(a) Medicaid-eligible individuals. Any Medicaid-eligible
individual whose request for eligibility for case management is denied
or is not acted upon with reasonable promptness, or whose case management
has been terminated, suspended, or reduced is entitled to a fair hearing
in accordance with 1 TAC Chapter 357, Subchapter A (relating to Uniform
Fair Hearing Rules).
(b) All individuals. If an Early Childhood Intervention
contractor denies, involuntarily reduces, or terminates case management
for an individual, the individual has all rights to file complaints,
request mediation, or request a hearing in accordance with Subchapter
B of this chapter (relating to Procedural Safeguards and Due Process
Procedures) and in accordance with 40 TAC Chapter 101, Subchapter
E, Division 3 (relating to Division for Early Childhood Intervention
Services).
|
Source Note: The provisions of this §350.417 adopted to be effective September 1, 2011, 36 TexReg 5403; amended to be effective June 30, 2019, 44 TexReg 3280; transferred effective March 1, 2021, as published in the Texas Register February 5, 2021, 46 TexReg 941; amended to be effective March 17, 2022, 47 TexReg 1277 |