Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 275 - CONSUMER MANAGED PERSONAL ATTENDANT SERVICES (CMPAS) PROGRAM
Subchapter B - ELIGIBILITY AND SERVICE PLANS
Section 275.35 - Service Plan and Co-payment Disagreements
Universal Citation: 26 TX Admin Code ยง 275.35
Current through Reg. 49, No. 38; September 20, 2024
(a) Service plan disagreements. If a provider and individual disagree on the number of hours of service or service tasks to be on the individual's service plan:
(1) the
provider must offer the individual orally and in writing an informal dispute
resolution (IDR) process through a meeting of the individual's IDT;
and
(2) if the individual disagrees
with the provider's decision after going through the IDR process, the
individual may request a fair hearing as provided in §44.503 of this chapter (relating
to Fair Hearing).
(b) Co-payment disagreements. If a provider and individual disagree on the amount of the individual's co-payment:
(1) the
provider must offer the individual orally and in writing an IDR process through
a meeting of the individual's IDT; and
(2) if the individual disagrees with the
provider's decision after going through the IDR process, the individual may
request a fair hearing as provided in §44.503 of this
chapter.
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