HHSC negotiates contracts with providers which are reimbursed in accordance with 1 Texas Administrative Code §355.9040. Outpatient therapy services paid are based upon the non-residential rates schedule, but do not include case management, community independence supports, or facility or community-based fees.
Bills for services must be submitted monthly. Data supporting the service must accompany each invoice. See Chapter 6, General Billing Guidelines , for additional billing guidelines that must be uploaded in the CRS Data Reporting System.
Note: All services must be pre-authorized by the CRS counselor before services can be provided to a consumer.