26 Tex. Admin. Code § 355.11 - Limitations and Benefits Provided
(a)
Benefits provided by the Epilepsy Program are outlined in the contract with
each provider and may include the following:
(1) diagnosis and treatment of
epilepsy;
(2) management of
continuity of care;
(3) integration
of the personal, social, and vocational support services into the treatment
plan; and
(4) epilepsy
education.
(b) The
Epilepsy Program benefits are limited to services received in Texas from a
contracted provider.
(c) Depending
on the recipient's eligibility status, services will be provided based upon:
(1) available funds;
(2) any contract between the department and
the recipient's service provider; and
(3) any third-party liability.
(d) The Epilepsy Program is the
payor of last resort. Benefits are payable only after all third parties or
government entities (e.g., private/group insurance or the Veterans
Administration) have met their liability.
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.