Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 277 - Contracting to Provide Primary Home Care
Subchapter F - CLAIMS PAYMENT AND DOCUMENTATION
Section 277.81 - Monitoring Medicaid Eligibility
Universal Citation: 26 TX Admin Code ยง 277.81
Current through Reg. 49, No. 52; December 27, 2024
(a) Applicability. This section does not apply to individuals who are receiving FC Program services.
(b) Verification of Medicaid eligibility. A provider must verify each month that an individual remains Medicaid eligible. A provider may verify the individual's current Medicaid eligibility by:
(1) viewing the
individual's HHSC Medicaid Identification form; or
(2) using the current systems available to
verify the individual's Medicaid eligibility.
(c) Reimbursement. HHSC does not pay a provider for services delivered to an individual who is not eligible for Medicaid at the time the provider delivered the services.
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