If the family has insurance that covers the ABA services and the in-network provider agreement between the insurance company and the HHSC Autism contractor requires that the contractor accept the deductible, copayment, or coinsurance and insurance reimbursement as payment in full, then the family's cost share amount is the lesser of the HHSC fee schedule amount or the deductible, copayment, or coinsurance.

Source Note: The provisions of this §358.608 adopted to be effective December 22, 2015, 40 TexReg 9307; amended to be effective September 4, 2018, 43 TexReg 5683; transferred effective August 1, 2021, as published in the July 9, 2021 issue of the Texas Register, 46 TexReg 4173