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TITLE 40SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 9INTELLECTUAL DISABILITY SERVICES--MEDICAID STATE OPERATING AGENCY RESPONSIBILITIES
SUBCHAPTER DHOME AND COMMUNITY-BASED SERVICES (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC)
RULE §9.165Reconsideration of LON Assignment

(a) If the program provider disagrees with an LON assignment, the program provider may request that DADS reconsider the assignment.

(b) The program provider may receive reconsideration only if the program provider submitted documentation supporting the recommended LON as required by §9.164(c) of this subchapter (relating to DADS' Review of LON).

(c) To request reconsideration of an LON assignment, the program provider must submit a written request for reconsideration to DADS within 10 calendar days after receipt of the notice that the recommended LON was denied. A program provider may send DADS documentation, in addition to that required by §9.164(c) of this subchapter, to support the request for reconsideration of an LON assignment.

(d) Within 21 calendar days after receipt of a request for reconsideration, DADS electronically approves the recommended LON or sends written notification that the recommended LON has been denied to the program provider, the service coordinator, and the individual or LAR.


Source Note: The provisions of this §9.165 adopted to be effective June 1, 2010, 35 TexReg 4441

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