Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 353 - MEDICAID MANAGED CARE
Subchapter Q - PROCESS TO RECOUP CERTAIN OVERPAYMENTS
Section 353.1451 - Purpose and Authority
Universal Citation: 1 TX Admin Code ยง 353.1451
Current through Reg. 49, No. 38; September 20, 2024
The purpose of this subchapter is to describe the due process a managed care organization (MCO) must give to recoup an overpayment related to an electronic visit verification visit transaction in accordance with Texas Government Code, § RSA 531.1135 and the due process an MCO must give to recoup an overpayment related to a determination of fraud or abuse in accordance with Texas Government Code, § RSA 531.1131.
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