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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 355REIMBURSEMENT RATES
SUBCHAPTER JPURCHASED HEALTH SERVICES
DIVISION 19MEDICAID MANAGED CARE: STANDARDS FOR THE STATE OF TEXAS ACCESS REFORM (STAR)
RULE §355.8361Rates and Payment Structures
(a) The department shall develop payment methodologies based on state maximum capitation amounts or negotiated rates to determine payments for providing STAR Program services.

(b) In a service arrangement in which the state contracts with a hospital to provide services for STAR Program members, the department may negotiate with hospitals to establish payment rates for inpatient and outpatient services.

Source Note: The provisions of this §355.8361 adopted to be effective December 18, 1996, 21 TexReg 11822; transferred effective September 1, 1997, as published in the Texas Register December 11, 1998, 23 TexReg 12660

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