Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 353 - MEDICAID MANAGED CARE
Subchapter L - TEXAS DUAL ELIGIBLES INTEGRATED CARE DEMONSTRATION PROJECT
Section 353.1113 - Appeals and Fair Hearings
Universal Citation: 1 TX Admin Code ยง 353.1113
Current through Reg. 49, No. 38; September 20, 2024
For Medicaid covered services, members enrolled in the Dual Demonstration have 60 days from a notice of action to file an appeal with the STAR+PLUS MMP. Members may also file a request for an HHSC fair hearing instead of, or in addition to, a health plan appeal. Rules governing fair hearings for Medicaid covered services are in Chapter 357, Subchapter A, of this title (relating to Uniform Fair Hearing Rules).
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