Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 275 - CONSUMER MANAGED PERSONAL ATTENDANT SERVICES (CMPAS) PROGRAM
Subchapter E - ADDITIONAL PROGRAM REQUIREMENTS
Section 275.209 - Reimbursement
Universal Citation: 26 TX Admin Code ยง 275.209
Current through Reg. 49, No. 38; September 20, 2024
(a) General billing requirements. A provider must submit to HHSC a claim for services provided to an individual in accordance with §49.311 of this title (relating to Claims Payment).
(b) Billing requirements relating to attendant tasks. A provider must bill HHSC:
(1) only for the allowable tasks described in
§44.304 of this chapter (relating
to Allowable and Unallowable Tasks) that comprise services actually delivered
to an individual in accordance with the individual's service plan authorized by
HHSC;
(2) in accordance with the
hourly rate negotiated by HHSC; and
(3) for attendant tasks in quarter-hour
increments, meaning that:
(A) time worked that
is not an exact quarter-hour must be rounded up to a quarter-hour if it is
eight minutes or more; and
(B) time
worked that is less than eight minutes must not be billed.
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