Texas Administrative Code

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

(a) Cost reports. Cost reporting requirements vary depending on whether the provider participates in the Direct Care Staff Rate enhancement program. All providers who participate in the rate enhancement program must file a cost report, as described in § 355.308 of this title (rel…

(a) Case mix classes. The Texas Health and Human Services Commission (HHSC) reimbursement rates for nursing facilities (NFs) vary according to the assessed characteristics of the recipient. Rates are determined for 34 case mix classes of service, plus a 35th, temporary classifica…

(a) Direct care staff cost center. This cost center will include compensation for employee and contract labor Registered Nurses (RNs), including Directors of Nursing (DONs) and Assistant Directors of Nursing (ADONs); Licensed Vocational Nurses (LVNs), including DONs and ADONs; me…

(a) Introduction. The Texas Health and Human Services Commission (HHSC) uses the methodology described in this section to establish Nursing Facility (NF) Liability Insurance Coverage Rate Add-ons. (b) Definitions. (1) Provider--A person who has a written agreement with HHSC to pr…

(a) Introduction. The Texas Health and Human Services Commission (HHSC) establishes the Nursing Care Staff Rate Enhancement Program for Nursing Facilities on or after September 1, 2025. The Nursing Care Staff Rate Enhancement Program for Nursing Facilities established under this …

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

(a) Types of facilities. There are two types of facilities for purposes of rate setting: state-operated and non-state operated. Facilities are further divided into classes that are determined by the size of the facility. (b) Classes of non-state operated facilities. There is a se…

(a) General principles. The Texas Health and Human Services Commission (HHSC) applies the general principles of cost determination as specified in § 355.101 of this title (relating to Introduction). (b) Additional requirements. In addition to the requirements of § 355.102 and § 3…

(a) General requirements. The Texas Health and Human Services Commission (HHSC) applies the general principles of cost determination as specified in § 355.101 of this chapter (relating to Introduction). Common services are those services that are available in multiple home and co…

(a) General requirements. The Texas Health and Human Services Commission (HHSC) establishes the rate methodology for long-term services and supports (LTSS) state plan and Home and Community-Based Services (HCBS) waiver program services delivered through STAR+PLUS managed care.(1)…

(a) General requirements. The Texas Health and Human Services Commission (HHSC) applies the general principles of cost determination as specified in § 355.101 of this chapter (relating to Introduction). Providers are reimbursed for waiver services provided to Medicaid-enrolled pe…

(a) General Requirements. The Texas Health and Human Services Commission (HHSC) determines payment rates for qualified contracted providers for the provision of long-term services and supports (LTSS) state plan and Medically Dependent Children Waiver Program (MDCP) services deliv…

(a) General requirements. The Texas Health and Human Services Commission (HHSC), or its designee, applies the general principles of cost determination as specified in § 355.101 of this title (relating to Introduction). (b) Cost reporting. (1) Providers must follow the cost-report…

(a) General information. The Texas Health and Human Services Commission (HHSC) applies the general principles of cost determination as specified in § 355.101 of this chapter (relating to Introduction). Providers are reimbursed for waiver services provided to individuals who are d…

(a) General requirements. The Texas Health and Human Services Commission (HHSC) applies the general principles of cost determination as specified in § 355.101 of this title (relating to Introduction). (b) Cost reporting. Provider agencies must follow the cost-reporting guidelines…

(a) The following words and terms, when used in this subchapter, have the following meanings unless the context clearly indicates otherwise. (1) HHSC contractor--A person who has a written agreement with the Texas Health and Human Services Commission (HHSC) to provide a service t…

(a) Submittal of cost reports. On a biennial basis, providers must submit cost reports to Texas Health and Human Services Commission (HHSC) Provider Finance Department only in even years, beginning with providers' 2018 cost reports. HHSC applies the general principles of cost det…

(a) Prospective payment rates. The Texas Health and Human Services Commission (HHSC) sets payment rates to be paid prospectively to Home and Community-based Services (HCS) and Texas Home Living (TxHmL) providers. (b) Levels of need.(1) Variable rates. Rates vary by level of need …

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

(a) Introduction. Reimbursement is available to a Local Education Agency (LEA) for providing certain direct medical and transportation services, known as SHARS, to a Medicaid-enrolled student with a disability age 20 years of age or younger. SHARS services are described in and mu…

(a) Authority. Payments are made to private and governmental providers of ground and air ambulance services as specified in the ambulance program rules in Chapter 354, Subchapter A, Division 9 of this title (relating to Ambulance Services). The reimbursement determination authori…

