September 5th, 2021
HHSC Publishes Revised Informal Dispute Resolution (PL 2021-07)
HHSC published a revised version of Provider Letter 2021-07, Informal Dispute Resolution (PDF). A revision was made to update the contact phone number.
The Informal Dispute Resolution (IDR) process gives nursing facilities, assisted living facilities, intermediate care facilities, Home and Community-based Service and Texas Home Living waiver providers the opportunity to informally dispute regulatory survey findings. (Texas Government Code §531.058 and Human Resources Code §161.0892).
In accordance with Senate Bill 304, 84th Texas Legislature, 2015, and House Bill 2590, 85th Legislature, 2017, the Texas Health and Human Services Commission has contracted with Michigan Peer Review Organization (MPRO) to perform IDR reviews and make a recommendation of compliance or non-compliance.
To request an IDR, facilities must submit via email a fully executed IDR Request Form to the HHSC IDR Department within 10 calendar days of receiving the official Statement of Deficiencies (Forms 2567/3724) or Final Report. If a timely request is made for an IDR, HHSC will forward the request to MPRO. Facilities/providers are then required to submit a rebuttal letter and supporting documentation directly to MPRO within the required timeframes.
Supporting documentation due dates are as follows:
- For NFs, ICF and the HCS/TxHML waiver providers the due date is the 5th calendar day after submitting the IDR Request form to HHSC on time.
Note: If the due date falls on a Saturday, Sunday or legal holiday, the due date becomes the next business day.
Where to Submit Your Supporting Documentation
All rebuttal information may be submitted via MPROs IDR Secure Application. Find instructions and link at www.mpro.org/texas-idr, or by mail to the address below:
MPRO – IDR Department
22670 Haggerty Road, Suite 100
Farmington Hills, MI 48335
For questions or problems with submitting supporting documentation, contact MPRO:
Aris Rhodes-Bond, IDR Project Specialist
Charlene Kawchak-Belitsky, IDR Senior Manager
Texas Administrative Code rules for IDR
For questions or problems with submitting the IDR Request Form, contact IDR:
HHSC IDR Department