36.1.3 Comprehensive Health Center (CHC)CHCs and/or physician-operated clinics are funded by federal grants. To apply for participation in the Texas Medicaid Program, they must be certified and participate as a health center under Medicare (Title XVIII). CHC claims are paid according to each center's encounter rates as established by CMS. Medicaid payment to CHCs is limited to the Medicare deductible and/or coinsurance. All providers supplying laboratory services in an office setting must be certified and registered with the Food and Drug Administration (FDA) in accordance with the Clinical Laboratory Improvement Amendments (CLIA). Providers who do not comply with CLIA cannot be reimbursed for laboratory services. Refer to: "CLIA Requirements" and "Provider Enrollment" for more information. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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