(1) Covered services provided through FPP are reimbursed
in accordance with Chapter 355 of this title (relating to Reimbursement
(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 health-care 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 health-care
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 health-care provider may not deny covered
services to a client based on the client's inability to pay.