Can I suggest or choose a professional or specialist for my loved one?

Definitely, however that professional must be able to provide services at a unit (hourly) cost that is within our reimbursement rate for that service. For example, if the maximum we are reimbursed for a specific professional service is $75 per hour, we will not contract with a professional insists on charging us more than that. As long as we are within the Texas Health and Human Services (HHSC) established rates, we are happy to contract with any professional who doesn’t have any barring credential issues (e.g., history of Medicaid fraud, etc.).

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