SECTION 354.1875. Limitations on Provider Charges to Recipients  


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  • (a) A provider of Medicaid vendor drug services agrees to accept the vendor payment as payment in full for pharmaceutical services provided each recipient.

    (b) The provider may neither charge nor take other recourse against Medicaid recipients, their family members, or their representatives for any claims denied or reduced by HHSC because of the provider's failure to comply with any HHSC rule, regulation, or procedure.

Source Note: The provisions of this §354.1875 adopted to be effective November 16, 1987, 12 TexReg 3553; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4562; amended to be effective December 15, 2002, 27 TexReg 11521; amended to be effective October 5, 2003, 28 TexReg 8309