Conditions for reimbursement applicable to non-behavioral health services using an audio-only platform:
  (1) Non-behavioral health services provided via an audio-only platform must be designated for reimbursement by The Texas Health and Human Services Commission (HHSC). Non-behavioral health services provided via an audio-only platform designated for reimbursement are those that are clinically effective and cost-effective, as determined by HHSC and in accordance with §354.1432(3) of this subchapter (relating to Telemedicine and Telehealth Benefits and Limitations). Non-behavioral health services that HHSC has determined are clinically effective and cost-effective when provided via an audio-only platform can be found in the Texas Medicaid Provider Procedures Manual (TMPPM).
  (2) The provider must be enrolled in Texas Medicaid.
  (3) The covered services must be provided in compliance with Texas Occupations Code Chapter 111 and standards established by the respective licensing or certifying board of the professional providing the audio-only telemedicine medical service or audio-only telehealth service.

Source Note: The provisions of this §354.1436 adopted to be effective January 23, 2023, 48 TexReg 209