|(a) Recipient Rights.
(1) Nondiscrimination. The recipient has a right to
receive services in compliance with Title VI of the Civil Rights Act
of 1964, 42 U.S.C.A. §§2000d, et
seq.; §504 of the Rehabilitation Act of 1973, 29 U.S.C.A. §794;
the Americans with Disabilities Act of 1990, 42 U.S.C.A. §12101, et seq;. and all amendments to each, and
all requirements imposed by the regulations issued pursuant to these
Acts, in particular 45 CFR Part 80 (relating to race, color, national
origin), 45 CFR Part 84 (relating to handicap), 45 CFR Part 86 (relating
to sex), and 45 CFR Part 91 (relating to age).
(2) Abuse report. Recipients should report verbal or
physical abuse or sexual harassment committed by other recipients
or passengers, contractor employees, or Health and Human Services
Commission (HHSC) staff to Regional MTP staff or Regional Management
staff upon arrival at the recipient's destination.
(3) Denial notification. If a service is denied, Regional
MTP staff shall notify the recipient in accordance with Chapter 357,
Subchapter A of this title (relating to Uniform Fair Hearing Rules).
This recipient notification does not apply to transportation services
under §380.209 of this title (relating to Program Exclusions).
(4) Appeal request. A recipient whose services have
been denied may request an administrative review by the Regional MTP
Manager. A second administrative review may be conducted by the MTP
Program Director. If the recipient is still dissatisfied, the recipient
may appeal the administrative review decision or the service denial
by requesting a fair hearing. A request for a fair hearing must be
in writing and mailed or hand-delivered to the appropriate Regional
(b) Recipient Responsibilities.
(1) When a recipient or responsible adult requests
transportation, he/she must provide Regional MTP staff with the following
(A) recipient name, address, and, if available, the
(B) Medicaid, Transportation for Indigent Cancer Patients
Program or Children with Special Health Care Needs recipient identification
number (if applicable) or Social Security number, and date of birth;
(C) name, address, and telephone number of health care
provider and/or referring health-care provider;
(D) purpose and date of trip and time of appointment;
(E) affirmation that other means of transportation
(F) special needs, including wheelchair lift or attendant(s);
(G) medical necessity verified by the Health Care Provider's
Statement of Need, if applicable; and
(H) affirmation that advance funds are needed in order
for the recipient to access health care services.
(2) Recipients must reimburse HHSC for any advance
funds, and any portion thereof, that are not used for the specific
prior authorized service.
(3) Recipients must refrain from verbal and/or physical
abuse or sexual harassment toward another recipient or passenger,
contractor's employees, or HHSC employees while requesting or receiving
medical transportation services.
(4) Recipients must safeguard all bus tickets and/or
tokens from loss and theft and must return unused tickets or tokens
to the Regional MTP office issuing the tickets or tokens.
(5) Recipients who receive mass-transit bus tickets
or tokens must complete HHSC's Verification of Travel to Health Care
Services by Mass Transit, Form 3111. Recipients must return this verification
form prior to their next request for tickets or tokens. A letter from
the health care provider verifying delivery of services may be substituted
for the disbursement of mass transit tickets or tokens verification
form. Exceptions to this documentation may be granted by a Regional
MTP Manager or supervisor when circumstances occur that are beyond
the recipient's control. Exceptions will be documented in the recipient's
(6) Recipients must not use authorized medical transportation
for purposes other than travel to and from health care services.
(7) If the recipient does not need to use the authorized
transportation services, the recipient or the responsible adult should
contact the Regional MTP staff to cancel the particular trip no less
than four hours prior to the time of the authorized trip.
(8) Recipients who receive advance funds for meals,
lodging, and/or travel must return written documentation from the
health care provider verifying services were provided, prior to receiving
future advance funds.
(9) Recipients must cancel requests for advance funds
or lodging when not needed and must refund any disbursed advance funds
(10) Recipients must provide appropriate receipts when
seeking reimbursement for lodging.
|Source Note: The provisions of this §380.301 adopted to be effective April 10, 2001, 26 TexReg 2720; amended to be effective May 11, 2003, 28 TexReg 3722; transferred effective March 1, 2004, as published in the Texas Register April 30, 2004, 29 TexReg 4267; amended to be effective August 6, 2013, 38 TexReg 4888