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TITLE 25 - HEALTH SERVICES
PART 1 - DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 27 - CASE MANAGEMENT FOR CHILDREN AND PREGNANT WOMEN
SUBCHAPTER C - PROVIDER QUALIFICATIONS AND RESPONSIBILITIES
SECTION/RULE §27.19 - Provider Responsibilities
Chapter Review Date 04/15/2024

Providers must:(1) operate in accordance with the laws, rules, regulations, and standards of care relating to the practice of their respective license(s); ensure that their case managers are operating within the laws, rules, regulations, and standards of care relating to the practice of their respective license(s); and ensure that their case managers operate only within the scope of their respective license(s);(2) provide services according to policies and procedures as published in the TMPPM and Medicaid bulletins, and in accordance with the policies and procedures of the department;(3) cease providing services and notify the department if the professional license of a provider is suspended or revoked, with such notification to be provided to the department no later than seven calendar days after the date that the suspension or revocation is imposed;(4) assure that case managers attend required trainings provided by the department;(5) develop and maintain a quality management system for the provision of services with the primary goal of assisting clients in accessing necessary medical, social, educational, and other services related to their health condition/health risk or high-risk condition;(6) ensure that outreach activities do not impede freedom of client choice, and that they comply with 1 TAC §371.27 (relating to Prohibition against Solicitation of Medicaid or CHIP Recipients); and(7) ensure that clients are given choice of providers for case management.

Source Note: The provisions of this §27.19 adopted to be effective June 30, 2013, 38 TexReg 3985.

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