(a) The contractor must bill the family up to the family's maximum charge.
(1) The total collection of payments, including third-party payment and the family's out-of-pocket payment, cannot exceed the actual cost of services.
(2) The family's total out-of-pocket for the month cannot exceed the family's maximum charge.
(b) A balance remaining unpaid by the parent 30 days after the bill date is delinquent unless the delay in payment is due to a delay in:
(1) third-party reimbursement; or
(2) notice of denial of a claim from a private or public third-party payor.
Source Note: The provisions of this §350.1433 adopted to be effective May 1, 2014, 39 TexReg 3449; transferred effective March 1, 2021, as published in the Texas Register February 5, 2021, 46 TexReg 941