Tex. Health & Safety Code Section 61.031
Notification of Provision of Nonemergency Services

(a)

A county may require any provider, including a mandated provider, to obtain approval from the county before providing nonemergency health care services to an eligible county resident.

(b)

If the county does not require prior approval and a provider delivers or will deliver nonemergency health care services to a patient who the provider suspects may be eligible for assistance under this subchapter, the provider shall notify the patient’s county of residence that health care services have been or will be provided to the patient. The notice shall be made:

(1)

by telephone not later than the 72nd hour after the provider determines the patient’s county of residence; and

(2)

by mail postmarked not later than the fifth working day after the date on which the provider determines the patient’s county of residence.

(c)

If the provider knows that the patient’s county of residence has selected a mandated provider or if, after contacting the patient’s county of residence, that county requests that the patient be transferred to a mandated provider, the provider shall transfer the patient to the mandated provider unless it is medically inappropriate to do so.

(d)

Not later than the 14th day after the date on which the patient’s county of residence receives sufficient information to determine eligibility, the county shall determine if the patient is eligible for assistance from that county. If the county does not determine the patient’s eligibility within that period, the patient is considered to be eligible. The county shall notify the provider of its decision.

(e)

If a provider delivers nonemergency health care services to a patient who is eligible for assistance under this subchapter and fails to comply with this section, the provider is not eligible for payment for the services from the patient’s county of residence.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989. Amended by Acts 1999, 76th Leg., ch. 1377, Sec. 1.10, eff. Sept. 1, 1999.

Source: Section 61.031 — Notification of Provision of Nonemergency Services, https://statutes.­capitol.­texas.­gov/Docs/HS/htm/HS.­61.­htm#61.­031 (accessed May 4, 2024).

61.001
Short Title 61.002
Definitions 61.003
Residence 61.004
Residence or Eligibility Dispute 61.005
Contribution Toward Cost of Assistance 61.006
Standards and Procedures 61.007
Information Provided by Applicant 61.008
Eligibility Rules 61.009
Reporting Requirements 61.010
Dedicated Tax Revenues 61.011
Services by State Hospital or Clinic 61.012
Reimbursement for Services 61.021
Application of Subchapter 61.022
County Obligation 61.023
General Eligibility Provisions 61.024
County Application Procedure 61.025
County Agreement with Municipality 61.026
Review of Eligibility 61.027
Change in Eligibility Status 61.028
Basic Health Care Services 61.029
Provision of Health Care Services 61.030
Mandated Provider 61.031
Notification of Provision of Nonemergency Services 61.032
Notification of Provision of Emergency Services 61.033
Payment for Services 61.034
Payment Standards for Health Care Services 61.035
Limitation of County Liability 61.036
Determination of Eligibility for Purposes of State Assistance 61.037
County Eligibility for State Assistance 61.038
Distribution of Assistance Funds 61.039
Failure to Provide State Assistance 61.040
Tax Information 61.041
County Reporting 61.042
Employment Services Program 61.043
Prevention and Detection of Fraud 61.044
Subrogation 61.0045
Information Necessary to Determine Eligibility 61.051
Application of Subchapter 61.052
General Eligibility Provisions 61.053
Application Procedure 61.054
Basic Health Care Services Provided by a Public Hospital 61.055
Basic Health Care Services Provided by Hospital Districts 61.056
Provision of Health Care Services 61.057
Mandated Provider 61.058
Notification of Provision of Nonemergency Services 61.059
Notification of Provision of Emergency Services 61.060
Payment for Services 61.061
Payment Rates and Limits 61.062
Responsibility of Governmental Entity 61.063
Procedure to Change Eligibility Standards or Services Provided 61.064
Transfer of a Public Hospital 61.066
Prevention and Detection of Fraud 61.067
Lien by Non-provider Hospital District 61.068
Employment Services Program 61.0221
Authority Relating to Other Assistance Programs 61.0285
Optional Health Care Services 61.0395
Limited to Appropriated Funds
Green check means up to date. Up to date

Accessed:
May 4, 2024

§ 61.031’s source at texas​.gov