ESBD_481084_1769626652098_Attachement to Addendum 2 - HHS Responses to Questions.pdf
PDF 68 KB Posted
- Attached to
- Specialized Residential Health Services
- Solicitation number
- HHS0016750
- Issued by
- Texas
About this file
This document is an addendum containing responses to bidder questions for a Texas Health and Human Services (HHS) solicitation regarding Specialized Residential Health Services, Solicitation Number HHS0016750. The solicitation pertains to providing healthcare services under Service Code 94848 to an individual currently residing in a private residence in the Denton County area. All healthcare services must be delivered in person at the residential setting, with no telehealth or remote service delivery approved. The contract requires providers to meet the medical needs of the individual through direct care provision at the specified location.
Compensation for services is structured as follows: physicians and providers are reimbursed through medical insurance or claims-based reimbursement mechanisms, which may include hourly or flat rates; the Contractor receives reimbursement for the individual's medical insurance copayments and deductibles related to treatment provided; and direct care staff and direct nursing care are compensated at competitive hourly rates based on actual hours worked. The payment and invoicing procedures are detailed in Section 2.5 of the Statement of Work, with reimbursement methodology further specified in Section 2.2.5. This responses document was effective as of June 26, 2015, and reviewed on September 18, 2025.
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Text version
PCS 134 HHS Responses to Questions
Effective Date 06/26/2015 Page 1 of 1 Reviewed Date 09/18/2025
Solicitation Title: Specialized Residential Health Services
Solicitation Number: HHS0016750
# Reference Question Response
1.
Exhibit E, Statement of Work
1. Please confirm the delivery modality of the services under this solicitation. Specifically, will services under Service Code 94848 be delivered in person, via telemedicine/Telehealth (synchronous audiovisual), or both, and under what conditions?
As stated in Exhibit E, Statement of Work SOW, Section 2.1 (Description of Services). All Health Care Services under this Contract must be provided in person to meet the medical needs of the Individual. No telehealth/Telehealth services are approved.
2.
Exhibit E, Statement of Work
2.Additionally, please clarify the payment methodology: whether compensation is expected to be based on hourly rates for physicians/providers or through insurance/claims-based reimbursement, and whether billing requirements (including any applicable modifiers for telehealth services) differ by delivery modality.
As stated in Exhibit E, Statement of Work SOW, Sections 2.2.5 (Reimbursement Methodology), Subsections (a), (b), and (c) including 2.5 (Payment and Invoicing).
Contractor is entitled for reimbursement for Individual’s medical insurance copayments and deductibles for treatment provided to the Individual.
Physician/Provider are paid through medical insurance/claims-based reimbursement whether it is hourly rates or flat rates. To clarify, the Contractor will be reimbursed for direct care staff and direct nursing care actual hours worked at a competitive hourly rate per Contract.
3.
Exhibit E, Statement of Work
3. Also please clarify the location of the client for services needed.
As stated in Exhibit E, Statement of Work SOW, Section 2.2.1 (Residential Setting Requirements), Subsection (a)(2). The Individual currently resides in a private residence in the Denton County area.
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