SECTION 354.4013. Additional Requirements

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  • (a) A program provider, a consumer directed services (CDS) employer, a financial management services agency (FMSA), a service provider, a member, and a managed care organization (MCO) must administer the requirements of this subchapter in an effective, accurate, and efficient manner, in compliance with all applicable state and federal laws, rules, regulations, policies, and guidelines; including the HHSC electronic visit verification (EVV) requirements in the EVV Policy Handbook.

    (b) The provisions of this subchapter do not relieve a program provider, CDS employer, an FMSA, a service provider, a member, or an MCO from other obligations under contract, law, or rule related to documentation requirements and compliance with applicable federal and state laws related to confidentiality of a member's information, including the requirements of the Health Insurance Portability Accountability Act of 1966, 42 U.S.C. §1320d, et. seq., and regulations adopted under that act (45 CFR Parts 160 and 164).

Source Note: The provisions of this §354.4013 adopted to be effective December 23, 2020, 45 TexReg 9178