Statutes, codes, and regulations
Texas Administrative Code
Title 1 - ADMINISTRATIONPart 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSIONChapter 353 - MEDICAID MANAGED CARE
Subchapter L - TEXAS DUAL ELIGIBLES INTEGRATED CARE DEMONSTRATION PROJECT
Section 353.1113 - Appeals and Fair Hearings

1 Tex. Admin. Code § 353.1113

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Current through Reg. 49, No. 50; December 13, 2024
Section 353.1113 - Appeals and Fair Hearings

For Medicaid covered services, members enrolled in the Dual Demonstration have 60 days from a notice of action to file an appeal with the STAR+PLUS MMP. Members may also file a request for an HHSC fair hearing instead of, or in addition to, a health plan appeal. Rules governing fair hearings for Medicaid covered services are in Chapter 357, Subchapter A, of this title (relating to Uniform Fair Hearing Rules).

1 Tex. Admin. Code § 353.1113

Adopted by Texas Register, Volume 40, Number 12, March 20, 2015, TexReg 1705, eff. 4/1/2015