40 Tex. Admin. Code § 44.206 - Service Plan and Co-payment Disagreements

(a) Service plan disagreements. If a provider and individual disagree on the number of hours of service or service tasks to be on the individual's service plan:
(1) the provider must offer the individual orally and in writing an informal dispute resolution (IDR) process through a meeting of the individual's IDT; and
(2) if the individual disagrees with the provider's decision after going through the IDR process, the individual may request a fair hearing as provided in § 44.503 of this chapter (relating to Fair Hearing).
(b) Co-payment disagreements. If a provider and individual disagree on the amount of the individual's co-payment:
(1) the provider must offer the individual orally and in writing an IDR process through a meeting of the individual's IDT; and
(2) if the individual disagrees with the provider's decision after going through the IDR process, the individual may request a fair hearing as provided in § 44.503 of this chapter.

Notes

40 Tex. Admin. Code § 44.206
The provisions of this §44.206 adopted to be effective October 1, 2013, 38 TexReg 6606

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