25 Tex. Admin. Code § 1.91
Fees for Personal Health Services
Effective Feb 6, 200328 TexReg 950Source Note: The provisions of this §1.91 adopted to be effective June 25, 1985, 10 TexReg 1975; amended to be effective October 16, 1986, 11 TexReg 4154; amended to be effective February 20, 1987, 12 TexReg 1607; amended to be effective April 1, 1988, 13 TexReg 1328; amended to be effective April 1, 1990, 15 TexReg 2033; amended to be effective July 19, 1994, 19 TexReg 5169; amended to be effective August 15, 1999, 24 TexReg 6075; amended to be effective February 6, 2003, 28 TexReg 950.Texas Secretary of State
- (a) Poverty Guidelines. The department provides personal health services directly or through contractors throughout Texas. The commissioner or his designee shall distribute poverty guidelines published annually by the United States Department of Health and Human Services, in coordination with the Texas Medicaid program. Public health regions and the department's contractors shall use these poverty guidelines for determining clients' eligibility for services, unless prohibited from doing so by federal funding requirements. The department's operating procedures contain procedures for implementing the poverty guidelines.
(b) Schedule of fees.
- (1) Public health regional clinics shall charge fees for personal health services according to the following schedule.
Attached Graphic
- (2) No recipient or client eligible for Medicaid shall be charged a fee in addition to the amount reimbursable by Medicaid.
(c) Modification, suspension, or termination of services.
- (1) The department may modify, suspend, or terminate services to a person determined able to pay for nonpayment of fees after notice to the person and opportunity for hearing. The criteria upon which the department will take such action is when the person fraudulently or deliberately misrepresents a material fact about his or her eligibility, ability to pay, or the application of the schedule of fees to him/her.
- (2) The department shall conduct the hearing in accordance with §§1.51-1.55 of this title (relating to Fair Hearing Procedures).
Source Note:The provisions of this §1.91 adopted to be effective June 25, 1985, 10 TexReg 1975; amended to be effective October 16, 1986, 11 TexReg 4154; amended to be effective February 20, 1987, 12 TexReg 1607; amended to be effective April 1, 1988, 13 TexReg 1328; amended to be effective April 1, 1990, 15 TexReg 2033; amended to be effective July 19, 1994, 19 TexReg 5169; amended to be effective August 15, 1999, 24 TexReg 6075; amended to be effective February 6, 2003, 28 TexReg 950.