TMPPM 2008 > Texas Medicaid Services > Psychologist > Enrollment

   
 

38.1 Enrollment

To enroll in the Texas Medicaid Program, whether as an individual or as part of a group, a psychologist must be licensed by the Texas State Board of Examiners of Psychologists. Psychologists must also be enrolled in Medicare or obtain a pediatric practice exemption from TMHP Provider Enrollment. If a pediatric-based psychologist is enrolling as part of a Medicare-enrolled group, then the psychologist must also be enrolled in Medicare.

Psychologists cannot be enrolled if they have a license that is due to expire within 30 days. A current license must be submitted. The Texas Medicaid Program accepts temporary licenses for psychologists.

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 Title 1 Texas Administrative Code (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.

Refer to: "Provider Enrollment" for more information about enrollment procedures.

"Provider Enrollment" for more information about enrollment in the THSteps Program.


Texas Medicaid & Healthcare Partnership
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