(a) A limited service rural hospital (LSRH) is deemed to have received any Texas Health and Human Services Commission (HHSC) correspondence on the date of receipt, or three business days after sending, whichever is earlier.     
      (b) When deficiencies are found:      
        (1) HHSC sends the LSRH a written Statement of Deficiencies (SOD) within 10 business days after the exit conference by U.S. Postal Service or electronic mail.       
        (2) Within 10 calendar days after the LSRH receives the SOD, the LSRH shall return a written Plan of Correction (POC) to HHSC that addresses each cited deficiency, including timeframes for corrections, with any additional evidence of compliance.                  (A) HHSC determines if a POC and proposed timeframes are acceptable, and, if accepted, notifies the LSRH in writing.                   (B) If HHSC does not accept the POC, HHSC notifies the LSRH, in writing, and requests the LSRH submit a modified POC and any additional evidence no later than 10 business days after HHSC notifies the LSRH in writing.                   (C) The LSRH shall correct the identified deficiencies and submit evidence to HHSC verifying the LSRH implemented all corrective actions within the timeframes set forth in the POC, or as otherwise specified by HHSC.         
        (3) Regardless of the LSRH's compliance with this subsection or HHSC's acceptance of an LSRH's POC, HHSC may, at any time, propose to take enforcement action as appropriate under this chapter in accordance with §511.121 of this chapter (relating Enforcement).       
     Source Note:        The provisions of this §511.114 adopted to be effective October 5, 2023, 48 TexReg 5668