22 Tex. Admin. Code § 75.5 - Prepaid Treatment Plans
(a) A licensee may
accept prepayment for services planned but not yet delivered, but must provide
the following:
(1) The plan must be
cancellable by either party at any time for any reason without penalty of any
kind to the patient.
(2) Upon
cancellation of the plan the patient shall receive a complete refund of all
fees paid on a pro rata basis of the number of treatments provided compared to
total treatments contracted.
(3)
The plan must provide for a limited, defined number of visits.
(4) The patient's file must contain the
proposed treatment plan, including enumeration of all aspects of evaluation,
management, and treatment planned to therapeutically benefit the patient
relative to the condition determined to be present and necessitating treatment.
(A) The patient's financial file must contain
documents outlining any necessary procedures for refunding unused payment
amounts in the event that either the patient or the doctor discharge the
other's services or therapeutic association.
(B) The treatment plan in such cases where
prepayment is contracted must contain beginning and ending dates and a
breakdown of the proposed treatment frequency.
(5) A contract for services and consent of
treatment document must be maintained in the patient's file that specifies the
condition for which the treatment plan is formulated.
(6) If nutritional products or other hard
goods including braces, supports, or patient aids are to be used during the
proposed treatment plan, the patient documents must state whether these items
are included in the gross treatment costs or if they constitute a separate and
distinct service or fee.
(b) This rule does not create any exemptions
from any requirements applicable under the Texas Insurance Code.
Notes
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