Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 358 - MEDICAID ELIGIBILITY FOR THE ELDERLY AND PEOPLE WITH DISABILITIES
Subchapter E - RIGHTS AND RESPONSIBILITIES OF APPLICANTS AND RECIPIENTS
Section 358.605 - Fraud Referral and Restitution
Universal Citation: 1 TX Admin Code ยง 358.605
Current through Reg. 49, No. 38; September 20, 2024
(a) The Texas Health and Human Services Commission (HHSC) follows RSA 455.13 - RSA 455.16 for issues governing fraud referral and restitution.
(b) HHSC evaluates a person's willful withholding of information for fraud, including:
(1) willful misstatements, oral or written,
made by the person or the person's authorized representative in response to
oral or written questions from HHSC concerning the person's income, resources,
or other circumstances that may affect the amounts of benefits, including
understatements or omission of information about income and resources;
and
(2) willful failure by the
person or the person's authorized representative to report changes in income,
resources, or other circumstances that may affect the amount of benefits, if
HHSC has clearly notified the person or the person's authorized representative
of the person's obligation to report these changes.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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