(a) General information. The Texas Health and Human Services Commission (HHSC) applies the general principles of cost determination as specified in § 355.101 of this title (relating to Introduction). (b) Reimbursement Methodology. Community First Choice (CFC) rates are establishe…

(a) The following individuals are eligible for services under this chapter: (1) victims of family violence and dating violence; and (2) victims of sexual assault and human trafficking when the sexual assault or human trafficking meets the definition of family violence or dating v…

(a) A contractor must develop, maintain, and comply with written policies and procedures for the retention and destruction of all written, electronic, and digital documentation that pertains to all program participants, including: (1) case notes, case content, and case files; (2)…

A center does not have to provide a crisis call hotline, but if the center does provide a hotline and it is funded by the Texas Health and Human Services Commission, the center must: (1) ensure that an individual trained in crisis intervention, or who has immediate access to some…

(a) The following individuals are eligible for services under this chapter: (1) victims of family violence and dating violence; and (2) victims of sexual assault and human trafficking when the sexual assault or human trafficking meets the definition of family violence or dating v…

(a) A center must develop, maintain, and comply with written policies and procedures for the retention and destruction of all written, electronic, and digital documentation that pertains to all program participants, including, but not limited to: (1) case notes, case content, and…

(a) A center must operate a hotline and comply with Texas Health and Human Services Commission (HHSC) requirements unless another organization located in the nonresidential center's service area provides a hotline that complies with HHSC requirements. (b) If a center operates a h…

A designated representative of the groundwater management area must provide the following to the executive administrator no later than 60 days following the date on which the district representatives in the groundwater management area adopted the desired future condition(s): (1) …

(a) In accordance with Texas Water Code § 36.1083(j), a district may seek assistance of the agency in mediating the issues raised in the petition. (b) If the agency's assistance is sought by the district, the executive administrator or his designee shall hold at least one meeting…

(a) A management plan must contain, unless explained in detail as not applicable, the following elements:(1) Management goals: (A) providing the most efficient use of groundwater; (B) controlling and preventing waste of groundwater; (C) controlling and preventing subsidence; (D) …

(a) The following individuals are eligible for services under this chapter: (1) victims of family violence and dating violence; and (2) victims of sexual assault and human trafficking when the sexual assault and human trafficking meets the definition of family violence or dating …

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

The purpose of the Texas Health and Human Services Commission (HHSC) Children's Autism Program is to provide autism services to children 3 through 15 years of age with an autism spectrum disorder. Services are provided through grant contracts with local community agencies and org…

The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise. (1) Adjusted gross income--The gross income of the family, as defined in this section, minus allowable deductions. Adjusted gross income is used …

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

Texas Administrative Code Title 1 - ADMINISTRATION Title 4 - AGRICULTURE Title 7 - BANKING AND SECURITIES Title 10 - COMMUNITY DEVELOPMENT Title 13 - CULTURAL RESOURCES Title 16 - ECONOMIC REGULATION Title 19 - EDUCATION Title 22 - EXAMINING BOARDS Title 25 - HEALTH SERVICES Titl…

(a) To be eligible for HHSC Focused ABA services, a child must: (1) be a Texas resident as defined in § 358.105 of this chapter (relating to Definitions); (2) have a documented diagnosis on the autism spectrum made by a qualified professional; and (3) be 3 through 15 years of age…

(a) The contractor must: (1) enroll eligible children in HHSC Focused ABA services in accordance with the eligibility criteria in § 358.307 of this subchapter (relating to Eligibility); (2) provide written information to families regarding the estimated maximum monthly cost of se…

The contractor must: (1) develop a written treatment plan with the family for each child served, including plans for generalization of learned skills and behaviors to other environments; (2) provide and document parent training as a component of the services. Documentation must i…

(a) The length of services for a child is based on the child's specific needs but must not exceed a maximum of 24 months in the HHSC Children's Autism Program in any combination of Comprehensive or Focused ABA services. (b) The contractor may provide up to 720 total hours of HHSC…

(a) The child must attend at least 85 percent of scheduled HHSC Focused ABA services over the year . This is necessary for the child to fully benefit from the services, regardless of the reason for the absence. (b) Participation in parent training, a minimum of once every two wee…

(a) In accordance with applicable legal provisions, the HHSC Children's Autism Program does not, directly, or through contractual or other arrangements, exclude, deny benefits to, limit the participation of, or otherwise discriminate against any person on the basis of age, color,…