Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 27 - CASE MANAGEMENT FOR CHILDREN AND PREGNANT WOMEN
Subchapter C - PROVIDER QUALIFICATIONS AND RESPONSIBILITIES
Section 27.19 - Provider Responsibilities

(1) operate in accordance with the laws, rules, regulations, and standards of care relating to the practice of their respective license(s); ensure that their case managers are operating within the laws, rules, regulations, and standards of care relating to the practice of their respective license(s); and ensure that their case managers operate only within the scope of their respective license(s);

(2) provide services according to policies and procedures as published in the TMPPM and Medicaid bulletins, and in accordance with the policies and procedures of the department;

(3) cease providing services and notify the department if the professional license of a provider is suspended or revoked, with such notification to be provided to the department no later than seven calendar days after the date that the suspension or revocation is imposed;

(4) assure that case managers attend required trainings provided by the department;

(5) develop and maintain a quality management system for the provision of services with the primary goal of assisting clients in accessing necessary medical, social, educational, and other services related to their health condition/health risk or high-risk condition;

(6) ensure that outreach activities do not impede freedom of client choice, and that they comply with 1 TAC § 371.27(relating to Prohibition against Solicitation of Medicaid or CHIP Recipients); and

(7) ensure that clients are given choice of providers for case management.