Texas Administrative Code

Texas Administrative Code

TITLE 26	HEALTH AND HUMAN SERVICES
PART 1	HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 275	CONSUMER MANAGED PERSONAL ATTENDANT SERVICES (CMPAS) PROGRAM
SUBCHAPTER E	ADDITIONAL PROGRAM REQUIREMENTS
RULE §275.209	Reimbursement

(a) General billing requirements. A provider must submit to HHSC a claim for services provided to an individual in accordance with §49.311 of this title (relating to Claims Payment).

(b) Billing requirements relating to attendant tasks. A provider must bill HHSC:

(1) only for the allowable tasks described in §44.304 of this chapter (relating to Allowable and Unallowable Tasks) that comprise services actually delivered to an individual in accordance with the individual's service plan authorized by HHSC;

(2) in accordance with the hourly rate negotiated by HHSC; and

(3) for attendant tasks in quarter-hour increments, meaning that:

(A) time worked that is not an exact quarter-hour must be rounded up to a quarter-hour if it is eight minutes or more; and

(B) time worked that is less than eight minutes must not be billed.

Source Note: The provisions of this §275.209 adopted to be effective October 1, 2013, 38 TexReg 6606; amended to be effective October 1, 2019, 44 TexReg 5106; transferred effective August 1, 2022, as published in the Texas Register July 8, 2022, 47 TexReg 3983