(a) A nursing facility, home health services provider, or any other similar long-term care services provider that is Medicare certified must:(1) seek reimbursement from Medicare before billing the Medicaid program for health care items or services provided to an individual who is eligible to receive similar services under the Medicare program; and(2) as directed by HHSC, appeal Medicare claim denials for payment.(b) A nursing facility, home health services provider, or any other similar long-term care services provider that is Medicare certified is not required to seek reimbursement from Medicare before billing the Medicaid program for a person who is:(1) Medicare eligible; and(2) has been determined as not being homebound.(c) For health care items or services in subsection (a) of this section, a payment or denial remittance from Medicare is required prior to Medicaid considering payment.