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December 2016 Texas Medicaid Provider Procedures Manual

Section 4: Client Eligibility : 4.4 Restricted Medicaid Coverage : 4.4.4 Presumptive Eligibility : Qualified Provider Enrollment
To make PE determinations, the provider must be a qualified hospital or qualified entity. A qualified hospital:
A qualified entity meets the same criteria as a qualified hospital, except that a qualified entity:
For more information on how to become a qualified hospital or entity, visit

Texas Medicaid & Healthcare Partnership
CPT only copyright 2014 American Medical Association. All rights reserved.