Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 363 - COUNTY INDIGENT HEALTH CARE PROGRAM
Subchapter A - PROGRAM ADMINISTRATION
Section 363.3 - Eligibility Dispute
Current through Reg. 49, No. 38; September 20, 2024
(a) If a health care provider and a governmental entity or hospital district cannot agree on a household's eligibility for assistance, the provider or the governmental entity or hospital district may submit the matter to the Health and Human Services Commission (commission) not later than the 90th day after the eligibility determination was issued.
(b) The health care provider and the governmental entity or hospital shall submit all relevant information to the commission in accordance with the internal procedures established by the commission.
(c) From the information submitted, the commission shall determine the household's eligibility for assistance.
(d) Not later than the 45th day after the receipt of the matter, the commission shall notify each governmental entity or hospital district and the health care provider of the decision and the reasons for the decision.
