(a) A limited service rural hospital (LSRH) is deemed
to have received any Texas Health and Human Services Commission (HHSC)
correspondence on the date of receipt, or three business days after
sending, whichever is earlier.
(b) When deficiencies are found:
(1) HHSC sends the LSRH a written Statement of Deficiencies
(SOD) within 10 business days after the exit conference by U.S. Postal
Service or electronic mail.
(2) Within 10 calendar days after the LSRH receives
the SOD, the LSRH shall return a written Plan of Correction (POC)
to HHSC that addresses each cited deficiency, including timeframes
for corrections, with any additional evidence of compliance.
(A) HHSC determines if a POC and proposed timeframes
are acceptable, and, if accepted, notifies the LSRH in writing.
(B) If HHSC does not accept the POC, HHSC notifies
the LSRH, in writing, and requests the LSRH submit a modified POC
and any additional evidence no later than 10 business days after HHSC
notifies the LSRH in writing.
(C) The LSRH shall correct the identified deficiencies
and submit evidence to HHSC verifying the LSRH implemented all corrective
actions within the timeframes set forth in the POC, or as otherwise
specified by HHSC.
(3) Regardless of the LSRH's compliance with this subsection
or HHSC's acceptance of an LSRH's POC, HHSC may, at any time, propose
to take enforcement action as appropriate under this chapter in accordance
with §511.121 of this chapter (relating Enforcement).
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