Section 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(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: (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.26 Tex. Admin. Code § 355.11
Adopted to be effective March 17, 2002, 27 TexReg 1791; amended to be effective October 8, 2006, 31 TexReg 8237; amended to be effective November 4, 2010, 35 TexReg 9738; Amended by Texas Register, Volume 40, Number 26, June 26, 2015, TexReg 4215, eff. 7/2/2015; Entire chapter transferred from T. 25, Pt. 1, Ch. 37, Subch. K by Texas Register, Volume 47, Number 08, February 25, 2022, TexReg 0982, eff. 3/15/2022