TMPPM 2011 > Volume 1, General Information > Section 1: Provider Enrollment and Responsibilities > Provider Enrollment > Enrollment in Medicaid Managed Care Programs

   
 

1.1.4 Enrollment in Medicaid Managed Care Programs

A 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.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2010 American Medical Association. All rights reserved.
PreviousNextIndex