40 Tex. Admin. Code § 44.505

Current through Reg. 50, No. 1; January 3, 2025
Section 44.505 - Reimbursement
(a) General billing requirements. A provider must submit to HHSC a claim for services provided to an individual in accordance with § 49.311 of this title (relating to Claims Payment).
(b) Billing requirements relating to attendant tasks. A provider must bill HHSC:
(1) only for the allowable tasks described in § 44.304 of this chapter (relating to Allowable and Unallowable Tasks) that comprise services actually delivered to an individual in accordance with the individual's service plan authorized by HHSC;
(2) in accordance with the hourly rate negotiated by HHSC; and
(3) for attendant tasks in quarter-hour increments, meaning that:
(A) time worked that is not an exact quarter-hour must be rounded up to a quarter-hour if it is eight minutes or more; and
(B) time worked that is less than eight minutes must not be billed.

40 Tex. Admin. Code § 44.505

The provisions of this §44.505 adopted to be effective October 1, 2013, 38 TexReg 6606; Amended by Texas Register, Volume 44, Number 37, September 13, 2019, TexReg 5116, eff. 10/1/2019