1 Tex. Admin. Code § 61.507 - Payments to Health Care Service Providers
(a) Failure to comply with any provision of
this chapter or Texas Code of Criminal Procedure Chapter 56 may subject a
health care service provider to a reduction or denial of payments, and any
other applicable penalties allowed by law.
(b) The OAG shall award compensation for out
of state health care services according to the Texas Department of Insurance,
Division of Workers' Compensation medical fee guidelines.
(c) To maximize efficiency, bills submitted
by service providers for $5 or less will not be processed. Service providers
are encouraged to combine bills of $5 or less to ensure payment can be
made.
(d) In the event a victim's
pecuniary losses for medically indicated services exceed the maximum aggregate
amount allowable for the application, the OAG may distribute awards of
compensation to the victim, claimant and service providers in the manner
requested by the victim or claimant.
(e) All payments to health care service
providers may be held until the application is processed in accordance with
Texas Code of Criminal Procedure Chapter 56 and all provisions of this
chapter.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.