TMPPM 2008 > Provider Information > Managed Care > PCCM

7.5.8 Provider Enrollment

Primary care providers can choose to contract with PCCM and HMO health plans simultaneously. A PCCM primary care provider's contractual obligations are identified in the contract between HHSC and each primary care provider. PCCM primary care provider obligations are in addition to those required for Medicaid program participation and are intended to ensure that PCCM clients have access to quality health care from trained and credentialed providers.

Refer to: "Primary Care Provider Requirements and Information" .

"Provider Enrollment" .

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.