2.1.6.1 Requirements for Cleft/Craniofacial (C/C) Team EnrollmentA C/C team must include at least the following participants:
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• 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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Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved. |
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