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35.2 Benefits, Limitations, and Authorization Requirements
The CSHCN Services Program provides coverage for the costs of transporting a deceased client who expires in a CSHCN Services Program-approved facility while receiving CSHCN Services Program health-care benefits, if the facility is not in the family's city of residence. Transportation costs of the parent or other responsible person who accompanies the deceased client may also be paid.
The CSHCN Services Program considers the following services for reimbursement:
• First Call Charge. This includes the removal of the body by the funeral home from the facility in which the client expired.
•Air Transportation. Transportation costs of moving the deceased from the funeral home to the airport, cost of an air tray provided by the funeral home, and cost of airline transportation for the body and an accompanying parent or other responsible person may all be paid.
•Land Transportation. If the body is transported over land, one-way mileage is paid based on the State Mileage Guide. Funeral homes or mortuary services use standard air-conditioned vehicles to transport bodies. It is common for the body to be transported on a cot; however, the CSHCN Services Program may pay for a container/coffin (not a casket) if one is used. It is legal in Texas for the family to transport the body themselves. If the family chooses to do this, the CSHCN Services Program may reimburse the family or a third party on the family's behalf at the standard CSHCN Services Program mileage rate for a one-way trip.
•Rail Transportation. If the body is transported by rail, the CSHCN Services Program may pay the cost of transportation of moving the deceased from the funeral home to the station and the cost of a container provided by the funeral home. The cost of rail transportation for the body and an accompanying parent or other responsible person may also be paid.
•Bus Transportation. It is not common practice for bodies to be transported by bus.
•Embalming. State law requires that a body be refrigerated between 34º to 40ºF, or the body must be embalmed within 24 hours after death. Airlines and rail systems require embalming. Depending on the distance, a body may be transported over land without being embalmed.
Note: The CSHCN Services Program does not pay for cremation or transporting the ashes of a deceased client.
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