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21.2 Reimbursement
FQHCs are reimbursed provider-specific prospective payment system encounter rates in accordance with 1 TAC §355.8261.
To be reimbursed for Case Management for Children and Pregnant Women (CPW) an FQHC must be approved by the Department of State Health Services (DSHS), Case Management Branch, as a provider of case management services. The FQHC must bill these services using its FQHC provider identifier and the appropriate procedure code for case management of CPW.
Refer to: "Prospective Payment Methodology" in TAC §355.8261 for more information.
"Case Management for Children and Pregnant Women (CPW)" .
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