Texas Administrative Code

Texas Administrative Code

TITLE 1	ADMINISTRATION
PART 15	TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 380	MEDICAL TRANSPORTATION PROGRAM
SUBCHAPTER B	ELIGIBILITY, PROGRAM SERVICES, PROCESSES, ADDITIONAL TRANSPORTATION CONNECTED WITH AN AUTHORIZED TRIP, LIMITATIONS, AND EXCLUSIONS
RULE §380.203	Program Requirements

Transportation services must be prior authorized by the Medical Transportation Program (MTP) or transportation providers. Program requirements include the following:

(1) reasonable or long distance transportation of a prior authorized MTP client to and/or from a covered health care service when:

(A) the client provides a Health Care Provider's Statement of Need or equivalent when required; or

(B) a provider will not bill Medicaid or another source for the cost of the services. This includes health care services that are provided to the client by a charitable organization but not billed to Medicaid. It does not include value-added services provided by a Medicaid managed care plan.

(2) transportation for an attendant(s) if necessary;

(3) advance funds for an eligible child and attendant(s) when lack of transportation funds will prevent the child from traveling to a covered health care service; and

(4) if a client is required to receive health care services outside their county of residence for six consecutive months, proof of residency may be required.

Source Note: The provisions of this §380.203 adopted to be effective April 10, 2001, 26 TexReg 2720; amended to be effective May 11, 2003, 28 TexReg 3722; transferred effective March 1, 2004, as published in the Texas Register April 30, 2004, 29 TexReg 4267; amended to be effective September 13, 2004, 29 TexReg 8796; amended to be effective August 6, 2013, 38 TexReg 4888; amended to be effective September 1, 2014, 39 TexReg 5731