Section 358.605 - Cost Share(a) The family's cost share amount is the lesser of the: (1) HHSC fee schedule amount; or(2) applicable deductible, copayment, and coinsurance amounts when the family has insurance that covers the ABA services.(b) If the parent disagrees with the contractor's determination of the family's ability to pay the cost share, the parent can: (1) request a review by the contractor's manager or program director;(2) file an informal or formal complaint with the contractor;(3) contact the HHS Office of the Ombudsman at 1-877-787-8999 for help resolving a problem or concern with the contractor; and(4) file a formal complaint with HHSC as noted in § 358.509 of this chapter (relating to Complaint Process).26 Tex. Admin. Code § 358.605
Adopted by Texas Register, Volume 40, Number 51, December 18, 2015, TexReg 9314, eff. 12/22/2015; Amended by Texas Register, Volume 43, Number 35, August 31, 2018, TexReg 5684, eff. 9/4/2018; Transferred from Title 40, Pt. 2, Chapter 105 by Texas Register, Volume 46, Number 28, July 9, 2021, TexReg 4173, eff. 8/1/2021