Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 261 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM-CONTRACTING
Subchapter G - PROVIDER AGREEMENT SANCTIONS
Section 261.270 - Suspension of Payments

Universal Citation: 26 TX Admin Code § 261.270

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

(a) DADS suspends payments owed to a program provider under a provider agreement if DADS is notified by the Health and Human Services Commission Office of Inspector General (OIG) that payments must be withheld because of receipt of reliable evidence involving fraud or willful misrepresentation under the Medicaid Program in accordance with 42 CFR § 455.23(a).

(b) DADS suspends payments in accordance with subsection (a) of this section until:

(1) OIG notifies DADS that it must pay amounts suspended and resume payment under the provider agreement; or

(2) OIG notifies DADS that it must terminate the provider agreement in accordance with § 261.268 of this chapter (relating to Termination of Provider Agreement.)

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