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with subcontractors, Contractor shall not provide treatment of a minor unless informed consent to <br />treatment is obtained pursuant to Tex. Fam. Code Chapter 32, relating to consent to treatment of a <br />child by a non - parent or child or pursuant to other state law. If requirements of federal law relating to <br />consent directly conflict with Tex. Fam. Code Chapter 32, federal law supersedes state law. <br />Section 2.04 Telemedicine Medical Services. Contractor shall ensure that if Contractor or its <br />subcontractor uses telemedicine /telepsychiatry that the services are implemented in accordance with <br />written procedures and using a protocol approved by Contractor's medical director and using <br />equipment that complies with the equipment standards as required by the Department. Procedures for <br />providing telemedicine service must include the following requirements: <br />a) clinical oversight by Contractor's medical director or designated physician responsible for <br />medical leadership; <br />b) contraindication considerations for telemedicine use; <br />c) qualified staff members 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 care within the scope of their <br />licenses; <br />f) demonstrated competency in the operations of the system by all staff members 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 schedule <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 must not exceed the actual cost of providing the services. <br />No client may be denied a service due to inability to pay. <br />Section 2.06 Cost Effective Purchasing of Medications. If medications 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 shall take reasonable steps to provide services and information, both orally and in writing, <br />in appropriate languages other than English, to ensure that persons with limited English proficiency <br />are effectively informed and can have meaningful access to programs, benefits, and activities. <br />Contractor shall identify and document on the client records the primary language /dialect of a client <br />who has limited English proficiency and the need for translation or interpretation services and shall <br />not require a client to provide or pay for the services of a translator or interpreter. Contractor shall <br />make every effort to avoid use of any persons under the age of eighteen (18) or any family member or <br />friend of the client as an interpreter for essential communications with a client with limited English <br />General Provisions (Core Subrecipient) 2011 6 <br />