| (a) All bills for emergency medical treatment, medical,
psychiatric care or counseling, and all bills of health care service
providers must be itemized and submitted on a form approved by the
OAG. If a collateral source is available, the explanation of benefits
(EOB) showing the utilization of collateral sources must be attached.
(b) Health care service providers shall be reimbursed
according to the Texas Department of Insurance, Division of Workers'
Compensation allowable medical fee guidelines, where applicable.
(c) Services not covered under the medical fee guidelines
that the OAG deems reasonably and necessarily incurred as a result
of the criminally injurious conduct may be compensated at a fair and
reasonable amount.
|
| Source Note: The provisions of this §61.501 adopted to be effective December 15, 2002, 27 TexReg 11513; amended to be effective October 30, 2014, 39 TexReg 8373; amended to be effective August 20, 2017, 42 TexReg 3961 |
