Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 263 - HOME AND COMMUNITY-BASED SERVICES (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC)
Subchapter I - HEARINGS
Section 263.802 - Program Provider's Right to Administrative Hearing
Universal Citation: 26 TX Admin Code § 263.802
Current through Reg. 50, No. 13; March 28, 2025
(a) A program provider may request an administrative hearing if HHSC takes or proposes to take the following action:
(1) vendor
hold;
(2) contract
termination;
(3) recoupment of
payments made to the program provider; or
(4) denial of a program provider's claim for
payment, including denial of a retroactive LOC and denial of a recommended
LON.
(b) If the basis of an administrative hearing requested under this section is a dispute regarding an LON assignment, the program provider may receive an administrative hearing only if reconsideration was requested by the program provider in accordance with § 263.108 of this chapter (relating to Reconsideration of LON Assignment).
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