Texas Register, Volume 41, Number 52, Pages 10019-10486, December 23, 2016 Page: 10,032
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354.1069. Sign Language Interpreter Services.
(a) Definitions. The following words and terms, when used in
this chapter, have the following meanings.
(1) Deaf--The term "deaf' is defined in the Human Re-
sources Code, Title 4, Services for the Deaf, Chapter 81, Texas Com-
mission for the Deaf and Hard of Hearing, 81.001, Definitions.
(2) Hard of Hearing--The term "hard of hearing" is defined
in the Human Resources Code, Title 4, Services for the Deaf, Chapter
81, Texas Commission for the Deaf and Hard of Hearing, 81.001,
Definitions.
(3) Interpreter--An interpreter is an individual who pos-
sesses one of the following certification levels (i.e., levels A - H) issued
by either the Department of Assistive and Rehabilitative Services, Of-
fice for Deaf and Hard of Hearing Services, Board for Evaluation of
Interpreters (BEI) or the National Registry of Interpreters for the Deaf
(RID):
(A) Certification Level A:
(i) Level I/Ii; and
(ii) OC:B (Oral Certificate: Basic).
(B) Certification Level B:
(i) BEI Basic; and
(ii) RID NIC (National Interpreter Certificate) Cer-
tified.
(C) Certification Level C:
(i) BEI Level II/Ii;
(ii) RID CI (Certificate of Interpretation);
(iii) RID CT (Certificate of Transliteration);
(iv) RID IC, (Interpretation Certificate); and
(v) RID TC (Transliteration Certificate).
(D) Certification Level D:
(i) BEI Level III/Illi;
(ii) BEI OC: C (Oral Certificate: Comprehensive);
(iii) BEI OC: V (Oral Certificate: Visible);
(iv) RID CSC (Comprehensive Skills Certificate);
(v) RID IC/TC (Interpretation Certificate/Transliter-
ation Certificate);
(vi) RID CI/CT (Certificate of Interpretation/Certifi-
cate of Transliteration);
(vii) RID RSC (Reverse Skills Certificate); and
(viii) RID CDI (Certified Deaf Interpreter).
(E) Certification Level E:
(i) BEI Advanced; and
(ii) RID NIC Advanced.
(F) Certification Level F:
(i) BEI IV/IVi;
(ii) RID MCSC (Master Comprehensive Skills Cer-
tificate); and(iii) RID SC: L (Specialist Certificate: Legal).
(G) Certification Level G is BEI V/VI.
(H) Certification Level H:
(i) BEI Master; and
(ii) RID NIC Master.
(4) Interpreting Services--The provision of voice-to-sign,
sign-to-voice, gestural-to-sign, sign-to-gestural, voice-to-visual,
visual-to-voice, sign-to-visual, or visual-to-sign services for commu-
nication access provided by a certified interpreter.
(b) Benefit and Limitations. Sign language interpreting ser-
vices are a health care benefit of the State Medical Assistance (Medic-
aid) Program.
(1) Sign language interpreting services must be requested
by a physician and provided by a qualified interpreter to facilitate com-
munication between:
(A) A client who is deaf or hard of hearing and a physi-
cian during the course of a medically necessary medical examination
or other medical services; or,
(B) A client's parent or guardian who is deaf or hard
of hearing and a physician during the course of the client's medically
necessary medical examination or other medical services.
(2) A physician's determination of the need for sign
language interpreting services shall give primary consideration to the
needs of the individual who is deaf or hard of hearing.
(3) The physician requesting interpreting services must
maintain documentation verifying the provision of interpreting ser-
vices.
(A) Documentation of the service must be included in
the patient's medical record and must include the name of the sign lan-
guage interpreter and the interpreter's certification level.
(B) Documentation must be made available if requested
by the Commission or its designee.
(c) Physician requirements for billing of and reimbursement
for sign language interpreting services.
(1) Physicians must be enrolled in the Texas Medicaid Pro-
gram to be considered for reimbursement.
(2) Reimbursement for sign language interpreting services
is limited to physicians or physician groups employing fewer than fif-
teen employees.
(3) Providers seeking reimbursement for sign language in-
terpreting services must provide and bill for the service in the man-
ner prescribed by the Texas Medicaid Program and in accordance with
355.8085 of this title (relating to Reimbursement Methodology for
Physicians and Other Practitioners [Texas Medicaid Reimbursement
The agency certifies that legal counsel has reviewed the pro-
posal and found it to be within the state agency's legal authority
to adopt.
Filed with the Office of the Secretary of State on December 12,
2016.
TRD-20160648341 TexReg 10032 December 23, 2016 Texas Register
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Texas. Secretary of State. Texas Register, Volume 41, Number 52, Pages 10019-10486, December 23, 2016, periodical, December 23, 2016; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth835937/m1/14/: accessed July 18, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.