Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 371 - MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY
Subchapter C - UTILIZATION REVIEW
- Section 371.200 - Inpatient Hospital Utilization Review Program
- Section 371.201 - Case Selection Process
- Section 371.203 - TMRP Review Process
- Section 371.204 - Hospital Screening Criteria for TMRP, TEFRA, and Facility-Specific Per Diem Methodology Reviews
- Section 371.206 - Denials and Recoupments for TMRP, TEFRA Hospitals, and Facility-Specific Per Diem Methodology Reviews
- Section 371.208 - Appeals Related to Utilization Review Department Review Decisions
- Section 371.210 - Inpatient Utilization Review for Hospitals Reimbursed Under TMRP and TEFRA Principles of Reimbursement and Facility-Specific Per Diem Methodology Reviews
- Section 371.212 - Utilization Review of Nursing Facilities
- Section 371.214 - HHSC-Approved Online RUG or Other HHSC-Required Training Course
- Section 371.216 - Nursing Facility Clinical Records
- Section 371.218 - Onsite and Desk Utilization Reviews of Nursing Facilities
- Section 371.220 - Exit Conferences
- Section 371.222 - Reconsideration of Utilization Review Results
- Section 371.224 - Appeals of Reconsideration Results
- Section 371.226 - Calculation of Overpayments and Underpayments
- Section 371.228 - Recoveries
- Section 371.230 - Waiver of Extrapolation
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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