Section 355.8641 - Reimbursement Methodology for the Women's Health Program(a) Services provided through the Women's Health Program (WHP) will be reimbursed on a fee-for-service basis in accordance with § RSA 355.8581 of this chapter (relating to Reimbursement Methodology for Family Planning Services).(b) If a service provided through WHP is not addressed in § RSA 355.8581 of this chapter, it will be reimbursed as follows: (1) For physician services, physician-administered drugs and biologicals, and the administration of immunizations, a provider is reimbursed the lesser of: (A) the provider's billed charges; or(B) fees determined by the Texas Health and Human Services Commission (HHSC) in accordance with § RSA 355.8085 of this chapter (relating to Reimbursement Methodology for Physicians and Other Practitioners).(2) HHSC reimburses all other covered services in accordance with the reimbursement rules in this chapter.1 Tex. Admin. Code § 355.8641
The provisions of this §355.8641 adopted to be effective November 1, 2012, 37 TexReg 8199