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December 2016 Texas Medicaid Provider Procedures Manual

Inpatient and Outpatient Hospital Services Handbook : 5 Ambulatory Surgical Center and Hospital Ambulatory Surgical Center : 5.1 Enrollment

5.1
To enroll in Texas Medicaid, an ASC must:
Providers cannot be enrolled if their license is due to expire within 30 days; a current license must be submitted.
All hospitals enrolling in Texas Medicaid (except psychiatric and rehabilitation hospitals) are issued an HASC provider number at the time of enrollment.
An out-of-state provider may enroll in Texas Medicaid if it is the customary or general practice for clients in a particular locality to use medical resources in another state. An out-of-state provider located within 50 miles of the Texas border is automatically considered to meet this criterion.
Refer to:
Subsection 1.1, “Provider Enrollment and Reenrollment,” in Section 1, “Provider Enrollment and Responsibilities” (Vol. 1, General Information) for more information about enrollment procedures.
Subsection 2.1.1, “Clinical Laboratory Improvement Amendments (CLIA),” in the Radiology and Laboratory Services Handbook (Vol. 2, Provider Handbooks).
The Medicaid Managed Care Handbook (Vol. 2, Provider Handbooks).

Texas Medicaid & Healthcare Partnership
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