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Home > Title 1 > Part 15 > Chapter 354 >Subchapter F > Rule 354.1905
TITLE 1 - ADMINISTRATION
PART 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354 - MEDICAID HEALTH SERVICES
SUBCHAPTER F - PHARMACY SERVICES
SECTION/RULE §354.1905 - Claim Adjustments
Chapter Review Date 11/08/2024

The pharmacy provider must completely reverse the original submission and resubmit the claims to receive an adjustment for an overpayment or underpayment of a pharmacy claim. The Commission must receive an adjustment within 90 days of the date of adjudication.

Source Note: The provisions of this §354.1905 adopted to be effective July 1, 1993, 18 TexReg 1584; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4562; amended to be effective June 19, 2003, 28 TexReg 4541.

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