Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 358 - CHILDREN'S AUTISM PROGRAM
Subchapter F - COST SHARE
Section 358.605 - Cost Share
Universal Citation: 26 TX Admin Code ยง 358.605
Current through Reg. 49, No. 38; September 20, 2024
(a) The family's cost share amount is the lesser of the:
(1)
HHSC fee schedule amount; or
(2)
applicable deductible, copayment, and coinsurance amounts when the family has
insurance that covers the ABA services.
(b) If the parent disagrees with the contractor's determination of the family's ability to pay the cost share, the parent can:
(1) request a review by the
contractor's manager or program director;
(2) file an informal or formal complaint with
the contractor;
(3) contact the HHS
Office of the Ombudsman at 1-877-787-8999 for help resolving a problem or
concern with the contractor; and
(4) file a formal complaint with HHSC as
noted in § 358.509 of this chapter (relating to Complaint
Process).
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