Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
Subchapter E - RESIDENT RIGHTS
Section 554.410 - Refunds in Medicaid-Certified Facilities
Universal Citation: 26 TX Admin Code ยง 554.410
Current through Reg. 49, No. 38; September 20, 2024
(a) The nursing facility must refund private funds paid to the facility for periods covered by Medicaid, including retroactive periods of Medicaid coverage, when:
(1) the Medicaid vendor payment has been
accepted by the nursing facility; or
(2) the nursing facility has been notified by
HHSC about an individual's eligibility for Medicaid.
(b) The nursing facility must make the refund within 30 days of:
(1) notification of
eligibility for nursing home coverage;
(2) notification of correction of applied
income; or
(3) receipt of any
vendor payment from HHSC for any covered period.
(c) When the facility becomes aware of the need for a refund as indicated in subsection (a) of this section, facility staff must write to the resident or resident representative, notifying the resident about the right to a refund and the amount due.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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