|(a) Medicaid-eligible individuals. Any Medicaid-eligible
individual whose request for eligibility for case management is denied
or is not acted upon with reasonable promptness, or whose case management
has been terminated, suspended, or reduced is entitled to a fair hearing
in accordance with 1 TAC Chapter 357, Subchapter A (relating to Uniform
Fair Hearing Rules).
(b) All individuals. If an ECI contractor denies, involuntarily
reduces, or terminates case management for an individual, the individual
has all rights to file complaints, request mediation, or request a
hearing in accordance with Subchapter B of this chapter (relating
to Procedural Safeguards and Due Process Procedures) and in accordance
with Chapter 101, Subchapter E, Division 3 of this title (relating
to Division for Early Childhood Intervention Services).