Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter A - PURCHASED HEALTH SERVICES
Division 17 - BIRTHING CENTER SERVICES
Section 354.1261 - Benefits and Limitations
Universal Citation: 1 TX Admin Code ยง 354.1261
Current through Reg. 49, No. 38; September 20, 2024
(a) Subject to the specifications, conditions, limitations, and requirements established by the Health and Human Services Commission or its designee (HHSC), birthing center services are those center services determined by the attending physician (MD or DO), certified nurse-midwife (CNM), or licensed midwife (LM), to be reasonable and necessary for the care of the mother and live newborn child following the mother's normal, uncomplicated pregnancy.
(1) The attending physician, CNM, or LM must
be licensed at the time and place the services are provided.
(2) Reimbursable services are limited to
services provided by the birthing center during the labor, delivery, and
immediate postpartum periods.
(3)
Unless otherwise specified by HHSC, covered services begin when the mother is
in active labor and is admitted to the birthing center, and end within 24 hours
after the birth of the child.
(b) Services provided by a physician, CNM, or LM are not considered to be birthing center services.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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