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December 2016 Texas Medicaid Provider Procedures Manual

Section 7: Appeals : 7.4 Cost Report Settlement Appeal Process

A provider who is dissatisfied with the determination contained in the Notice of Program Reimbursement (NPR) from TMHP Medicaid Audit may request an appeal as follows:
The request for appeal must be filed within 180 calendar days from the date of receipt of the NPR.
If the NPR shows that the provider is indebted to Texas Medicaid, TMHP must take the necessary action to recover the overpayment, including a suspension of interim payments. This process will take place even if an appeal has been requested.

Texas Medicaid & Healthcare Partnership
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