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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 366MEDICAID ELIGIBILITY FOR WOMEN, CHILDREN, YOUTH, AND NEEDY FAMILIES
SUBCHAPTER BPRESUMPTIVE MEDICAID FOR PREGNANT WOMEN PROGRAM
DIVISION 3PROVIDER REQUIREMENTS
RULE §366.253Monitoring Medical Providers

(a) The Texas Health and Human Services Commission (HHSC) monitors providers of presumptive Medicaid services.

(b) HHSC may discontinue eligibility operating procedures with providers that fail to meet program requirements or to comply with the local operating plan.

(c) HHSC cancels the qualified provider status of providers that intentionally misrepresent program eligibility requirements or are negligent in determining eligibility.


Source Note: The provisions of this §366.253 adopted to be effective June 9, 2010, 35 TexReg 4661

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