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RULE §27.15 Provider Qualifications


Published: 2015

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A provider shall not be approved as a provider of Case Management
for Children and Pregnant Women unless they meet the following qualifications:

  (1) completion of application process and approval
by the department;
  (2) agreeing to comply with the rules, policies, and
procedures of the department relating to Case Management for Children
and Pregnant Women;
  (3) agreeing to comply with applicable state and federal
laws governing participation of providers in the Medicaid program
and to enroll as a state Medicaid provider;
  (4) be a provider who meets, or employs or contracts
with, one or more case managers who each meet, the qualifications
specified in §27.21 of this title (relating to Case Manager Qualifications);
and
  (5) has never been terminated by the department and
is not listed on the HHSC Office of Inspector General's Excluded Individual
Listing.


Source Note: The provisions of this §27.15 adopted to be effective June 30, 2013, 38 TexReg 3985