Telemedicine medical services and telehealth services are authorized service delivery methods for Texas Medicaid covered services as provided in this section. All telemedicine medical services and telehealth services are subject to the specifications, conditions, limitations, and requirements established by the Texas Health and Human Services Commission (HHSC) or its designee.(1) A client must not be required to receive a covered service as a telemedicine medical service or telehealth service except in the event of an active declaration of state of disaster and at the direction of HHSC.(2) In the event of a declaration of state of disaster, HHSC may issue direction to providers regarding the use of telemedicine medical services and telehealth services, including the use of an audio-only platform, to provide covered services to clients who reside in the area subject to the declaration of state of disaster.(3) HHSC considers the following criteria when determining whether a covered service may be delivered as telemedicine medical service or telehealth service, including via an audio-only platform:(A) clinical effectiveness;(B) cost effectiveness;(C) health and safety;(D) patient choice and access to care; and(E) other criteria specific to the service.(4) Conditions for reimbursement applicable to telemedicine medical services.(A) The provider must be enrolled in Texas Medicaid.(B) The covered services must be provided in compliance with Texas Occupations Code Chapter 111 and