TMPPM 2010 > Gynecological and Reproductive Health, Obstetrics, and Family Planning Services Handbook > Titles V, X, and XX Family Planning Services > Provider Enrollment for Titles V, X, and XX Contractors

   
 

5. Titles V, X, and XX Family Planning Services

5.1 Provider Enrollment for Titles V, X, and XX Contractors

Agencies that submit claims or encounters for Title V, X, or XX Family Planning services must have a contract with DSHS. The DSHS Community Health Services Section determines client eligibility and services policy. Refer to the DSHS Title V, X, and XX Family Planning Manual for specific eligibility and policy information at www.dshs.state.tx.us/famplan.

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 Texas Medicaid, it is a violation of Texas Medicaid 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 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 Texas Medicaid, providers can also be subject to Texas Medicaid 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: Section 1: Provider Enrollment and Responsibilities (Vol. 1, General Information) for more information about enrollment procedures.

Subsection 3.1, "Title XIX Provider Enrollment"" in this handbook.


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