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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 87OMBUDSMAN SERVICES
SUBCHAPTER AOFFICE OF THE OMBUDSMAN
RULE §87.111Referrals to Other HHS Offices or Other Entities

OO staff inform the consumer, the consumer's LAR, or a health care provider of any referral made to other HHS offices or other entities regarding their contact with OO and document the referral in the HEART system. Referrals include:

  (1) Department of Family and Protective Services, for a contact that includes information that makes OO staff suspect abuse, neglect, or exploitation;

  (2) HHSC Civil Rights Office, for a contact alleging a violation of civil rights or discrimination regarding the delivery of HHS programs or services, including those concerning lack of access to benefits and services due to language or disability;

  (3) Office of Inspector General, for a contact that includes allegations of fraud, waste, or abuse regarding HHS programs or services;

  (4) HHSC Appeals Division staff, for a request for a fair hearing;

  (5) Medicaid managed care organization, for a request to appeal a decision by a Medicaid managed care organization;

  (6) HHSC Regulatory Services Division, for a contact related to an entity regulated by HHSC; and

  (7) LBHA or LMHA closest to the consumer or local law enforcement, for a contact that includes threats of violence to a consumer or others.


Source Note: The provisions of this §87.111 adopted to be effective January 10, 2019, 44 TexReg 252; amended to be effective December 21, 2022, 47 TexReg 8273

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