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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 5. THSteps Medical : 5.2 Enrollment

5.2 Enrollment
Providers cannot be enrolled if their professional license is due to expire within 30 days of application. Facility providers must submit a current copy of the supervising practitioner's license. To provide Medicaid services, each nurse practitioner (NP) or clinical nurse specialist (CNS) must be licensed as a registered nurse (RN) and be recognized as an advanced practice registered nurse (APRN) by the Texas Board of Nursing (BON).
Refer to:
Subsection 1.1, “Provider Enrollment” in Section 1, “Provider Enrollment and Responsibilities” (Vol. 1, General Information) for information about enrollment procedures.
To provide THSteps medical checkups, providers must be enrolled in Texas Medicaid and must be one of the following:
Medical Residents – Medical residents may provide medical checkups in a teaching facility under the personal guidance of the attending staff as long as the facility’s medical staff by-laws and requirements of the Graduate Medical Education (GME) Program are met, and the attending physician has determined the intern or resident to be competent in performing these functions. THSteps does not require the supervising physician to examine the client as long as these conditions are met.
Registered Nurses – An RN without a CNS, NP, or CNS recognition as an advanced practice registered nurse by the Texas BON may provide medical checkups only under direct physician supervision. Direct physician supervision means the physician is either on site during the checkup or immediately available to furnish assistance and direction to the RN during the checkup.
Clinics – In a clinic, a physician is not required to be present at all times during the hours of operation unless otherwise required by federal regulations. A physician must assume responsibility for the clinic's operation.

Texas Medicaid & Healthcare Partnership
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