Texas Government Code 544.0507 – Appeal of Determination to Recoup Overpayment or Debt
(a) A provider must request an appeal under this section not later than the 30th day after the date the provider is notified that the commission or the office of inspector general will seek to recover an overpayment or debt from the provider.
(b) On receipt of a timely written request by a provider who is the subject of a recoupment of overpayment or debt arising out of a fraud or abuse investigation, the office of inspector general shall file a docketing request with the State Office of Administrative Hearings or the commission’s appeals division, as the provider requests, for an administrative hearing regarding the proposed recoupment amount and any associated damages or penalties. The office of inspector general shall file the docketing request not later than the 60th day after the date of the provider’s request or not later than the 60th day after completing the informal resolution process, if applicable.
Terms Used In Texas Government Code 544.0507
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
- Fraud: Intentional deception resulting in injury to another.
- Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
(c) The office of inspector general is responsible for the costs of an administrative hearing, but a provider is responsible for the provider’s own costs incurred in preparing for the hearing.
(d) A provider who is the subject of a recoupment of overpayment or debt arising out of a fraud or abuse investigation may appeal a final administrative order issued after an administrative hearing by filing a petition for judicial review in a district court in Travis County.
Text of section effective on April 01, 2025