Figure: 1 TAC Chapter 354, Subchapter A
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Current Citation |
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Subchapter |
Section |
Division Number and Title |
Section |
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A |
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Medicaid Procedures for Providers |
1. Medicaid Procedures for Providers |
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§29.1 |
Claim Information Requirements |
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§354.1001 |
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§29.2 |
Compliance with Civil Rights Act |
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§354.1002 |
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§29.3 |
Time Limits for Submitted Claims |
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§354.1003 |
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§29.4 |
Retention of Records |
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§354.1004 |
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§29.5 |
Unauthorized Charges |
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§354.1005 |
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§29.6 |
Surety Bond Requirements |
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§354.1006 |
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B |
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Medicaid Vision Care Program |
2. Medicaid Vision Care Program |
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§29.101 |
Benefits and Limitations |
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§354.1015 |
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§29.102 |
Specifications for Eyewear |
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§354.1017 |
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§29.104 |
Additional Claims Information Requirements |
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§354.1021 |
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§29.105 |
Optometrist Services |
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§354.1023 |
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D |
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Medicaid Home Health Services |
3. Medicaid Home Health Services |
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§29.301 |
General |
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§354.1031 |
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§29.302 |
Provider Participation Requirements |
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§354.1033 |
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§29.303 |
Recipient Qualifications for Home Health Services |
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§354.1035 |
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§29.304 |
Written Plan of Care |
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§354.1037 |
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§29.305 |
Home Health Services Benefits and Limitations |
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§354.1039 |
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§29.306 |
Benefits for Medicare/Medicaid Recipients |
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§354.1041 |
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§29.308 |
Competitive Procurement of Durable Medical Equipment (DME) and Supplies |
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§354.1043 |
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E |
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Medicaid Chiropractic Services |
4. Medicaid Chiropractic Services |
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§29.401 |
Additional Claim Information Requirements |
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§354.1051 |
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§29.403 |
Authorized Chiropractic Services |
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§354.1052 |
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F |
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Physician Services |
5. Physician Services |
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§29.501 |
Additional Claim Information Requirements |
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§354.1061 |
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§29.502 |
Authorized Physician Services |
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§354.1062 |
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G |
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Hospital Services |
6. Hospital Services |
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§29.602 |
Additional Claim Information Requirements |
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§354.1071 |
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§29.603 |
Authorized Inpatient Hospital Services |
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§354.1072 |
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§29.604 |
Authorized Outpatient Hospital Services |
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§354.1073 |
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§29.605 |
Hospitalization (Dental Care Only) for Individuals Under Age 21 Years |
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§354.1075 |
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§29.607 |
Provider Participation Requirements |
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§354.1077 |
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H |
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Laboratory, X-Ray, and Radiation Therapy |
7. Laboratory, X-Ray, and Radiation Therapy |
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§29.701 |
Additional Claim Information Requirements |
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§354.1091 |
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§29.702 |
Authorized Services |
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§354.1092 |
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I |
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Podiatry Services |
8. Podiatry Services |
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§29.801 |
Additional Claim Information Requirements |
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§354.1101 |
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§29.802 |
Authorized Podiatry Services |
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§354.1102 |
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J |
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Ambulance Services |
9. Ambulance Services |
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§29.901 |
Definitions |
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§354.1111 |
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§29.902 |
Additional Claim Information Requirements |
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§354.1113 |
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§29.903 |
Authorized Ambulance Services |
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§354.1115 |
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K |
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Definitions |
10. Definitions |
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§29.1001 |
General Definitions for Purchased Health Services |
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§354.1121 |
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L |
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General Administration |
11. General Administration |
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§29.1101 |
Payments to Eligible Providers |
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§354.1131 |
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§29.1105 |
Claims Procedures |
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§354.1135 |
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§29.1106 |
Review of Questionable Claims |
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§354.1137 |
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§29.1107 |
Verification of Cost Data |
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§354.1139 |
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§29.1108 |
Notification to Eligible Providers |
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§354.1141 |
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§29.1109 |
Coordination of Title XIX with Parts A and B of Title XVIII |
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§354.1143 |
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§29.1110 |
Nonliability |
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§354.1145 |
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§29.1111 |
Medicaid Fee Schedule |
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§354.1147 |
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§29.1112 |
Exclusions and Limitations |
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§354.1149 |
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§29.1113 |
Freedom of Choice |
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§354.1151 |
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§29.1114 |
Subrogation |
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§354.1153 |
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§29.1115 |
Confidentiality of Information |
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§354.1155 |
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§29.1116 |
Potential Fraud, Program Abuse, and Other Misutilization |
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§354.1157 |
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§29.1117 |
Utilization Review |
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§354.1159 |
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§29.1118 |
Provider Re-enrollment or Provider Contract or Agreement Modification |
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§354.1161 |
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§29.1119 |
Fair Hearings |
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§354.1163 |
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§29.1120 |
Free Services for Recipients |
