26 Tex. Admin. Code § 358.608
Current through Reg. 49, No. 45; November 8, 2024
If the family has insurance that covers the ABA services and the in-network provider agreement between the insurance company and the HHSC Autism contractor requires that the contractor accept the deductible, copayment, or coinsurance and insurance reimbursement as payment in full, then the family's cost share amount is the lesser of the HHSC fee schedule amount or the deductible, copayment, or coinsurance.
26 Tex. Admin. Code § 358.608