Tex. Gov't Code Section 548.0201
Reimbursement for Telemedicine Medical, Teledentistry Dental, and Telehealth Services Provided to Children with Special Health Care Needs


(a)

In this section, “child with special health care needs” has the meaning assigned by Section 35.0022 (Child with Special Health Care Needs), Health and Safety Code.

(b)

The executive commissioner by rule shall establish policies that permit reimbursement under Medicaid and the child health plan program for services provided through telemedicine medical services, teledentistry dental services, and telehealth services to children with special health care needs.

(c)

The policies required under this section must:

(1)

be designed to:

(A)

prevent unnecessary travel and encourage efficient use of telemedicine medical services, teledentistry dental services, and telehealth services for children with special health care needs in all suitable circumstances; and

(B)

ensure in a cost-effective manner the availability to a child with special health care needs of services appropriately performed using telemedicine medical services, teledentistry dental services, and telehealth services that are comparable to the same types of services available to that child without using telemedicine medical services, teledentistry dental services, and telehealth services; and

(2)

provide for reimbursement of multiple providers of different services who participate in a single session of telemedicine medical services, teledentistry dental services, telehealth services, or any combination of those services for a child with special health care needs, if the commission determines that reimbursing each provider for the session is cost-effective in comparison to the costs that would be involved in obtaining the services from providers without using telemedicine medical services, teledentistry dental services, and telehealth services, including the costs of transportation and lodging and other direct costs.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 548.0201 — Reimbursement for Telemedicine Medical, Teledentistry Dental, and Telehealth Services Provided to Children with Special Health Care Needs, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­548.­htm#548.­0201 (accessed Jun. 5, 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:
Jun. 5, 2024

§ 548.0201’s source at texas​.gov