Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 355 - EPILEPSY SERVICES
Section 355.11 - Limitations and Benefits Provided
Universal Citation: 26 TX Admin Code ยง 355.11
Current through Reg. 49, No. 52; December 27, 2024
(a) Benefits provided by the Epilepsy Program are outlined in the contract with each provider and may include the following:
(1) diagnosis and treatment of
epilepsy;
(2) management of
continuity of care;
(3) integration
of the personal, social, and vocational support services into the treatment
plan; and
(4) epilepsy
education.
(b) The Epilepsy Program benefits are limited to services received in Texas from a contracted provider.
(c) Depending on the recipient's eligibility status, services will be provided based upon:
(1) available funds;
(2) any contract between the department and
the recipient's service provider; and
(3) any third-party liability.
(d) The Epilepsy Program is the payor of last resort. Benefits are payable only after all third parties or government entities (e.g., private/group insurance or the Veterans Administration) have met their liability.
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