1 Tex. Admin. Code § 355.310 - Reimbursement Methodology for Customized Equipment
(a) Reimbursement rates for customized power
wheelchairs (CPWCs) and associated physical or occupational therapy evaluations
provided under 40 TAC § 19.2614(relating to Customized Power Wheelchairs)
are determined as follows:
(1) For CPWCs,
rates are determined in accordance with §
355.8023 of this title (relating to
Reimbursement Methodology for Durable Medical Equipment, Prosthetics, Orthotics
and Supplies (DMEPOS)).
(2) For
evaluations required for CPWCs under 40 TAC § 19.2614(c), rates are
determined in accordance with §
355.313 of this title (relating to
Reimbursement Methodology for Rehabilitative and Specialized
Services).
(b)
Reimbursement rates for customized adaptive aids and associated physical or
occupational therapy evaluations provided under 40 TAC Chapter 17 (relating to
Preadmission Screening and Resident Review) are determined as follows:
(1) For customized adaptive aids, rates are
determined in accordance with §
355.8023 of this title.
(2) For evaluations required for customized
adaptive aids, rates are determined in accordance with §
355.313 of this
title.
(c) Fees for
customized equipment are adjusted within available funding as described in
§
355.201 of this title (relating to
Establishment and Adjustment of Reimbursement Rates by the Health and Human
Services Commission).
Notes
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