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December 2016 Texas Medicaid Provider Procedures Manual

Section 1: Provider Enrollment and Responsibilities : 1.1 Provider Enrollment and Reenrollment : 1.1.9 Required Enrollment Forms : Application Payment Form
All providers who are required to pay an application fee to participate in the Medicaid program must submit an Application Payment Form. The application cannot be processed if the application fee is required and is not submitted with the application.
Refer to:

Texas Medicaid & Healthcare Partnership
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