SECTION 259.401. Financial Errors

(a) Other than the initial administrative fee, if HHSC reimburses a program provider for a claim for services that were delivered before the effective date on an IPC, HHSC applies the error to the total number of units reimbursed for such services.

(b) If HHSC reimburses a DSA for more than four hours of nursing used to decide whether to delegate nursing tasks to a CFC PAS/HAB service provider, HHSC applies the error to the total number of units reimbursed in excess of the four hour maximum for such services.

(c) If HHSC reimburses a DSA for more than 10 hours during an individual's IPC year for nursing to prevent service breaks caused by a CFC PAS/HAB service provider not being available to provide delegated nursing tasks, HHSC applies the error to the total number of units reimbursed in excess of the 10 hour maximum for such services.

Source Note: The provisions of this §259.401 adopted to be effective January 30, 2023, 48 TexReg 362