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TITLE 26 - HEALTH AND HUMAN SERVICES
PART 1 - HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 266 - MEDICAID HOSPICE PROGRAM
SUBCHAPTER B - UTILIZATION REVIEW
SECTION/RULE §266.227 - Review Decision and Notice

Chapter Review Date (a) HHSC issues a notice of proposed recoupment under 40 TAC §49.533(c) (relating to Recoupment), if HHSC upholds or modifies a proposed recoupment after the informal review.(b) The notice of proposed recoupment includes:(1) a description of the alleged rule violations warranting the proposed recoupment;(2) the amount of the proposed recoupment;(3) HHSC's decision to uphold or modify the proposed recoupment issued after an informal review; and(4) the option for the hospice to:(A) accept the proposed recoupment; or(B) appeal the proposed recoupment as provided in 40 TAC §49.541 (relating to Contractor's Right to Appeal).

Source Note: The provisions of this §266.227 adopted to be effective July 26, 2022, 47 TexReg 4331.

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