(a) In accordance with Texas Government Code §2001.145, a decision that is final under this chapter is appealable; however, a timely motion for rehearing is a prerequisite to appeal a decision that is final in accordance with Texas Government Code §146.(b) In accordance with Texas Government Code §2001.171, a person who has exhausted all administrative remedies at the Texas Health and Human Services Commission and who is aggrieved by a final decision in a contested case is entitled to judicial review under Texas Government Code, Chapter 2001.(c) In accordance with Texas Government Code §2001.176(b)(3), filing a petition to initiate judicial review of a contested case does not affect the enforcement of a final decision for which the manner of review authorized by law is other than trial de novo.