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 22 - SUBSTANCE ABUSE AND DEPENDENCY TREATMENT SERVICES
Section 354.1312 - Conditions for Participation
Current through Reg. 49, No. 38; September 20, 2024
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.
(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.
