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26.2 Clinical Laboratory Improvement Amendments (CLIA)
26.2.1 CLIA Requirements
To be eligible for reimbursement by Medicare and Medicaid, all providers performing laboratory tests must:
• Pay a fee to the Centers for Medicare & Medicaid Services (CMS).
•Contact HHSC at 1-512-834-6650 to receive a CLIA registration and/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 submitted by clinical laboratories for CLIA numbers. Without a CLIA number on file with TMHP, claims for laboratory services will be denied.
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