(a) For patient events occurring on or after January
1, 2009, as specified by DSHS, facilities shall file event files according
to the following schedule as shown in paragraphs (1) - (4) of this
subsection:
(1) Each event claim covering patient events occurring
between January 1 and March 31, inclusive, shall be submitted no later
than June 1 of the calendar year in which the discharge occurred.
(2) Each event file covering patient events occurring
between April 1 and June 30, inclusive, shall be submitted no later
than September 1 of the calendar year in which the discharge occurred.
(3) Each event file covering patient events occurring
between July 1 and September 30, inclusive, shall be submitted no
later than December 1 of the calendar year in which the discharge
occurred.
(4) Each event file covering patient events occurring
between October 1 and December 31, inclusive, shall be submitted no
later than March 1 of the year following the year in which the discharge
occurred.
(b) Extensions to processing due dates may be granted
by DSHS in response to a written request signed by the facility's
chief executive officer. Requests must be in writing, must be received
at least 5 working days prior to the due date and must be accompanied
by adequate justification for the delay. A timely written request
shall constitute a stay (delay) of the due date until a decision is
issued by DSHS.
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Source Note: The provisions of this §421.63 adopted to be effective August 29, 2004, 29 TexReg 8123; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8842; amended to be effective February 26, 2009, 33 TexReg 9694; amended to be effective January 30, 2019, 44 TexReg 429 |