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2012 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 6. Maternity Service Clinics (MSC) : 6.1 Provider Enrollment

6.1 Provider Enrollment
To enroll in Texas Medicaid, MSCs must submit a complete application and meet the following requirements:
Must employ or have a contractual agreement or formal arrangement with a licensed MD or DO who assumes professional responsibility for the services provided to the clinic’s patients.
Must adhere to the Bureau of Maternal and Child Health Maternity Guidelines, dated June 20, 1988, and subsequent revisions issued by the Texas Department of Health, unless otherwise specified by the department or its designee.
Must ensure that services provided to each patient are commensurate with the patient’s risk assessment and are documented in the patient’s medical record.
The supervising physician’s license information must be provided. Providers cannot be enrolled in Texas Medicaid if their licenses are due to expire within 30 days.
Medicare certification is not a prerequisite for MSC enrollment.

Texas Medicaid & Healthcare Partnership
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