1.1.4 Enrollment in Medicaid Managed Care ProgramsA Texas Medicaid provider must have at least one active TPI to be eligible to enroll with Primary Care Case Management (PCCM). The provider can be selected as a primary care provider by PCCM clients once enrolled into PCCM. PCCM providers may be reimbursed for services rendered to Medicaid Managed Care clients other than those whom they serve as a primary care provider. The provider must enroll with the client's health plan to be eligible for reimbursement for services rendered. Refer to: Subsection 8.1, "Medicaid Managed Care" in Section 8, "Managed Care" (Vol. 1, General Information) for more information about PCCM and Managed Care enrollment. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2010 American Medical Association. All rights reserved. |
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