- (a) For professional services, including physical therapy, occupational therapy, speech/hearing/language, nursing services provided by a registered nurse, nursing services provided by an licensed vocational nurse, auditory services, dietary services, and behavioral support services, an allowable cost per unit of service is calculated for each contracted provider in accordance with §355.723 of this title (relating to Reimbursement Methodology for Home and Community-Based Services (HCS)). This adjusted allowable cost per unit of service may be combined into an array with the allowable cost per unit of service of similar services provided by other programs in determining rates for these services in accordance with §355.502 of this title (relating to Reimbursement Methodology for Professional Services in Home and Community-Based Services Waivers).
- (b) Requisition fees. Requisition fees are reimbursements paid to the HCS contracted providers for their efforts in acquiring adaptive aids and minor home modifications for HCS participants. Requisition fee reimbursement for adaptive aids and minor home modifications will vary based on the actual cost of the adaptive aid and minor home modification. Reimbursements are determined using a method based on modeled projected expenses which are developed by using data from surveys; cost report data from similar programs; consultation with other service providers and/or professionals experienced in delivering contracted services; and/or other sources.
Source Note:The provisions of this §355.725 adopted to be effective September 1, 2009, 34 TexReg 5658.