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non-parent or child or pursuant to other state law. If requirements of federal law relating to consent <br />directly conflict with Tex. Fam. Code Chapter 32, federal law shall supersede state law. <br />Section 2.04 Telemedicine Medical Services. Contractor shall ensure that if a provider uses <br />telemedicine/telepsychiatry that the services are implemented in accordance with written procedures <br />and using protocol approved by the Contractor's medical director and utilizing equipment that <br />complies with the equipment standards as required by the Department. Procedures of telemedicine <br />service provision must include the following requirements: <br />a) clinical oversight by the Contractor's medical director or designated physician responsible for <br />medical leadership; <br />b) contraindication considerations for telemedicine use; <br />c) qualified staff inembers to ensure the safety of the individual being served by telemedicine at <br />the remote site; <br />d) safeguards to ensure confidentiality and privacy in accordance with state and federal laws; <br />e) use by credentialed licensed providers providing clinical caze within the scope of their <br />licenses; <br />f) demonstrated competency in the operations of the system by all staff inembers who are <br />involved in the operation of the system and provision of the services prior to initiating the <br />protocol; <br />g) priority in scheduling the system for clinical care of individuals; ' <br />h) quality oversight and monitoring of satisfaction of the individuals served; and <br />i) management of information and documentation for telemedicine services that ensures timely <br />access to accurate information between the two sites. <br />Telemedicine Medical Services does not include chemical dependency treatment services provided <br />by electronic means under Rule § 448.911. <br />Section 2.05 Fees for Personal Health Services. Contractor may develop a system and schedale <br />of fees for personal health services in accordance with the provisions of Tex. Health & Safety Code § <br />12.032, DSHS Rule § 1.91 covering Fees for Personal Health Services, and other applicable laws or <br />grant requirements. The amount of a fee shall not exceed the actual cost of providing the services. <br />No patient may be denied a service due to inability to pay. <br />Section 2.06 Cost Effective Purchasing of Medications. If inedications are funded under this <br />Contract, Contractor shall make needed medications available to clients at the lowest possible prices <br />and use the most cost effective medications purchasing arrangement possible. <br />Section 2.07 Services and Information for Persons with Limited English Proficiency. <br />Contractor agrees to take reasonable steps to provide services and inforrnation both orally and in <br />writing, in appropriate languages other than English, in order to ensure that persons with limited <br />English proficiency are effectively informed and can have meaningful access to programs, benefits, <br />and activities. Contractor shall identify and document on the client records the primary <br />language/dialect of a client who has limited English proficiency and the need for translation or <br />interpretation services and shall not require a client to provide or pay for the services of a translator <br />or interpreter. Contractor shall make every effort to avoid use of any persons under the age of 18 or <br />General Provisions (Core Subrecipient 2009) 6/5/08 Page 6 of 38 <br />