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2012 Texas Medicaid Provider Procedures Manual

Inpatient and Outpatient Hospital Services Handbook : 2. Enrollment : 2.2 Hospital-based Rural Health Clinic Enrollment

2.2 Hospital-based Rural Health Clinic Enrollment
To enroll in Texas Medicaid and qualify for participation as a Title XIX Rural Health Clinic (RHC), RHCs must be enrolled in Medicare. A nine-digit provider identifier is issued to the RHC after a certification letter from Medicare is received, stating that the clinic qualifies for Medicaid participation. An RHC can also apply for enrollment as a family planning agency.
All providers of laboratory services must comply with the rules and regulations of the Clinical Laboratory Improvement Amendments (CLIA). Providers who do not comply with CLIA are not reimbursed for laboratory services.
Refer to:
Subsection 8.2, “Services, Benefits, Limitations, and Prior Authorization ,” in the Clinics and Other Outpatient Facility Services Handbook (Vol. 2, Provider Handbooks) for RHC benefit and limitation information.
Subsection 1.1, “Provider Enrollment,” in Section 1, “Provider Enrollment and Responsibilities” (Vol. 1, General Information) for more information about enrollment procedures, including information on Changes of Ownership.
Subsection 2.1.1, “Clinical Laboratory Improvement Amendments (CLIA),” in Radiology and Laboratory Services Handbook (Vol. 2, Provider Handbooks).

Texas Medicaid & Healthcare Partnership
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