TMPPM 2008 > Texas Medicaid Services > Texas Health Steps (THSteps) > THSteps-Comprehensive Care Program (CCP)

43.4.6 Early Childhood Intervention (ECI) (THSteps-CCP Only)

43.4.6.1 Enrollment

To be a qualified provider, the provider must contact the Texas ECI Program at 1-512-424-6759. After meeting the criteria of the Texas ECI Program, providers should request a Medicaid application from TMHP Provider Enrollment. ECI providers are eligible to enroll as Texas Medicaid THSteps-CCP providers rendering service to clients younger than 3 years of age with a disability and⁄or developmental delay as defined by ECI criteria.

To participate in the Texas Medicaid Program, an ECI provider must comply with all applicable federal, state, and local laws and regulations about the services provided.

Reimbursement is available for PT, OT, speech-language therapy, nutrition, audiology, and psychological services for clients enrolled in ECI through THSteps-CCP. Regular THSteps-CCP guidelines apply, including the requirement for evaluations.

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 1 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: "THSteps-Comprehensive Care Program (CCP)" for more information.

"Provider Enrollment" for more information about enrollment procedures.