Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 365 - KIDNEY HEALTH CARE
Section 365.9 - Rights and Responsibilities
Universal Citation: 26 TX Admin Code ยง 365.9
Current through Reg. 49, No. 38; September 20, 2024
(a) An applicant and client have the right to:
(1)
apply for eligibility determination;
(2) choose providers subject to program
limitations;
(3) be notified of the
program's decisions relating to modifications, suspensions, denials, or
terminations; and
(4) appeal the
program's decisions and receive a response within the deadline as described in
§61.11
of this title (relating to Rights of Appeal).
(b) A provider has the right to:
(1) be notified of the program's decision
relating to modifications, suspensions, denials, or terminations; and
(2) appeal the program's decisions and
receive a response within the deadline as described in §61.11
of this title.
(c) A client has the responsibility to:
(1) provide
accurate medical information to providers and notify providers of program
eligibility prior to delivery of services;
(2) abide by program rules and policies;
and
(3) notify the program of any
lawsuit(s) contemplated or filed concerning the cause of the medical condition
for which the program has made payment.
(d) An enrolled provider has the responsibility to:
(1) abide by program rules
and policies;
(2) not discriminate
against applicants or clients based on source of payment; and
(3) notify the program of any lawsuit(s)
contemplated or filed concerning the cause of the medical condition for which
the program has made payment.
(e) An authorized entity has the responsibility to:
(1) abide by program rules
and policies; and
(2) not
discriminate against applicants or clients.
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