26 Tex. Admin. Code § 355.11
Limitations and Benefits Provided
Effective Jul 2, 201540 TexReg 4215Source Note: The provisions of this §355.11 adopted to be effective March 17, 2002, 27 TexReg 1791; amended to be effective October 8, 2006, 31 TexReg 8237; amended to be effective November 4, 2010, 35 TexReg 9738; amended to be effective July 2, 2015, 40 TexReg 4215; transferred effective March 15, 2022, as published in the February 25, 2022 issue of the Texas Register, 47 TexReg 981.Texas Secretary of State
(a) Benefits provided by the Epilepsy Program are outlined in the contract with each provider and may include the following:
- (1) diagnosis and treatment of epilepsy;
- (2) management of continuity of care;
- (3) integration of the personal, social, and vocational support services into the treatment plan; and
- (4) epilepsy education.
- (b) The Epilepsy Program benefits are limited to services received in Texas from a contracted provider.
(c) Depending on the recipient's eligibility status, services will be provided based upon:
- (1) available funds;
- (2) any contract between the department and the recipient's service provider; and
- (3) any third-party liability.
- (d) The Epilepsy Program is the payor of last resort. Benefits are payable only after all third parties or government entities (e.g., private/group insurance or the Veterans Administration) have met their liability.
Source Note:The provisions of this §355.11 adopted to be effective March 17, 2002, 27 TexReg 1791; amended to be effective October 8, 2006, 31 TexReg 8237; amended to be effective November 4, 2010, 35 TexReg 9738; amended to be effective July 2, 2015, 40 TexReg 4215; transferred effective March 15, 2022, as published in the February 25, 2022 issue of the Texas Register, 47 TexReg 981.