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Introduction and Purpose
The Fair and Fraud Hearings section of the Appeals Division, Health and Human Services ... evidence and issue decisions in accordance with rules, regulations and state and federal law. The Fair and Fraud Hearings ...

Section 1000, Fair Hearings
... are based on federal and state statutes, rules and regulations. Statutes provide an outline of all requirements, while the rules ... are in 7 CFR §273.15 .   1120 Texas Laws Revision 10-1; Effective January 15, 2010     ...

11000 Case Decision, Review and Closing
... all procedural matters not superseded by this section, the fair hearings rules in Title 40 Texas Administrative Code, §79.1101- 79.1317, ... are being duplicated. Audits are made according to federal regulations in 44 CFR, Part 206.110-120, Subpart D, Federal Assistance to ...

Section 2000, Case Management
... be retained. Applications are part of the Code of Federal Regulations (CFR) maintenance of record requirements and must be added to the ... Recovery Program (MERP) in compliance with federal Medicaid laws. The Texas Health and Human Services Commission (HHSC) manages the ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... Insurance Portability and Accountability Act (HIPPA) privacy regulations.   3113 Transmittal of Form H1200 Revision 18-0; ... STAR+PLUS HCBS program; and handling requests for state fair hearings for applicants or members who are denied STAR+PLUS HCBS program ...

Section 3000, Waiver Eligibility and Services
... Insurance Portability and Accountability Act (HIPAA) privacy regulations.   3113 Transmittal of Form H1200 or Form H1200-EZ ... HCBS program; and handling requests for Medicaid fair hearings for applicants or members who are denied STAR+PLUS HCBS program ...