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| <<Prev Rule | Texas Administrative Code |
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| TITLE 1 | ADMINISTRATION |
| PART 15 | TEXAS HEALTH AND HUMAN SERVICES COMMISSION |
| CHAPTER 353 | MEDICAID MANAGED CARE |
| SUBCHAPTER Q | PROCESS TO RECOUP CERTAIN OVERPAYMENTS |
| RULE §353.1451 | Purpose and Authority |
The purpose of this subchapter is to describe the due process a managed care organization (MCO) must give to recoup an overpayment related to an electronic visit verification visit transaction in accordance with Texas Government Code, §531.1135 and the due process an MCO must give to recoup an overpayment related to a determination of fraud or abuse in accordance with Texas Government Code, §531.1131. |
| Source Note: The provisions of this §353.1451 adopted to be effective February 7, 2022, 47 TexReg 496 |
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