| (a) Services provided through the Women's Health Program
(WHP) will be reimbursed on a fee-for-service basis in accordance
with §355.8581 of this chapter (relating to Reimbursement Methodology
for Family Planning Services).
(b) If a service provided through WHP is not addressed
in §355.8581 of this chapter, it will be reimbursed as follows:
(1) For physician services, physician-administered
drugs and biologicals, and the administration of immunizations, a
provider is reimbursed the lesser of:
(A) the provider's billed charges; or
(B) fees determined by the Texas Health and Human Services
Commission (HHSC) in accordance with §355.8085 of this chapter
(relating to Reimbursement Methodology for Physicians and Other Practitioners).
(2) HHSC reimburses all other covered services in accordance
with the reimbursement rules in this chapter.
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