SECTION 364.7. Provider Reimbursement for Primary Health Care Services

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(a) The department will reimburse providers for services rendered in accordance with the contracts between the providers and the department. The department shall pay only valid claims submitted according to the terms of the providers' contracts.
(b) Except for prescription drugs covered under Medicare, Part D, primary health care providers will be reimbursed for services delivered to presumptively eligible clients.

Source Note: The provisions of this §364.7 adopted to be effective May 28, 2006, 31 TexReg 4218; amended to be effective February 14, 2013, 38 TexReg 645; transferred effective March 1, 2022, as published in the Texas Register February 11, 2022, 47 TexReg 674

                    
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