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Texas Administrative Code
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Title 1 Administration
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Part 15 Texas Health and Human Services Commission
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Chapter 371 Medicaid and Other Health and Human Services Fraud and Abuse Program Integrity
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Subchapter C Utilization Review
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Rule 371.200 Inpatient Hospital Utilization Review Program
Rule 371.201 Case Selection Process
Rule 371.203 Tmrp Review Process
Rule 371.204 Hospital Screening Criteria for Tmrp, Tefra, and Facility-specific Per Diem Methodology Reviews
Rule 371.206 Denials and Recoupments for Tmrp, Tefra Hospitals, and Facility-specific Per Diem Methodology Reviews
Rule 371.208 Appeals Related to Utilization Review Department Review Decisions
Rule 371.210 Inpatient Utilization Review for Hospitals Reimbursed Under Tmrp and Tefra Principles of Reimbursement and Facility-specific Per Diem Methodology Reviews
Rule 371.212 Utilization Review of Nursing Facilities
Rule 371.214 Hhsc-approved Online Rug Or Other Hhsc-required Training Course
Rule 371.216 Nursing Facility Clinical Records
Rule 371.218 Onsite and Desk Utilization Reviews of Nursing Facilities
Rule 371.220 Exit Conferences
Rule 371.222 Reconsideration of Utilization Review Results
Rule 371.224 Appeals of Reconsideration Results
Rule 371.226 Calculation of Overpayments and Underpayments
Rule 371.228 Recoveries
Rule 371.230 Waiver of Extrapolation