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Home > Title 1 > Part 15 > Chapter 353 >Subchapter Q > Rule 353.1451
TITLE 1 - ADMINISTRATION
PART 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 353 - MEDICAID MANAGED CARE
SUBCHAPTER Q - PROCESS TO RECOUP CERTAIN OVERPAYMENTS
SECTION/RULE §353.1451 - Purpose and Authority
Chapter Review Date 04/25/2024

The purpose of this subchapter is to describe the due process a managed care organization (MCO) must give to recoup an overpayment related to an electronic visit verification visit transaction in accordance with Texas Government Code §544.0503 and the due process an MCO must give to recoup an overpayment related to a determination of fraud or abuse in accordance with Texas Government Code §544.0502.

Source Note: The provisions of this §353.1451 adopted to be effective February 7, 2022, 47 TexReg 496; amended to be effective April 1, 2025, 50 TexReg 823.

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