Subject to the specifications, conditions, limitations, and
requirements established by the Health and Human Services Commission
(HHSC) or its designee, a substance use disorder treatment provider
must meet the following requirements:
(1) Except as provided in paragraph (2) of this section,
be a facility that is licensed by HHSC, the state licensure authority,
as a chemical dependency treatment facility.
(2) For medication assisted treatment, be an HHSC-licensed
chemical dependency treatment facility, an HHSC-licensed narcotic
treatment program, or an appropriately trained physician or other
qualified prescriber acting within the scope of his or her licensure.
(A) Medication assisted treatment using methadone for
opioid use disorder may only be provided by an HHSC-licensed narcotic
treatment program in compliance with 42 Code of Federal Regulations
Part 8 Medication Assisted Treatment for Opioid Use Disorders.
(B) Appropriately trained physicians, and other qualified
prescribers, as specified in the Texas Medicaid Provider Procedures
Manual, may also provide medication assisted treatment using medications
other than methadone. To prescribe buprenorphine for the treatment
of opioid use disorder, these prescribers must meet any additional
federal prescribing requirements.
(3) Provide, at a minimum, the standard services required
by HHSC for licensure, as determined by the type of substance use
disorder services it provides.
(4) Comply with all applicable federal, state, and
local laws and regulations.
(5) Be enrolled and approved for participation in the
Texas Medicaid Program.
(6) Sign a written provider agreement with HHSC or
its designee. By signing the agreement, the treatment provider agrees
to comply with the terms of the agreement and all requirements of
the Texas Medicaid Program, including regulations, rules, handbooks,
standards, and guidelines published by HHSC or its designee.
(7) Bill for services covered by the Texas Medicaid
Program in the manner and format prescribed by HHSC or its designee.
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| Source Note: The provisions of this §354.1312 adopted to be effective July 1, 1990, 15 TexReg 3431; 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; amended to be effective January 1, 2011, 35 TexReg 10195; amended to be effective August 10, 2021, 46 TexReg 4845 |
