- (a) An individual may request a fair hearing for any action that affects the co-payment of the individual or that denies, reduces, or terminates benefits in accordance with 1 TAC Part 15, Chapter 357, Subchapter A. DADS does not continue services pending a hearing if a suspension or termination is based on §44.308(b)(3) of this chapter (relating to Suspension of Services). The individual's provider must attend a hearing to explain any decision or action that led to the hearing.
- (b) The provider must notify the DADS regional designee of a request for a fair hearing within 24 hours after the provider receives the request. DADS notifies the provider whether to continue services pending the fair hearing officer's decision.
- (c) The provider must notify the DADS regional designee of the fair hearing officer's decision and of any action the provider takes as a result of that decision within 24 hours after the provider receives the hearing decision.
Source Note:The provisions of this §275.205 adopted to be effective October 1, 2013, 38 TexReg 6606; transferred effective August 1, 2022, as published in the Texas Register July 8, 2022, 47 TexReg 3983.