CSHCN 2009 > Provider Enrollment and Responsibilities > Provider Enrollment

   
 

2.1.6.1 Requirements for Cleft/Craniofacial (C/C) Team Enrollment

A C/C team must include at least the following participants:

Plastic surgeon or oral surgeon

Otolaryngologist

Primary care physician

Orthodontist or a pediatric dentist

Master's level licensed speech language pathologist

Client educator

Designated C/C team care coordinator who also may be one of the previously listed participants

Administrator

Adjunct participants may be added as determined by the C/C team to meet the needs of individual clients.

C/C teams will ensure that each client has a C/C team care coordinator to assure that the focus of the service is client and family-oriented, and that the client/family and the C/C team jointly develop a comprehensive treatment plan.

The administrator is responsible for coordinating and maintaining C/C team records and assuring that the C/C team adheres to CSHCN Services Program rules and regulations.

C/C teams must complete the required information and attestation on the Required Information for Designation as a Team Member or Affiliated Provider of a CSHCN Services Program Comprehensive Cleft/Craniofacial Team form. Contact information, including address, telephone number, and e-mail address, must be included for the team administrator. This form is found on the CSHCN Services Program Provider web page at www.tmhp.com.

When changes occur to team membership, C/C teams must provide TMHP with updated information in a timely manner or at least every 2 years.

To facilitate statewide coverage, the CSHCN Services Program also may designate affiliated providers. Affiliated providers must be linked with a CSHCN Services Program-designated comprehensive team and must ensure coordination of client management as needed. At the time of application, affiliated providers must specify the comprehensive C/C team with which they are affiliated.

TMHP's provider enrollment staff maintains the most current list of C/C team providers with their associated teams. Contact TMHP-CSHCN Services Program Provider Enrollment at 1-800-568-2413 for additional information.

Refer to: Section 29.2.35.12, "Cleft/Craniofacial Procedures".


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