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14.3 Benefits and Limitations
CNMs may be reimbursed for primary care services including family planning, gynecology services, THSteps services, treatment of acute minor illnesses, chronic stable conditions provided to women throughout their lives, and to newborns for the first two months of life in addition to the maternity cycle care (antepartum, intrapartum, and postpartum).
CNM-performed services are covered by the Texas Medicaid Program if the services are within the scope of practice for CNMs as defined by state law, consistent with rules and regulations made by the Texas BON or other appropriate state licensing authority.
Laboratory (including pregnancy tests) and radiology services provided during pregnancy must be billed separately from antepartum care visits and received within 95 days from the date of service. Childbirth education classes are not a benefit of the Texas Medicaid Program.
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