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Subchapter N
... and 1583, which are available at  https://hhs.texas.gov/laws-regulations/forms and which contain information about CDS, ... 1584, which is available at http://www.dads.state.tx.us/handbooks/forms/default.asp?HB=CDS. (c) The MRA must compile ...

Section 1000, Overview and Eligibility
... through their STAR Kids managed care organization (MCO): Day activity health services (DAHS) for members age 18 ... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d). This CFR rule mandates that ... all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility. ...

Section 2000, Legal Requirements
... all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility. ... as provided by HHSC and managed care organization (MCO) regulations. Reasonable diligence for employees responsible ... the member if HHSC or the MCO needs to extend the 60-day period by an additional 30 days to complete the ...

Section 7000, Applicant or Member Complaints, Internal MCO Appeals and State Fair Hearings
... with the requirements in applicable federal and state laws and regulations, including Title 42 Code of Federal Regulations ... immediacy of the case; and no later than one business day after receiving the member’s request for an expedited ...

Section 4000, Complaints, Internal MCO Appeals and State Fair Hearings
... with the requirements in applicable federal and state laws and regulations, including Code of Federal Regulations (CFR), ... is resolved. To ensure the member is provided the full 10-day adverse action period, the MCO must mail the adverse ...

Section 4000, Complaint and Appeal Procedures
... with the requirements in applicable federal and state laws and regulations, including Code of Federal Regulations 42, ... immediacy of the case; and not later than one business day after receiving the member's request for expedited ...

Section 7000, Complaint, Appeal and Fair Hearing Procedures
... with the requirements in applicable federal and state laws and regulations, including 42 Code of Federal Regulations (CFR) ... immediacy of the case; and not later than one business day after receiving the member's request for an expedited ...

Section 1000, STAR Kids Overview and Eligibility
... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d) . This CFR rule mandates that ... through their STAR Kids managed care organization (MCO): Day Activity and Health Services (DAHS) for members age 18 ... all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility. ...

C-1100, Other/Miscellaneous
... are provided or are available under Workman's Compensation laws. Dental care and services except certain oral surgery or ... policy. If there is a conflict between this list and law, regulations, and policy, the latter will prevail. If there is ... apply for regular Medicaid, the PE coverage ends the last day of the month after the month of the PE determination (see ...

Section 2000, Case Management
... who are already enrolled with an MCO and request PHC or Day Activity and Health Services (DAHS) from HHSC must be ... be retained. Applications are part of the Code of Federal Regulations (CFR) maintenance of record requirements and must ... Program (MERP) in compliance with federal Medicaid laws. The Texas Health and Human Services Commission (HHSC) ...