Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 52 - CONTRACTING FOR COMMUNITY SERVICES
Subchapter E - ENFORCEMENT BY HHSC, TERMINATION BY CONTRACTOR, AND NO OFFER OF STANDARD CONTRACT BY HHSC
Division 4 - SANCTIONS
Section 52.313 - Recoupment

Universal Citation: 26 TX Admin Code ยง 52.313

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

(a) A contractor is liable to HHSC for amounts paid to the contractor for a service if the contractor has not complied with contract requirements regarding a service claim or payment for a service, including § 49.305 of this chapter (relating to Records), § 49.311 of this chapter (relating to Claims Payment), and other HHSC rules governing services provided under the contract.

(b) If a contractor is liable to HHSC in accordance with subsection (a) of this section, HHSC may propose to recoup funds for the amount due to HHSC.

(c) If HHSC proposes to recoup funds paid to a contractor in accordance with subsection (b) of this section, HHSC notifies the contractor of the proposed recoupment in writing before the effective date of recoupment.

(d) HHSC recoups funds paid to contractor on the date given in HHSC's notice of proposed recoupment if:

(1) the contractor does not appeal the proposed recoupment; or

(2) the contractor appeals the proposed recoupment and the final decision from the administrative hearing is favorable to HHSC.

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