Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 364 - PRIMARY HEALTH CARE SERVICES PROGRAM
Subchapter A - PRIMARY HEALTH CARE SERVICES PROGRAM
Section 364.3 - Definitions

Universal Citation: 26 TX Admin Code ยง 364.3

Current through Reg. 49, No. 38; September 20, 2024

The following words and terms, when used in this subchapter shall have the following meanings, unless the context clearly indicates otherwise.

(1) Act--The Texas Primary Health Care Services Act, Health and Safety Code, Chapter 31.

(2) Applicant--An individual and/or family applying to receive primary health care services.

(3) Commission--The Texas Health and Human Services Commission.

(4) Commissioner--The Commissioner of Health.

(5) Department--The Department of State Health Services.

(6) Eligible individual--An eligible recipient of primary health care services under the Act.

(7) Other benefit--A benefit, other than a benefit provided under the Act, to which an individual is entitled for payment of the costs of primary health care services, including:

(A) benefits available from:
(i) an insurance policy, group health plan, or prepaid medical care plan;

(ii) Title XVIII or Title XIX of the Social Security Act;

(iii) the Veterans Administration;

(iv) the Civilian Health and Medical Program of the Uniformed Services; and

(v) workers compensation or any other compulsory employer's insurance program.

(B) a public program created by federal or state law, or by an ordinance or rule of a municipality or political subdivision of the state, except those benefits created by the establishment of a city or county hospital, a joint city-county hospital, a county hospital authority, a hospital district, or by the facilities of a publicly supported medical school; or

(C) benefits resulting from a cause of action for medical, facility, or medical transportation expenses, or a settlement or judgment based on the cause of action, if the expenses are related to the need for services provided by the Act.

(8) Primary Health Care Services--May include the following:

(A) diagnosis and treatment;

(B) emergency medical services;

(C) family planning services;

(D) preventive health services;

(E) health education;

(F) laboratory, x-ray, nuclear medicine, or other appropriate diagnostic services;

(G) nutrition services;

(H) health screening;

(I) home health care;

(J) dental care;

(K) transportation;

(L) prescription drugs and devices and durable supplies;

(M) environmental health services;

(N) podiatry services; and

(O) social services.

(9) Program--The primary health care services program created by the Act.

(10) Provider--An entity that, through a grant or a contract with the department, delivers primary health care services that are purchased by the department for the purposes of the Act.

(11) Recipient--An individual receiving primary health care services under the Act.

(12) Request for proposal--A solicitation providing guidance and instructions issued by the department to entities interested in submitting applications to provide primary health care services under the Act.

(13) Services--Primary health care services.

(14) Texas resident--An individual who is physically present within the geographic boundaries of the state, and who:

(A) intends to remain within the state, whether permanently or for an indefinite period;

(B) does not claim residency in any other state or country;

(C) is under 18 years of age, and at least one of his/her parents, managing conservator, or guardian is a bona fide resident of Texas;

(D) is a person residing in Texas and his/her legally dependent spouse is a bona fide resident of Texas; or

(E) is an adult residing in Texas whose legal guardian is a bona fide resident of Texas.

Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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