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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 910CHARGES FOR SERVICES IN STATE FACILITIES
RULE §910.3Definitions

The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise.

  (1) Administrative Law Judge (ALJ)--An independent hearing examiner assigned by the Texas Health and Human Services Commission (HHSC) who presides over a hearing for an appeal of a fee with the power to administer oaths, receive evidence, take testimony, and make findings of fact or law.

  (2) Adult--A person who is not a minor.

  (3) Appellant--The individual or their legally authorized representative (LAR) appealing a fee.

  (4) Charges--The total amount of all fees.

  (5) Current maximum rate--The rate, established by HHSC, that reflects the average daily cost of support, maintenance, and treatment (SMT) per individual for each facility. A copy of the current maximum rates for all facilities may be obtained at www.hhs.texas.gov/services/mental-health-substance-use/state-hospitals; www.hhs.texas.gov/services/disability/intellectual-or-developmental-disabilities/state-supported-living-centers-sslcs; or by contacting HHSC Health and Specialty Care System, Reimbursement Management, P.O. Box 12668, Mail Code E-619, Austin, Texas 78701-2668.

  (6) Facility--Any state hospital, state supported living center, and the intermediate care facility for individuals with an intellectual disability (ICF/IID) component of the Rio Grande State Center operated by HHSC.

  (7) Fee--A specific amount of money assessed, based on at least one source of funds, that is owed monthly to a facility for an individual's SMT.

  (8) Full day--A 24-hour period extending from midnight to midnight.

  (9) HHSC--Texas Health and Human Services Commission.

  (10) Individual--Any person who is admitted to a facility and who is provided SMT as an inpatient or resident (i.e., a person to whom a bed is assigned by the facility).

  (11) Legally authorized representative (LAR)--A person authorized by law to act on behalf of an individual, including a parent, guardian, or managing conservator of a minor individual, or a guardian of an adult individual.

  (12) Minor--A person under 18 years of age who is not and has not been married or who has not had the disabilities of minority removed for general purposes.

  (13) Party--The appellant or HHSC.

  (14) Reimbursement office--The HHSC facility reimbursement office that manages the assessment and notification of charges and the appeal process.

  (15) SMT--Support, maintenance, and treatment.


Source Note: The provisions of this §910.3 adopted to be effective March 24, 2022, 47 TexReg 1457

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