Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 382 - WOMEN'S HEALTH SERVICES
Subchapter B - FAMILY PLANNING PROGRAM
Section 382.119 - Reimbursement
Universal Citation: 1 TX Admin Code ยง 382.119
Current through Reg. 49, No. 38; September 20, 2024
(a) Reimbursement.
(1) Covered services provided through FPP are
reimbursed in accordance with Chapter 355 of this title (relating to
Reimbursement Rates).
(2) Entities
that contract with HHSC to provide additional services related to family
planning that are separate from services referenced in paragraph (1) of this
subsection are reimbursed by HHSC in compliance with program standards, policy
and procedures, and contract requirements unless payment is prohibited by
law.
(b) Claims procedures. An FPP health-care provider must comply with Chapter 354, Subchapter A, Divisions 1 and 5 of this title (relating to Medicaid Procedures for Providers and relating to Physician and Physician Assistant Services).
(c) Improper use of reimbursement. An FPP health-care provider may not use any FPP funds received to pay the direct or indirect costs (including overhead, rent, phones, equipment, and utilities) of elective abortions.
(d) An FPP health-care provider may not deny covered services to a client based on the client's inability to pay.
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