1 Tex. Admin. Code § 352.19 - Temporary Moratoria
(a) HHSC or its
designee may enforce temporary moratoria imposed pursuant to the requirements
of §1867 and §1902 of the Social Security Act (42 C.F.R.
455.470 and §
42
C.F.R. 457.990) on enrollment of new
providers or suppliers or impose numerical caps or other limits.
(b) HHSC may determine to impose a temporary
moratorium in the Texas Medicaid and CHIP programs based on provider or
supplier type, geographical area, new practice locations, or a category of
provider or supplier identified as having an increased risk or a potential risk
of fraud, waste, or abuse, with the concurrence of the Secretary of Health and
Human Services.
(c) A temporary
moratorium that is imposed in accordance with this section will be for an
initial period of six months, and may be extended in six-month increments at
the direction of or in concurrence with the Secretary of Health and Human
Services.
(d) HHSC will not process
an application if a moratorium or other limit on enrollment is in effect. If an
enrollment application is denied solely as the result of a temporary
moratorium, HHSC will refund any application fee submitted with the enrollment
application.
Notes
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