Current through Reg. 49, No. 49; December 6, 2024
Section 365.9 - Rights and Responsibilities(a) An applicant and client have the right to:(1) apply for eligibility determination;(2) choose providers subject to program limitations;(3) be notified of the program's decisions relating to modifications, suspensions, denials, or terminations; and(4) appeal the program's decisions and receive a response within the deadline as described in §61.11 of this title (relating to Rights of Appeal).(b) A provider has the right to: (1) be notified of the program's decision relating to modifications, suspensions, denials, or terminations; and(2) appeal the program's decisions and receive a response within the deadline as described in §61.11 of this title.(c) A client has the responsibility to:(1) provide accurate medical information to providers and notify providers of program eligibility prior to delivery of services;(2) abide by program rules and policies; and(3) notify the program of any lawsuit(s) contemplated or filed concerning the cause of the medical condition for which the program has made payment.(d) An enrolled provider has the responsibility to: (1) abide by program rules and policies;(2) not discriminate against applicants or clients based on source of payment; and(3) notify the program of any lawsuit(s) contemplated or filed concerning the cause of the medical condition for which the program has made payment.(e) An authorized entity has the responsibility to: (1) abide by program rules and policies; and(2) not discriminate against applicants or clients.26 Tex. Admin. Code § 365.9
The provisions of this §365.9 adopted to be effective February 18, 2010, 35 TexReg 1220; amended to be effective March 27, 2016, 41 TexReg 2170; transferred effective January 15, 2022, as published in the December 31, 2021 issue of the Texas Register, 46 TexReg 9421