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December 2016 Texas Medicaid Provider Procedures Manual

Section 1: Provider Enrollment and Responsibilities : 1.6 Provider Responsibilities : 1.6.12 Home Health Providers : 1.6.12.1 Home Health Skilled Nursing and Home Health Aide (HHA) Services Provider Responsibilities

1.6.12.1
Providers must be a licensed and certified home health agency, enrolled in Texas Medicaid, and must comply with all applicable federal, state, and local laws and regulations and Texas Medicaid policies and procedures. All providers must maintain written policies and procedures:
Providers must only accept clients on the basis of a reasonable expectation that the client’s needs can be adequately met in the place of service (POS). The essential elements of safe and effective home health SN or HHA services include a trained parent, guardian, or caregiver, a primary physician, competent providers, and an environment that supports the client’s health and safety needs.
Necessary primary and back-up utility, communication, and fire safety systems must be available.
Note:
A parent or guardian, primary caregiver, or alternate caregiver may not provide SN or HHA services to their family member even if he or she is an enrolled provider or employed by an enrolled provider.

Texas Medicaid & Healthcare Partnership
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