Table of Contents Previous Next Index

2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 7: Appeals : 7.3 Appeals to HHSC Texas Medicaid Fee-for-Service : 7.3.1 Administrative Claim Appeals : 7.3.1.4 Exceptions to the 24‑Month Payment Deadline

7.3.1.4
Exceptions to the 24‑Month Payment Deadline
HHSC shall consider exceptions to the 24‑month claims payment deadline for the situations listed below, as identified in 42 CFR §447.272. The final decision about whether a claim falls within one of the following exceptions will be made by HHSC.
Claims paid at any time in accordance with a court order, to carry out hearing decisions or agency corrective actions taken to resolve a dispute, or to extend the benefits of a hearing decision, corrective action, or court order to others in the same situation as those directly affected by it.
Mail exception requests to HHSC at the following address:
Texas Health and Human Services Commission
HHSC Claims Administrator Contract Management
Mail Code 91X
PO Box 204077
Austin, TX 78720‑4077

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.