Outline of Texas Medicaid Provider Due Process Rights Now Online

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Texas Dentists for Medicaid Reform have produced an article and downloadable FAQ now available online that for the first time outlines the due process rights of Medicaid providers in Texas

Texas Dentists for Medicaid Reform have published on their website an article with frequently asked questions about Medicaid provider rights in Texas under new legislation that came into force September 1st.

Texas Dentists for Medicaid Reform have published on their website an article with frequently asked questions about Medicaid provider rights in Texas under new legislation that came into force September 1st. The FAQ is also available as a download from the site.

Senate Bill 1803 passed last May by the Texas legislature and signed by Governor Rick Perry in June came into effect at the start of September. It provides Medicaid providers with enshrined due process rights for investigations conducted by the Texas Health and Human Services Commission and their Office of the Inspector General relating to Medicaid payment holds and overpayment recoupments.

The legislation added to the Texas Government code that OIG was to place on their website "a description in plain English of, and a video explaining, the processes and procedures the office uses to determine whether to impose a payment hold on a provider."

As this has not been done as of yet, TDMR has created its own document in which it helps to outline the procedures created by the legislation. It is not intended as legal advice or a definitive version of the bill and its contents and meaning. It is meant to act as an informal guide.

TDMR invites all Texas Medicaid providers to read the article and download the PDF file for their information.

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Cyndee Torres
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