TMPPM 2008 > Texas Medicaid Services > Tuberculosis (TB) Clinics > Enrollment

44.1 Enrollment

To enroll in the Texas Medicaid Program, a TB clinic must be:

•A public entity operating under a HHSC tax identification number (TIN) (TB regional clinic); or

•A public entity operating under a non-HHSC TIN (city/county/local clinic); or

•A nonhospital-based entity for private providers.

Providers of TB-related clinic services must apply to the Department of State Health Services (DSHS) Infectious Disease Control Unit Tuberculosis Program (IDCU/TB). The following enrollment process must be followed:

•Providers must complete a provider application from IDCU/TB. Providers must have the facilities and resources available to provide all services required under the Texas Medicaid Program. Upon written notice of approval by IDCU/TB, Medicaid enrollment applications from the TMHP Provider Enrollment are sent to HHSC-approved providers of TB-related clinic services.

•Providers must complete a provider agreement from TMHP for enrollment in the Texas Medicaid Program. TMHP is responsible for issuing a group or individual nine-digit provider identifier. Providers that list additional (satellite) clinics in the IDCU/TB provider application will receive nine-digit performing provider identifiers for each off-site clinic. TB off-site clinics operating under the jurisdiction of the applying provider must use the assigned group provider identifier and their nine-digit performing provider identifier. Enrollment as a Medicaid provider is not complete until the TMHP enrollment packet has been finalized and a nine-digit provider identifier number is issued to the provider.

The effective date for participation is the date an approved provider application with IDCU/TB is established.

To receive a provider application form or provider supplement, send a request to the following address:

Texas Department of State Health Services
Infectious Disease Control Unit Tuberculosis Program
Mail Code 1939
1100 West 49th Street
Austin, TX 78756-3199

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 related to the TMHP Medicaid enrollment applications.