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Home > Title 1 > Part 15 > Chapter 371 >Subchapter C > Rule 371.224
TITLE 1 - ADMINISTRATION
PART 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 371 - MEDICAID AND OTHER HEALTH AND HUMAN SERVICES FRAUD AND ABUSE PROGRAM INTEGRITY
SUBCHAPTER C - UTILIZATION REVIEW
SECTION/RULE §371.224 - Appeals of Reconsideration Results
Chapter Review Date 08/08/2023

If a nursing facility provider disagrees with the results of a reconsideration review, the provider may request a hearing to appeal a RUG change pursuant to Chapter 357, Subchapter I of this title (relating to Hearings Under the Administrative Procedure Act). A nursing facility provider may not request a hearing to appeal a RUG change unless the provider made a timely and complete request for a reconsideration review.

Source Note: The provisions of this §371.224 adopted to be effective February 9, 2023, 48 TexReg 503.

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