1 Texas Administrative Code § 61.506 – Reimbursement of Expenses for Dental Services (a) Compensation for dental services shall be subject to fair and reasonable guidelines. For dental services normally associated with criminally injurious conduct, the OAG has determined that fair and reasonable reimbursements will be paid at the amount published in the current American…
1 Texas Administrative Code § 61.505 – Reimbursement of Medical, Psychiatric Care or Counseling Expenses Paid by Victim or Claimant Pursuant to Texas Code of Criminal Procedure Article 56.34, if circumstances require that the victim or claimant personally pay a medical, or psychiatric care or counseling expense incurred as a direct result of criminally injurious…
1 Texas Administrative Code § 61.504 – Inpatient and Intensive Psychiatric Care or Counseling Expenses (a) Expenses relating to the victim’s inpatient psychiatric hospitalization, residential treatment or intensive outpatient programs are limited to 30 days of treatment, unless good cause is shown. (b) The OAG may require a written authorization prior to the victim’s admission…
1 Texas Administrative Code § 61.503 – Psychiatric Care or Counseling Expenses (a) Pursuant to Texas Code of Criminal Procedure Article 56.42(c), the OAG limits compensation for psychiatric care or counseling to: (1) for criminally injurious conduct between October 12, 1992 and August 31, 1994, $3,000 or 40 sessions per victim or $1,000 per eligible…
1 Texas Administrative Code § 61.502 – Medical Reports and Records (a) The OAG may require victims, claimants, or health care service providers to submit current medical reports or records including information regarding the treatment, diagnosis, and prognosis of the victim or claimant’s condition. The OAG may require a health care service provider to estimate…
1 Texas Administrative Code § 61.501 – Payment of Medical Bills (a) All bills for emergency medical treatment, medical, psychiatric care or counseling, and all bills of health care service providers must be itemized and submitted on a form approved by the OAG. If a collateral source is available, the explanation of benefits (EOB) showing…
1 Texas Administrative Code § 61.416 – Verification (a) The OAG may verify and investigate an application or award. Verification and investigation includes, but is not limited to:(1) a verification of any evidence submitted to the OAG; (2) a review of records submitted by a service provider; or (3) a post payment audit to verify…
1 Texas Administrative Code § 61.415 – Funeral and Burial Expenses (a) In order to determine whether the funeral and burial expenses are reimbursable, the OAG will review the supporting documentation provided by the claimant or the service provider. Supporting documentation includes, but is not limited to, the funeral purchase agreement, a burial services contract,…
1 Texas Administrative Code § 61.414 – Personal Injury Outside of Texas (a) If a Texas resident suffers personal injury or death as a result of criminally injurious conduct that occurs in another state or country that has a crime victims’ compensation program, the victim or claimant must first apply for compensation from that state…
1 Texas Administrative Code § 61.413 – Unjust Enrichment (a) As provided by Texas Code of Criminal Procedure Article 56.41(c), the OAG may deny an award to prevent the unjust enrichment of an offender or an accomplice of the offender. (b) When determining whether an application or award for compensation may be denied based on…