1. (a) Before HHSC issues a notice of proposed recoupment amount under 40 TAC §49.533(c) (relating to Recoupment), HHSC gives a hospice:

   1. (1) a description of the alleged rule violation warranting the proposed recoupment;
   2. (2) the amount of the proposed recoupment; and

   3. (3) the option to:

      1. (A) request an informal review to demonstrate that the hospice did not commit the alleged violation; or
      2. (B) accept the proposed recoupment.

2. (b) A hospice's request for an informal review must:

   1. (1) be received by HHSC within 10 calendar days after the hospice receives the description of the alleged violation and amount of the proposed recoupment from HHSC; and
   2. (2) contain documentation that refutes the alleged violation.
3. (c) HHSC conducts the informal review by reviewing the hospice's written response and supporting evidence.
4. (d) HHSC provides the hospice with official notice of the outcome of the informal review.

Source Note:The provisions of this §266.225 adopted to be effective July 26, 2022, 47 TexReg 4331.