Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 303 - PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR)
Subchapter D - VENDOR PAYMENT
Section 303.401 - Reimbursement for a PE or Resident Review
Universal Citation: 26 TX Admin Code § 303.401
Current through Reg. 50, No. 13; March 28, 2025
(a) A LIDDA, LMHA, or LBHA must accept the reimbursement rate established by HHSC as payment in full for the following activities:
(1) completing a PE or resident
review in accordance with §
303.302(a)(2) of
this chapter (relating to LIDDA, LMHA, and LBHA Responsibilities Related to the
PASRR Process);
(2) assisting an
individual who is seeking admission to a NF, or a resident with MI, ID, or DD,
or the individual's or resident's LAR in choosing another NF that will certify
it can meet the needs of the individual or resident as described in §
303.302(b) of
this chapter;
(3) participating in
the resident's IDT meeting; and
(4)
confirming in the LTC online portal the information required by §
303.302(c)(3) of
this chapter.
(b) The reimbursement rate for the activities described in subsection (a) of this section includes travel costs associated with the activities. HHSC does not pay any additional amounts for travel. A LIDDA, LMHA, or LBHA must not request reimbursement for travel time or travel costs associated with the activities described in subsection (a) of this section.
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