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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 371MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY
SUBCHAPTER GADMINISTRATIVE ACTIONS AND SANCTIONS
DIVISION 3ADMINISTRATIVE ACTIONS AND SANCTIONS
RULE §371.1703Termination of Enrollment or Cancellation of Contract

      (iii) to provide to the OIG or a requesting agency as requested copies or originals of any records, documents, or other items, as determined necessary by the OIG or the requesting agency.

  (7) If the person timely filed a written request for an administrative hearing, the effective date of termination is the date the hearing officer's or administrative law judge's decision to uphold the termination becomes final; however, if the administrative law judge upholds a termination for grounds described in paragraph (6) of this subsection, the effective date is made retroactive to the date of the notice of termination.

  (8) Unless otherwise provided in this section, the termination becomes final as provided in §371.1617(a) of this subchapter (relating to Finality and Collections).

(h) Reinstatement.

  (1) The OIG may reinstate a provider's enrollment if the OIG finds:

    (A) good cause to determine that it is in the best interest of the medical assistance program; and

    (B) the person has not committed an act that would require revocation of a provider's enrollment or denial of a person's application to enroll since the person's enrollment was revoked.

  (2) The OIG must support a determination made under this section with written findings of good cause for the determination.


Source Note: The provisions of this §371.1703 adopted to be effective October 14, 2012, 37 TexReg 7989; amended to be effective April 15, 2014, 39 TexReg 2833; amended to be effective May 1, 2016, 41 TexReg 2941

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