| (a) A PPECC service provider must be independently
enrolled in the Texas Medicaid program to be eligible to receive Medicaid
reimbursement for providing PPECC services through THSteps-CCP.
(b) To participate in THSteps-CCP, a PPECC service
provider must:
(1) be currently licensed under and comply with 40
TAC Chapter 15 (relating to Licensing Standards for Prescribed Pediatric
Extended Care Centers);
(2) be enrolled and approved for participation in the
Texas Medicaid program;
(3) agree to provide services in compliance with all
applicable federal, state, and local laws and regulations, including
Texas Occupations Code Chapter 301;
(4) comply with the terms of the Texas Medicaid Provider
Agreement;
(5) comply with all state and federal regulations and
rules relating to the Texas Medicaid program;
(6) comply with the requirements of the Texas Medicaid
Provider Procedures Manual, including all published updates and revisions
and all handbooks, standards, and guidelines published by HHSC or
an MCO with which they contract;
(7) comply with accepted professional standards and
principles of nursing practice;
(8) comply with Texas Family Code Chapter 261, and
Texas Health and Safety Code Chapter 260A, concerning mandatory reporting
of suspected abuse or neglect of children and adults with disabilities;
and
(9) maintain written policies and procedures for obtaining
consent for medical treatment for participants in the absence of the
responsible adult that meet the standards of Texas Family Code §32.001.
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