| (2) Adjustments. Payments under this section may be
subject to adjustment for payments made in error, including, without
limitation, adjustments under §371.1711 of this title (relating
to Recoupment of Overpayments and Debts), 42 CFR Part 455, and Texas
Government Code Chapter 403. HHSC may recoup an amount equivalent
to any such adjustment.
(3) Recoupment method. HHSC may recoup from any current
or future PHP-CCP payments as follows:
(A) HHSC will recoup from the provider against which
any overpayment was made or disallowance was directed.
(B) If, within 30 days of the provider's receipt of
HHSC's written notice of recoupment, the provider has not paid the
full amount of the recoupment or entered into a written agreement
with HHSC to do so, HHSC may withhold any or all future PHP-CCP payments
from the provider until HHSC has recovered an amount equal to the
amount overpaid or disallowed. Electronic notice and electronic agreement
may be used as alternative options at HHSC's discretion.
(h) Changes in operation. If an enrolled provider closes
voluntarily or ceases to provide Medicaid services, the provider must
notify the HHSC Provider Finance Department by hand delivery, United
States (U.S.) mail, or special mail delivery within 10 business days
of closing or ceasing to provide Medicaid services. Notification is
considered to have occurred when the HHSC Provider Finance Department
receives the notice.
(i) General information. In addition to the requirements
of this section, the cost reporting guidelines will be governed by §355.101
of this chapter (relating to Introduction); §355.102 of this
chapter (relating to General Principles of Allowable and Unallowable
Costs); §355.103 of this chapter (relating to Specifications
for Allowable and Unallowable Costs); §355.104 of this chapter
(relating to Revenues); §355.105 of this chapter (relating to
General Reporting and Documentation Requirements, Methods, and Procedures); §355.106
of this chapter (relating to Basic Objectives and Criteria for Audit
and Desk Review of Cost Reports); §355.107 of this chapter (relating
to Notification of Exclusions and Adjustments); §355.108 of this
chapter (relating to Determination of Inflation Indices); §355.109
of this chapter (relating to Adjusting Reimbursement When New Legislation,
Regulations, or Economic Factors Affect Costs); and §355.110
of this chapter (relating to Informal Reviews and Formal Appeals).
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