SECTION 303.401. Reimbursement for a PE or Resident Review

(a) A LIDDA, LMHA, or LBHA must accept the reimbursement rate established by HHSC as payment in full for the following activities:

(1) completing a PE or resident review in accordance with §303.302(a)(2) of this chapter (relating to LIDDA, LMHA, and LBHA Responsibilities Related to the PASRR Process);

(2) assisting an individual who is seeking admission to a NF, or a resident with MI, ID, or DD, or the individual's or resident's LAR in choosing another NF that will certify it can meet the needs of the individual or resident as described in §303.302(b) of this chapter;

(3) participating in the resident's IDT meeting; and

(4) confirming in the LTC online portal the information required by §303.302(c)(3) of this chapter.

(b) The reimbursement rate for the activities described in subsection (a) of this section includes travel costs associated with the activities. HHSC does not pay any additional amounts for travel. A LIDDA, LMHA, or LBHA must not request reimbursement for travel time or travel costs associated with the activities described in subsection (a) of this section.

Source Note: The provisions of this §303.401 adopted to be effective July 7, 2019, 44 TexReg 3265; amended to be effective September 1, 2021, 46 TexReg 5419