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 E - PROVIDER DISCLOSURE AND SCREENING
Section 371.1013 - Provider Enrollment Recommendations
Current through Reg. 50, No. 13; March 28, 2025
(a) The OIG makes a recommendation on each enrollment application submitted for review in accordance with the requirements of this subchapter (relating to Provider Disclosure and Screening) and Chapter 352 of this title (relating to Medicaid and Children's Health Insurance Program Provider Enrollment), or other rule, as applicable. The recommendation is at the sole discretion of the OIG, and is not subject to administrative review or reconsideration.
(b) In making its enrollment recommendation, the OIG may consider any relevant circumstance or factor as it applies to the applicant, provider, or any person required to be disclosed in the enrollment application in accordance with this subchapter and Chapter 352 of this title, if applicable.
(c) Upon making a recommendation on a complete application, the OIG informs HHSC of its recommendation. HHSC makes the final enrollment decision after considering:
