| (a) A Medicaid eligible individual whose request for
services is denied or is not acted upon with reasonable promptness,
or whose services are terminated, suspended, or reduced, is entitled
to an HHSC fair hearing per Chapter 357, Subchapter A, of this title
(relating to Uniform Fair Hearing Rules).
(b) An individual receiving services through enrollment
in a managed care organization may also appeal with the managed care
organization per §353.415 of this title (relating to Member Complaint
and Appeal Procedures).
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