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TITLE 25 - HEALTH SERVICES
PART 1 - DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 419 - MENTAL HEALTH SERVICES--MEDICAID STATE OPERATING AGENCY RESPONSIBILITIES
SUBCHAPTER J - INSTITUTIONS FOR MENTAL DISEASES
SECTION/RULE §419.376 - IMD Provider Reimbursement and Termination
Chapter Review Date 08/28/2024

(a) Reimbursement for IMD services provided to eligible individuals begins on the date established by written notice from the department and is contingent upon validation of evidence of IMD provider eligibility as described in §419.375(c) of this title (relating to IMD Provider Eligibility for Reimbursement).(b) An IMD provider's agreement with the department is subject to termination with written notice on the date that any of the following occurs:(1) loss of Medicare and/or JCAHO certification;(2) if applicable, loss of licensure as a psychiatric hospital;(3) failure to meet requirements specified in 42 CFR §440.140(a) pertaining to providers of inpatient hospital services in institutions for mental diseases;(4) demonstrated noncompliance with those provisions of the Texas Administrative Code,