal review to demonstrate that
the hospice did not commit the alleged violation; or
(B) accept the proposed recoupment.
(b) A hospice's request for an informal review must:
(1) be received by HHSC within 10 calendar days after
the hospice receives the description of the alleged violation and
amount of the proposed recoupment from HHSC; and
(2) contain documentation that refutes the alleged
violation.
(c) HHSC conducts the informal review by reviewing
the hospice's written response and supporting evidence.
(d) HHSC provides the hospice with official notice
of the outcome of the informal review.
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