Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 380 - MEDICAL TRANSPORTATION PROGRAM
Subchapter B - ELIGIBILITY, PROGRAM SERVICES, PROCESSES, ADDITIONAL TRANSPORTATION CONNECTED WITH AN AUTHORIZED TRIP, LIMITATIONS, AND EXCLUSIONS
Section 380.203 - Program Services

Universal Citation: 1 TX Admin Code ยง 380.203

Current through Reg. 49, No. 38; September 20, 2024

Transportation services must be prior authorized by the Medical Transportation Program (MTP) or transportation providers. Program requirements include the following:

(1) reasonable or long distance transportation of a prior authorized MTP client to and/or from a covered health care service when:

(A) the client provides a Health Care Provider's Statement of Need or equivalent when required; or

(B) a provider will not bill Medicaid or another source for the cost of the services. This includes health care services that are provided to the client by a charitable organization but not billed to Medicaid. It does not include value-added services provided by a Medicaid managed care plan.

(2) transportation for an attendant(s) if necessary;

(3) advance funds for an eligible child and attendant(s) when lack of transportation funds will prevent the child from traveling to a covered health care service; and

(4) if a client is required to receive health care services outside their county of residence for six consecutive months, proof of residency may be required.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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