Sec. 161.0892. INFORMAL DISPUTE RESOLUTION. (a) The executive commissioner by rule shall establish an informal dispute resolution process in accordance with this section. The process must provide for adjudication by an appropriate disinterested person of disputes relating to a proposed enforcement action or related proceeding of the commission against a provider participating in a waiver program described by Section 161.089. The informal dispute resolution process must require:
(1) a provider participating in a waiver program described by Section 161.089 to request informal dispute resolution not later than the 10th calendar day after the date of notification by the commission of the violation of a law or rule relating to the program; and
(2) the commission to complete the process not later than the 30th calendar day after the date of receipt of a request from a provider for informal dispute resolution.
(b) As part of the informal dispute resolution process established under this section, the commission shall contract with an appropriate disinterested person to adjudicate disputes between a provider participating in a waiver program described by Section 161.089 and the commission concerning a statement of violations prepared by the commission. Section 2009.053, Government Code, does not apply to the selection of an appropriate disinterested person under this subsection. The person with whom the commission contracts shall adjudicate all disputes described by this subsection.
(c) The executive commissioner shall adopt rules to adjudicate claims in contested cases.
(d) The commission may not delegate its responsibility to administer the informal dispute resolution process established by this section to another state agency.
Added by Acts 2017, 85th Leg., R.S., Ch. 487 (H.B. 2590), Sec. 2, eff. September 1, 2017.
Structure Texas Statutes
Title 11 - Aging, Community-Based, and Long-Term Care Services
Chapter 161 - Department of Aging and Disability Services
Subchapter D. Powers and Duties of Department
Section 161.071. General Powers and Duties of Department
Section 161.074. Competitive Grant Program
Section 161.075. Immunity for Area Agencies on Aging and Agency Employees and Volunteers
Section 161.076. On-Site Surveys of Certain Providers
Section 161.077. Investigation Database
Section 161.078. Eligibility for Deaf-Blind With Multiple Disabilities Waiver Program
Section 161.079. Informal Caregiver Services
Section 161.080. Contracts for Services for Individuals With Developmental Disabilities
Section 161.081. Long-Term Care Medicaid Waiver Programs: Streamlining and Uniformity
Section 161.082. Long-Term Care Medicaid Waiver Programs: Utilization Review
Section 161.083. Corrections Medication Aides
Section 161.084. Medicaid Service Options Public Education Initiative
Section 161.085. Interest List Reporting
Section 161.086. Electronic Visit Verification System
Section 161.087. Gifts and Grants
Section 161.088. Trauma-Informed Care Training
Section 161.089. Administrative Penalties