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Section 2000, Legal Requirements
... review 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 for records ...

Section 2000, Legal Requirements
... review all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility.   ... Commission (HHSC) and managed care organization (MCO) regulations. Reasonable diligence for employees responsible for records ...

Section 1000, HHSC Provider Investigation (PI) Program Overview
... receiving services from certain providers. The rules or laws cited in this policy are provided for reference purposes only and are not ... services not in compliance with federal and state laws and regulations, including: 25 TAC Chapter 415, Subchapter F (relating to ...

Section 4000, Complaint and Appeal Procedures
... with the requirements in applicable federal and state laws and regulations, including Code of Federal Regulations 42, §431.200, 42 CFR Part ...

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) §431.200; 42 CFR ...

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 individuals who ... review all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility.   ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... September 4, 2018     3110 Medicaid, Medicare and Dual-Eligible Members Revision 18-0; Effective ... Insurance Portability and Accountability Act (HIPPA) privacy regulations.   3113 Transmittal of Form H1200 Revision 18-0; ...

Section 1000, Overview and Eligibility
... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d). This CFR rule mandates that individuals who ... review all information in the case record and in HHSC or MCO handbooks that contributed to the decision about eligibility.   ...

Section 3000, Waiver Eligibility and Services
... Effective September 3, 2018     3110 Medicaid, Medicare and Dual-Eligibles Revision 18-2; Effective September ... Insurance Portability and Accountability Act (HIPAA) privacy regulations.   3113 Transmittal of Form H1200 or Form H1200-EZ ...

F-1000, General Principles of Resources
... payable under the annuity contract, not to exceed any Medicaid funds expended on the person during the person's lifetime, except as ... Health and Human Services Commission follows the federal regulations indicated in the table in this section regarding the treatment of ...