An official State of Texas website.
Revision 17-1; Effective November 1, 2017
A billable unit of service is the method for calculating the amount the provider agency may bill HHSC. Units are measured by increments of time or by the cost of the item provided.
7510 Services Unit Measurements
Revision 17-1; Effective November 1, 2017
The following services use time as the measure. One unit of service is defined as:
| Case Management | Monthly Rate |
|---|---|
| Transportation-Habilitation | one hour |
| CFC PAS/HAB | one hour |
| Nursing | one hour |
| Occupational Therapy | one hour |
| Physical Therapy | one hour |
| Speech and Language Pathology | one hour |
| Cognitive Rehabilitation Therapy | one hour |
| Behavioral Support Services | one hour |
| Dietary Services | one hour |
| Respite | one 24-hour period |
| Specialized Therapies | one hour |
| Supported Employment | one hour |
| Employment Assistance | one hour |
| Prevocational Services | one hour |
| Support Family Services | daily rate |
| Continued family services | daily rate |
The following services are measured by the cost of the item provided:
- adaptive aids
- minor home modifications
- dental services
- TAS
All services measured by the hour use the following formula to calculate the billable unit, unless the service is respite.
| Number of providers | × | time spent delivering services | ÷ | number of individuals served | = | billable unit of services |
|---|---|---|---|---|---|---|
| Examples: | ||||||
| 1 provider | × | 1 hour of service | ÷ | 1 individual | = | 1 billable hour |
| 1 provider | × | 1 hour of service | ÷ | 2 individuals | = | 1/2 hour billable per individual |
| 1 provider | × | 1 hour of service | ÷ | 3 individuals | = | 1/3 hour billable per individual |
| 2 providers | × | 1 hour of service | ÷ | 3 individuals | = | 2/3 hour billable per individual |
7520 Respite Care
Revision 11-1; Effective June 13, 2011
The unit of service for respite care is defined as a 24-hour period. The respite rate is billed for each individual in a respite setting.
Examples
- One individual in a respite setting for 24 hours = 1 billable unit
- Two individuals in a respite setting for 24 hours = 1 billable unit per individual
- Three individuals in a respite setting for 24 hours = 1 billable unit per individual