(1) Covered services provided through HTW 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 HTW 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 HTW 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 HTW provider
may not use any HTW funds received to pay the direct or indirect costs
(including overhead, rent, phones, equipment, and utilities) of elective
(d) An HTW provider may not seek reimbursement from
a client and may not deny covered services to a client based on the
client's inability to pay.