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Home > Title 1 > Part 15 > Chapter 371 >Subchapter C > Rule 371.228
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 §371.228 - Recoveries
Chapter Review Date 08/08/2023

(a) OIG recovers any overpayments associated with a minimum data set (MDS) assessment error. OIG may recover an overpayment if the overpayment was identified during an OIG utilization review of a nursing facility provider. The provider is reimbursed for any underpayments.(b) An overpayment amount is a debt owed to the Texas Medicaid program.

Source Note: The provisions of this §371.228 adopted to be effective February 9, 2023, 48 TexReg 503.

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