TMPPM 2008 > Texas Medicaid Services > Federally Qualified Health Center (FQHC) > Enrollment

   
 

21.1.1 Medicaid Managed Care Enrollment

An FQHC that wants to enroll in Medicaid Managed Care as a primary care provider or specialty provider must contact the individual Medicaid Managed Care health plans for enrollment information.

Important: All providers are required to read and comply with Section 1, Provider Enrollment and Responsibilities. In addition to required compliance with all requirements specific to the Texas Medicaid Program, it is a violation of Texas Medicaid Program rules when a provider fails to provide health-care services or items to Medicaid clients in accordance with accepted medical community standards and standards that govern occupations, as explained in Title 1 Texas Administrative Code (TAC) §371.1617(a)(6)(A). Accordingly, in addition to being subject to sanctions for failure to comply with the requirements that are specific to the Texas Medicaid Program, providers can also be subject to Texas Medicaid Program sanctions for failure, at all times, to deliver health-care items and services to Medicaid clients in full accordance with all applicable licensure and certification requirements including, without limitation, those related to documentation and record maintenance.

Refer to: "Provider Enrollment and Responsibilities" for more information about enrollment procedures.


Texas Medicaid & Healthcare Partnership
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