Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter O - ELECTRONIC VISIT VERIFICATION
Section 354.4023 - Sanctions

Current through Reg. 49, No. 38; September 20, 2024

(a) HHSC or an MCO may propose to recoup funds paid to a program provider or FMSA as described in:

(1) § 354.4009(d) of this subchapter (relating to EVV Visit Transaction and EVV Claim); and

(2) § 354.4013(h) of this subchapter (relating to HHSC and MCO Compliance Reviews and Enforcement Actions.

(b) HHSC or an MCO may impose a vendor hold against a program provider or FMSA as described in § 354.4013(d) and (g)(3) of this subchapter.

(c) HHSC or an MCO may propose to terminate the contract of program provider or FMSA as described in:

(1) § 354.4007(e)(2)(B) of this subchapter (relating to EVV System); and

(2) § 354.4013(b)(3) of this subchapter.

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