SECTION 61.507. Payments to Health Care Service Providers

(a) Failure to comply with any provision of this chapter or Texas Code of Criminal Procedure Chapter 56 may subject a health care service provider to a reduction or denial of payments, and any other applicable penalties allowed by law.

(b) The OAG shall award compensation for out of state health care services according to the Texas Department of Insurance, Division of Workers' Compensation medical fee guidelines.

(c) To maximize efficiency, bills submitted by service providers for $5 or less will not be processed. Service providers are encouraged to combine bills of $5 or less to ensure payment can be made.

(d) In the event a victim's pecuniary losses for medically indicated services exceed the maximum aggregate amount allowable for the application, the OAG may distribute awards of compensation to the victim, claimant and service providers in the manner requested by the victim or claimant.

(e) All payments to health care service providers may be held until the application is processed in accordance with Texas Code of Criminal Procedure Chapter 56 and all provisions of this chapter.

Source Note: The provisions of this §61.507 adopted to be effective December 15, 2002, 27 TexReg 11513; amended to be effective May 8, 2005, 30 TexReg 2491; amended to be effective October 30, 2014, 39 TexReg 8373; amended to be effective August 20, 2017, 42 TexReg 3961