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§354.1165 |
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§29.1121 |
Reimbursement for Abortions |
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§354.1167 |
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§29.1122 |
Ectopic Pregnancy |
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§354.1169 |
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§29.1123 |
Use of Drugs or Devices to Prevent Implantation of the Fertilized Ovum |
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§354.1171 |
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§29.1124 |
Provider Certification/Enrollment in Medicare |
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§354.1173 |
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§29.1125 |
Organ Transplants |
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§354.1175 |
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§29.1128 |
Provider Compliance with the Clinical Laboratory Improvement Amendments of 1988 |
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§354.1181 |
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§29.1129 |
Provider Compliance with the Mammography Quality Standards Act of 1992 |
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§354.1183 |
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§29.1130 |
Provider Compliance with Durable Medical Equipment (DME) Certification Requirements |
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§354.1185 |
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M |
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Rural Health Clinics |
12. Rural Health Clinics |
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§29.1201 |
Authorized Services by Rural Health Clinics |
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§354.1201 |
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§29.1202 |
Conditions for Payments to Rural Health Clinics |
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§354.1202 |
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§29.1204 |
Relationship of Recipient's Treating Physician to Rural Health Clinics |
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§354.1203 |
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N |
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Ambulatory Surgical Centers |
13. Ambulatory Surgical Centers |
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§29.1301 |
Conditions for Participation |
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§354.1211 |
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§29.1302 |
Services and Limitations |
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§354.1212 |
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O |
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Dentists' Services |
14. Dentists' Services |
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§29.1402 |
Authorized Dentists' Services |
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§354.1221 |
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P |
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Hearing Aid Services |
15. Hearing Aid Services |
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§29.1501 |
Benefits and Limitations |
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§354.1231 |
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§29.1502 |
Requirements for Hearing Aid Services |
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§354.1233 |
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§29.1503 |
Requirements for Provider Participation |
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§354.1235 |
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Q |
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Nurse-Midwife Services |
16. Nurse-Midwife Services |
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§29.1601 |
Benefits and Limitations |
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§354.1251 |
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§29.1602 |
Conditions for Participation |
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§354.1252 |
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R |
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Birthing Center Services |
17. Birthing Center Services |
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§29.1701 |
Benefits and Limitations |
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§354.1261 |
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§29.1702 |
Conditions for Participation |
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§354.1262 |
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S |
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Maternity Clinic Services |
18. Maternity Clinic Services |
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§29.1801 |
Benefits and Limitations |
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§354.1271 |
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§29.1802 |
Conditions for Participation |
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§354.1272 |
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§29.1804 |
Monitoring |
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§354.1275 |
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T |
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Psychologists' Services |
19. Psychologists' Services |
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§29.1901 |
Benefits and Limitations |
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§354.1281 |
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§29.1902 |
Conditions for Participation |
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§354.1282 |
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U |
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Physical Therapists' Services |
20. Physical Therapists' Services |
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§29.2001 |
Benefits and Limitations |
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§354.1291 |
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§29.2002 |
Conditions for Participation |
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§354.1292 |
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V |
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Certified Registered Nurse Anesthetists' Services |
21. Certified Registered Nurse Anesthetists' Services |
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§29.2101 |
Benefits and Limitations |
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§354.1301 |
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§29.2102 |
Conditions for Participation |
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§354.1302 |
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W |
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Chemical Dependency Treatment Facility Services |
22. Chemical Dependency Treatment Facility Services |
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§29.2201 |
Benefits and Limitations |
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§354.1311 |
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§29.2202 |
Conditions for Participation |
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§354.1312 |
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Y |
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Federally Qualified Health Center Services |
23. Federally Qualified Health Center Services |
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§29.2401 |
Benefits and Limitations |
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§354.1321 |
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§29.2402 |
Provider Participation Requirements |
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§354.1322 |
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§29.2404 |
Review/Appeals |
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§354.1323 |
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Z |
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Certified Family Nurse Practitioner and Pediatric Nurse Practitioner |
24. Certified Family Nurse Practitioner and Pediatric Nurse Practitioner |
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§29.2501 |
Benefits and Limitations |
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§354.1331 |
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§29.2502 |
Conditions for Participation |
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§354.1332 |
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AA |
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School Health and Related Services |
25. School Health and Related Services |
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§29.2601 |
Benefits and Limitations |
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§354.1341 |
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§29.2602 |
Conditions for Participation |
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§354.1342 |
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BB |
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Coordinated Care |
26. Coordinated Care |
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§29.2701 |
Coordinated Care Pilot Project |
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§354.1351 |
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DD |
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Tuberculosis |
28. Tuberculosis |
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§29.2901 |
Benefits and Limitations |
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§354.1371 |
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EE |
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Licensed Professional Counselors, Licensed Master Social Worker Advanced Clinical Practitioners, and Licensed Marriage and Family Therapists |
29. Licensed Professional Counselors and Advanced Clinical Practitioners |
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§29.3001 |
Benefits and Limitations |
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§354.1381 |
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§29.3002 |
Conditions for Participation |
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§354.1382 |