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2.1.2 CLIA Requirements
To be eligible for reimbursement by Medicare and Medicaid, all providers that perform laboratory tests must do the following:
• Pay the applicable fee to CMS.
•Contact the Health and Human Services Commission (HHSC) at 1-512-834-6650 to receive a CLIA registration or certification number. Submit CLIA applications to the following address:
Health Facility Licensing and Certification Division
HHSC
1100 West 49th Street
Austin, TX 78756
•Notify TMHP of the assigned CLIA number at the following address:
Texas Medicaid & Healthcare Partnership
Provider Enrollment
PO Box 200795
Austin, TX 78720-0795
TMHP monitors claims that are submitted by clinical laboratory providers to verify that the clinical laboratory has a CLIA number on file. If the provider does not have a CLIA number on file with TMHP, the laboratory services claims may be denied.
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