(a) Other than the initial administrative fee, if HHSC
reimburses a program provider for a claim for services that were delivered
before the effective date on an IPC, HHSC applies the error to the
total number of units reimbursed for such services.
(b) If HHSC reimburses a DSA for more than four hours
of nursing used to decide whether to delegate nursing tasks to a CFC
PAS/HAB service provider, HHSC applies the error to the total number
of units reimbursed in excess of the four hour maximum for such services.
(c) If HHSC reimburses a DSA for more than 10 hours
during an individual's IPC year for nursing to prevent service breaks
caused by a CFC PAS/HAB service provider not being available to provide
delegated nursing tasks, HHSC applies the error to the total number
of units reimbursed in excess of the 10 hour maximum for such services.
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