Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 355 - REIMBURSEMENT RATES
Subchapter J - PURCHASED HEALTH SERVICES
Division 34 - WOMEN'S HEALTH PROGRAM
Section 355.8641 - Reimbursement Methodology for the Women's Health Program
Universal Citation: 1 TX Admin Code ยง 355.8641
Current through Reg. 49, No. 38; September 20, 2024
(a) Services provided through the Women's Health Program (WHP) will be reimbursed on a fee-for-service basis in accordance with § RSA 355.8581 of this chapter (relating to Reimbursement Methodology for Family Planning Services).
(b) If a service provided through WHP is not addressed in § RSA 355.8581 of this chapter, it will be reimbursed as follows:
(1) For physician
services, physician-administered drugs and biologicals, and the administration
of immunizations, a provider is reimbursed the lesser of:
(A) the provider's billed charges;
or
(B) fees determined by the Texas
Health and Human Services Commission (HHSC) in accordance with §
RSA
355.8085 of this chapter (relating to
Reimbursement Methodology for Physicians and Other Practitioners).
(2) HHSC reimburses all other
covered services in accordance with the reimbursement rules in this
chapter.
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