This is a clone of the Texas Administrative Code (TAC) for educational purposes. It is not the official version and should not be used for legal purposes. Site created Wed, 21 May 2025 21:16:46 GMT
(a) The nursing facility must refund private funds paid to the facility for periods covered by Medicaid, including retroactive periods of Medicaid coverage, when:(1) the Medicaid vendor payment has been accepted by the nursing facility; or(2) the nursing facility has been notified by HHSC about an individual's eligibility for Medicaid.(b) The nursing facility must make the refund within 30 days of:(1) notification of eligibility for nursing home coverage;(2) notification of correction of applied income; or(3) receipt of any vendor payment from HHSC for any covered period.(c) When the facility becomes aware of the need for a refund as indicated in subsection (a) of this section, facility staff must write to the resident or resident representative, notifying the resident about the right to a refund and the amount due.