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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 354MEDICAID HEALTH SERVICES
SUBCHAPTER APURCHASED HEALTH SERVICES
DIVISION 18MATERNITY CLINIC SERVICES
RULE §354.1272Conditions for Participation

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.


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

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