(a) Reimbursement.
(1) Covered services provided through FPP are reimbursed
in accordance with Chapter 355 of this title (relating to Reimbursement
Rates).
(2) Entities that contract with HHSC to provide additional
services related to family planning that are separate from services
referenced in paragraph (1) of this subsection are reimbursed by HHSC
in compliance with program standards, policy and procedures, and contract
requirements unless payment is prohibited by law.
(b) Claims procedures. An FPP provider must comply
with Chapter 354, Subchapter A, Divisions 1 and 5 of this title (relating
to Medicaid Procedures for Providers and relating to Physician and
Physician Assistant Services).
(c) Improper use of reimbursement. An FPP provider
may not use any FPP funds received to pay the direct or indirect costs
(including overhead, rent, phones, equipment, and utilities) of elective
abortions.
(d) An FPP provider may not deny covered services to
a client based on the client's inability to pay.
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