§9.576: Program Provider Certification and Review

(a) The program provider must be in continuous compliance with the certification principles contained in this subchapter.

(b) DADS conducts an on-site certification review of the program provider to evaluate evidence of the program provider's compliance with certification principles. Based on its review, DADS takes action as described in §9.577 of this subchapter (relating to Corrective Action and Program Provider Sanctions).

(c) Following the initial on-site certification review by DADS, conducted in accordance with Subchapter Q of this chapter (relating to Enrollment of Medicaid Waiver Program Providers), DADS conducts an on-site certification review at least annually.

(d) DADS certifies a program provider for a period of 365 calendar days after the date of an initial or annual certification review.

(e) DADS may conduct announced or unannounced reviews of the program provider at any time.

(f) During any review, including a follow-up review or a review in which corrective action from a previous review is being evaluated, DADS may review the TxHmL Program services provided to any individual to determine if the program provider is in compliance with the certification principles.

(g) DADS conducts an exit conference at the end of all on-site reviews, at a time and location determined by DADS, to inform the program provider of DADS' findings, determination, any proposed actions, and any actions required of the program provider.


Source Note: The provisions of this §9.576 adopted to be effective January 5, 2003, 27 TexReg 12254; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8841; amended to be effective March 1, 2007, 32 TexReg 544