134.202
Repealed eff. July 7, 2016
134.204
(a) Applicability of this rule is as follows: (1) This section applies to workers’ compensation specific codes, services and programs provided in the Texas workers’ compensation system, other than: (A) professional medical services described in 134.203 of this title (relating to Medical Fee Guideline for Professional Services); (B) prescription drugs or medicine; (C) dental services; […]
134.215
The maximum allowable reimbursement (MAR) amount for home health services provided through a licensed home health agency shall be 125 percent of the published Texas Medicaid fee schedule for home health agencies. The provisions of this 134.215 adopted to be July 7, 2016, 41 TexReg 4839.
134.220
Case management responsibilities by the treating doctor are as follows: (1) Team conferences and telephone calls shall include coordination with an interdisciplinary team. (A) Team members shall not be employees of the treating doctor. (B) Team conferences and telephone calls must be outside of an interdisciplinary program. Documentation shall include the purpose and outcome of […]
134.225
The following applies to functional capacity evaluations (FCEs). A maximum of three FCEs for each compensable injury shall be billed and reimbursed. FCEs ordered by the division shall not count toward the three FCEs allowed for each compensable injury. FCEs shall be billed using CPT code 97750 with modifier “FC.” FCEs shall be reimbursed in […]
134.230
The following shall be applied to Return To Work Rehabilitation Programs for billing and reimbursement of Work Conditioning/General Occupational Rehabilitation Programs, Work Hardening/Comprehensive Occupational Rehabilitation Programs, Chronic Pain Management/Interdisciplinary Pain Rehabilitation Programs, and Outpatient Medical Rehabilitation Programs. To qualify as a division Return to Work Rehabilitation Program, a program should meet the specific program standards […]
134.302
Repealed eff. July 7, 2016
132.13
(a) When an employee has died as the result of a compensable injury, a person claiming burial benefits shall file a request for payment of burial benefits and the bills showing the amount of burial and transportation costs incurred. The request and the documentation shall be filed with the insurance carrier within 12 months of […]
19.2014
(a) Complaints to TDI. Complaints received by TDI against a URA must be processed under TDI’s established procedures for investigation and resolution of complaints. (b) TDI inquiries. TDI may address inquiries to a URA related to any matter connected with URA transactions TDI considers necessary for the public good or for the proper discharge of […]
104.1
(a) Changes or additions to the Texas Administrative Code, Title 28, Part 2 may be petitioned by an interested person under Government Code, §2001.021(d). Rulemaking petitions shall be in the form of a letter that contains the following: (1) a brief statement summarizing the proposed section; (2) the text of the proposed section, in the […]