Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 368 - INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (IDD) HABILITATIVE SPECIALIZED SERVICES
Subchapter G - VENDOR PAYMENT
Section 368.701 - Payment
Current through Reg. 50, No. 13; March 28, 2025
(a) HHSC pays a service provider agency for independent living skills training, day habilitation, employment assistance, supported employment, and behavioral support in accordance with the fee-for-service rate for the specific service, which can be found on the HHSC website.
(b) To be paid for the provision of a service, the service provider agency must submit a service claim that meets the requirements in 40 TAC § 49.311(relating to Claims Payment) and the IDD Habilitative Specialized Services Billing Guidelines.
(c) If a designated resident's IHSS are suspended or terminated, the service provider agency must not submit a claim for services provided during the period of the designated resident's suspension or after the termination, except that the service provider agency may submit a claim for the first day of the designated resident's suspension or termination.
(d) HHSC does not pay the service provider agency for a service if:
(e) HHSC recoups any payments made to the service provider agency for a service, if:
(f) The service provider agency must refund to HHSC any overpayment made to the service provider agency within 60 days after the service provider agency's discovery of the overpayment.