Texas Administrative Code
Title 19 - EDUCATION
Part 1 - TEXAS HIGHER EDUCATION COORDINATING BOARD
Chapter 23 - EDUCATION LOAN REPAYMENT PROGRAMS
Subchapter C - PHYSICIAN EDUCATION LOAN REPAYMENT ASSISTANCE PROGRAM
Section 23.65 - Definitions

(1) Full-time Service--An average of at least thirty-two hours of direct patient care per week during the service period at the practice site.

(2) HPSAs--Health Professional Shortage Areas (HPSAs) are designated by the U. S. Department of Health and Human Services (HHS) as having shortages of primary medical care, dental or mental health providers and may be geographic (a county or service area), demographic (low income population) or institutional (comprehensive health center, federally qualified health center, as defined under 42 USC § 1396d (l)(2)(B), or other public facility). Designations meet the requirements of Sec. 332 of the Public Health Service Act, 90 Stat. 2270-2272 (42 U.S.C. 254e).

(3) Medicaid--The medical assistance program authorized by Chapter 32, Human Resources Code.

(4) NPI--National Provider Identifier; the Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA.

(5) Primary Care Physician--Physicians practicing family medicine, family practice, general practice, obstetrics/gynecology, general internal medicine, general pediatrics, combined internal medicine and pediatrics (medicine-pediatrics) in an outpatient setting, psychiatry, or geriatrics. With the exception of psychiatrists and geriatricians, physicians must provide services in an outpatient setting to be considered primary care.

(6) Program--The Physician Education Loan Repayment Assistance Program.

(7) Rural HPSA--A HPSA-designated whole county with a population of less than 50,000 persons or a HPSA-designated facility or population group located in a county with a population of less than 50,000 persons.

(8) Service Period--A period of twelve consecutive months qualifying a physician for loan repayment.

(9) Texas Women's Health Program--The program authorized by Health and Safety Code, § 31.002(a)(4)(C) and (H), §31.003, and §31.004, which provides primary health care services, including family planning services and health screenings, at no cost to eligible low-income women; administered by the Texas Health and Human Services Commission.

(10) TMHP--Texas Medicaid and Healthcare Partnership; the entity that administers Texas Medicaid and other state health-care programs on behalf of the Texas Health and Human Services Commission.

(11) TPI--Texas Provider Identifier; the number Managed Care Medicaid Providers must use when filing claims with the Texas Medicaid and Healthcare Partnership (TMHP), for payment of services rendered.