2.1.8 Out-of-State ProvidersOut-of-state providers located in New Mexico, Oklahoma, Arkansas, or Louisiana and are within 50 miles of the Texas state border may be enrolled in the CSHCN Services Program. Requests for medical services provided by an out-of-state provider more than 50 miles from the Texas state border must be submitted to TMHP at the address provided in Section 2.1, "Provider Enrollment". For clients who would otherwise experience financial hardship or be subject to clear medical risk, the CSHCN Services Program may cover services that are within the scope of the program and provided by health-care providers in these areas. All program policies and procedures apply, including the requirement that all providers be CSHCN Services Program participating providers. The limitations of this policy do not apply to coverage for or payment to CSHCN Services Program providers of selected products or devices including medical foods or hearing amplification devices, which are either always less costly or are only available from out-of-state sources. Refer to: Section 3.1.4, "Services Provided Outside of Texas". |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved. |
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