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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER DTEXAS HEALTHCARE TRANSFORMATION AND QUALITY IMPROVEMENT PROGRAM
DIVISION 7DSRIP PROGRAM DEMONSTRATION YEARS 7-8
RULE §354.1703Independent Assessor

The independent assessor continually monitors DSRIP performers for compliance with DSRIP program requirements and objectives.

  (1) All RHP plan updates are subject to potential audits, including review by the independent assessor, during ongoing compliance monitoring.

  (2) Upon request, performers must have available for review by the independent assessor, HHSC, the Centers for Medicare & Medicaid Services, and any other federal entity all supporting data and back-up documentation demonstrating performance for a milestone as described under an RHP plan update for DSRIP payments.

  (3) Failure of a performer to provide supporting documentation demonstrating performance for a milestone in a timely manner may result in recoupment of DSRIP payments or withholding of future DSRIP payments.


Source Note: The provisions of this §354.1703 adopted to be effective December 1, 2017, 42 TexReg 6609

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