Tex. Gov't Code Section 548.0001
Provision of Services Through Telecommunications and Information Technology Under Medicaid and Other Public Benefits Programs


(a)

In this section:

(1)

“Behavioral health services” has the meaning assigned by Section 540.0703 (Behavioral Health and Physical Health Services).

(2)

“Case management services” includes service coordination, service management, and care coordination.

(b)

To the extent permitted by federal law and to the extent it is cost-effective and clinically effective, as the commission determines, the commission shall ensure that Medicaid recipients, child health plan program enrollees, and other individuals receiving benefits under a public benefits program the commission or a health and human services agency administers, regardless of whether receiving benefits through a managed care delivery model or another delivery model, have the option to receive services as telemedicine medical services, telehealth services, or otherwise using telecommunications or information technology, including the following services:

(1)

preventive health and wellness services;

(2)

case management services, including targeted case management services;

(3)

subject to Subsection (c), behavioral health services;

(4)

occupational, physical, and speech therapy services;

(5)

nutritional counseling services; and

(6)

assessment services, including nursing assessments under the following Section 1915(c) waiver programs:

(A)

the community living assistance and support services (CLASS) waiver program;

(B)

the deaf-blind with multiple disabilities (DBMD) waiver program;

(C)

the home and community-based services (HCS) waiver program; and

(D)

the Texas home living (TxHmL) waiver program.

(c)

To the extent permitted by state and federal law and to the extent it is cost-effective and clinically effective, as the commission determines, the executive commissioner by rule shall develop and implement a system that ensures behavioral health services may be provided using an audio-only platform consistent with Section 111.008 (Mental Health Services Excluded), Occupations Code, to a Medicaid recipient, a child health plan program enrollee, or another individual receiving those services under another public benefits program the commission or a health and human services agency administers.

(d)

If the executive commissioner determines that providing services other than behavioral health services is appropriate using an audio-only platform under a public benefits program the commission or a health and human services agency administers, in accordance with applicable federal and state law, the executive commissioner may by rule authorize the provision of those services under the applicable program using the audio-only platform. In determining whether the use of an audio-only platform in a program is appropriate under this subsection, the executive commissioner shall consider whether using the platform would be cost-effective and clinically effective.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 548.0001 — Provision of Services Through Telecommunications and Information Technology Under Medicaid and Other Public Benefits Programs, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­548.­htm#548.­0001 (accessed May 18, 2024).

548.0001
Provision of Services Through Telecommunications and Information Technology Under Medicaid and Other Public Benefits Programs
548.0002
Rules and Procedures Regarding Reimbursing Certain Telemedicine Medical Services
548.0051
Medicaid Reimbursement System for Telemedicine Medical, Teledentistry Dental, and Telehealth Services
548.0052
Reimbursement for Telemedicine Medical, Teledentistry Dental, or Telehealth Service by Medicaid Managed Care Organization
548.0053
Reimbursement of Federally Qualified Health Centers for Telemedicine Medical, Teledentistry Dental, or Telehealth Service
548.0054
Provider and Facility Participation
548.0055
Promotion and Support of Medical Home and Care Coordination
548.0056
Biennial Report
548.0057
Rules
548.0101
Definitions
548.0102
Medicaid Reimbursement Requirements: Telemedicine Medical Services
548.0103
Physician’s Choice of Platform
548.0104
Certain Telemedicine Medical Service Reimbursement Denials Prohibited
548.0105
Protocols and Guidelines
548.0106
Provider Coordination
548.0107
Compliance
548.0108
Texas Medical Board Rules
548.0109
Effect on Other Requirements
548.0151
Medicaid Reimbursement Requirements
548.0152
Dentist’s Choice of Platform
548.0153
Certain Teledentistry Dental Services Reimbursement Denials Prohibited
548.0154
State Board of Dental Examiners Rules
548.0201
Reimbursement for Telemedicine Medical, Teledentistry Dental, and Telehealth Services Provided to Children with Special Health Care Needs
548.0202
Medicaid Reimbursement for Telemedicine Medical Services Provided in School-based Setting
548.0203
Medicaid Reimbursement for Telehealth Services Provided Through School District or Charter School
548.0251
Definitions
548.0252
Medicaid Reimbursement Program for Home Telemonitoring Services Authorized
548.0253
Reimbursement Program Requirements
548.0254
Discontinuation of Reimbursement Program Under Certain Circumstances
548.0255
Determination of Cost Savings for Medicare Program
548.0256
Reimbursement for Other Conditions and Risk Factors
548.0301
Definition
548.0302
Medicaid Reimbursement for Internet Medical Consultation Authorized
548.0303
Pilot Program for Medicaid Reimbursement for Internet Medical Consultation
548.0351
Definitions
548.0352
Establishment of Pediatric Tele-connectivity Resource Program for Rural Texas
548.0353
Use of Program Grant
548.0354
Selection of Program Grant Recipients
548.0355
Gifts, Grants, and Donations
548.0356
Work Group
548.0357
Biennial Report
548.0358
Rules
548.0359
Appropriation Required
548.0401
Telehealth Treatment Program for Substance Use Disorders

Accessed:
May 18, 2024

§ 548.0001’s source at texas​.gov