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 § 275.209

Current through Reg. 50, No. 13; March 28, 2025

(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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