Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 355 - REIMBURSEMENT RATES
Subchapter C - REIMBURSEMENT METHODOLOGY FOR NURSING FACILITIES
Section 355.310 - Reimbursement Methodology for Customized Equipment

Universal Citation: 1 TX Admin Code § 355.310

Current through Reg. 49, No. 52; December 27, 2024

(a) Reimbursement rates for customized power wheelchairs (CPWCs) and associated physical or occupational therapy evaluations provided under 40 TAC §RSA 19.2614(relating to Customized Power Wheelchairs) are determined as follows:

(1) For CPWCs, rates are determined in accordance with § 355.8023 of this title (relating to Reimbursement Methodology for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)).

(2) For evaluations required for CPWCs under 40 TAC §RSA 19.2614(c), rates are determined in accordance with § RSA 355.313 of this title (relating to Reimbursement Methodology for Rehabilitative and Specialized Services).

(b) Reimbursement rates for customized adaptive aids and associated physical or occupational therapy evaluations provided under 40 TAC Chapter 17 (relating to Preadmission Screening and Resident Review) are determined as follows:

(1) For customized adaptive aids, rates are determined in accordance with § 355.8023 of this title.

(2) For evaluations required for customized adaptive aids, rates are determined in accordance with § RSA 355.313 of this title.

(c) Fees for customized equipment are adjusted within available funding as described in § RSA 355.201 of this title (relating to Establishment and Adjustment of Reimbursement Rates by the Health and Human Services Commission).

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