| (a) Hospice staff must cooperate with HHSC staff during
utilization review of hospice services and the review of hospice clinical
records.
(b) The hospice must respond within 30 calendar days
after HHSC makes a request for information.
(c) HHSC staff review most claims for payment after
they are paid and recoup any overpayments, pursuant to §266.225
and §266.227 of this subchapter (relating to Informal Review
and Review Decision and Notice).
(d) HHSC staff review claims for the SIA before paying
the SIA.
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