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December 2016 Texas Medicaid Provider Procedures Manual

Women’s Health Services Handbook : 1 * General Information

1 * General Information
The information in this handbook is intended for women’s health services providers, Health and Human Services Commission (HHSC) Family Planning providers, and Healthy Texas Women (HTW) program providers. The handbook provides information about Texas Medicaid’s benefits, policies, and procedures that are applicable to these service providers.
Important:
All providers are required to read and comply with Section 1: Provider Enrollment and Responsibilities. In addition to required compliance with all requirements specific to Texas Medicaid, it is a violation of Texas Medicaid rules when a provider fails to provide health-care services or items to Medicaid clients in accordance with accepted medical community standards and standards that govern occupations, as explained in Title 1 Texas Administrative Code (TAC) §371.1659. Accordingly, in addition to being subject to sanctions for failure to comply with the requirements that are specific to Texas Medicaid, providers can also be subject to Texas Medicaid sanctions for failure, at all times, to deliver healthcare items and services to Medicaid clients in full accordance with all applicable licensure and certification requirements including, without limitation, those related to documentation and record maintenance.
Refer to:
The Children’s Services Handbook (Vol. 2, Provider Handbooks) for more information about providing services to Texas Medicaid and Texas Health Steps (THSteps) clients.
Section 1: Provider Enrollment and Responsibilities (Vol. 1, General Information).
Subsection “Texas Medicaid Administration” in Preliminary Information (Vol. 1, General Information).
The Department of State Health Services (DSHS) website at www.dshs.state.tx.us/famplan for information about family planning and the locations of clinics receiving family planning funding from HHSC.
The Gynecological, Obstetrics, and Family Planning Title XIX Services Handbook (Vol. 2, Provider Handbooks) for information about Texas Medicaid fee-for service and Title XIX family planning benefits for gynecological and reproductive health services.

Texas Medicaid & Healthcare Partnership
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