Subject to the specifications, conditions, limitations, and requirements
established by the department or its designee, a maternity clinic must:
(1) be a facility that is not an administrative, organizational,
or financial part of a hospital;
(2) be organized and operated to provide maternity clinic services
to outpatients;
(3) comply with all applicable federal, state, and local laws
and regulations;
(4) employ or have a contractual agreement/formal arrangement
with a licensed physician (MD or DO) who assumes professional responsibility
for the services provided to the clinic's patients;
(5) adhere to the Bureau of Maternal and Child Health Maternity
Guidelines, dated June 20, 1988, and subsequent revisions issued by the Texas
Department of Health, unless otherwise specified by the department or its
designee;
(6) ensure that services provided to each patient are commensurate
with the patient's risk assessment and documented in the patient's medical
record;
(7) be enrolled and approved for participation in the Texas
Medical Assistance Program;
(8) sign a written provider agreement with the department or
its designee. By signing the agreement, the maternity clinic agrees to comply
with the terms of the agreement and all requirements of the Texas Medical
Assistance Program, including regulations, rules, handbooks, standards, and
guidelines published by the department or its designee; and
(9) bill for services covered by the Texas Medical Assistance
Program in the manner and format prescribed by the department or its designee.
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Source Note: The provisions of this §354.1272 adopted to be effective October 17, 1988, 13 TexReg 4783; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561 |