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

43.4.13.1 Enrollment

LCHH services agencies may enroll to provide PDN under THSteps-CCP.

RNs and licensed vocational nurses (LVNs) may also enroll independently to provide PDN under THSteps-CCP.

Home health agencies must do all of the following:

•Comply with provider participation requirements for home health agencies that participate in the Texas Medicaid Program.

•Comply with mandatory reporting of suspected abuse and neglect of children or adults.

•Maintain written policies and procedures for obtaining consent for medical treatment for clients in the absence of the parent/guardian.

•Comply with all requirements in this manual and the Texas Medicaid Bulletin.

Independently-enrolled RNs and LVNs must be enrolled as providers in THSteps-CCP and comply with all of the following:

•The terms of the Texas Medicaid Provider Agreement.

•All state and federal regulations and rules relating to the Texas Medicaid Program.

•The requirements of this manual, including all updates and revisions published in the Texas Medicaid Bulletin, all handbooks, standards, and guidelines published by HHSC.

Independently-enrolled RNs and LVNs must also:

•Provide at least 30 days written notice to clients of their intent voluntarily to terminate services except in situations of potential threat to the nurse's personal safety.

•Comply with mandatory reporting of suspected abuse and neglect of children.

•Maintain written policies and procedures for obtaining consent for medical treatment for clients in the absence of the parent/guardian.

Independently-enrolled RNs must:

•Hold a current license from the Texas BON to practice as an RN.

•Agree to provide services in compliance with all applicable federal, state, and local laws and regulations, including the Texas Nursing Practice Act.

•Comply with accepted professional standards and principles of nursing practice.

Independently-enrolled LVNs must:

•Hold a current license from the Texas BON to practice as an LVN.

•Agree to provide services in compliance with all applicable federal, state, and local laws and regulations, including the Texas Nursing Practice Act.

•Comply with accepted standards and principles of vocational nursing practice.

•Be supervised by an RN once per month. The supervision must occur when the LVN is present and be documented in the client's medical record.

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: "Provider Enrollment" for more information about enrollment procedures.