Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 351 - CHILDREN WITH SPECIAL HEALTH CARE NEEDS SERVICES PROGRAM
Section 351.7 - Ambulatory Surgical Care Facilities

Universal Citation: 26 TX Admin Code ยง 351.7

Current through Reg. 49, No. 38; September 20, 2024

(a) Ambulatory surgery services may be utilized by the program as a cost-efficient means of providing surgical care as long as quality of care is assured. Any hospital participating in the program whose accreditation by the Joint Commission includes hospital-sponsored ambulatory care services may provide ambulatory surgery services for program clients. The program will reimburse only approved ambulatory surgical care facilities for services to clients.

(b) Freestanding ambulatory surgical care (ASC) facilities, even if governed by or affiliated with a hospital participating in the program, must apply for program approval. The program may contract with a limited number of facilities to contain costs. For approval to participate in the program, a freestanding ASC facility must meet the following criteria:

(1) State licensure requirements. Facilities must comply with state licensure requirements for ambulatory surgical centers at §§ 135.1- 135.29 of this title (relating to Operating Requirements for Ambulatory Surgical Centers).

(2) Medicare certification. Facilities must comply with Medicare standards concerning ambulatory surgical services at 42 Code of Federal Regulations, Parts 405 and 416.

(c) The program reimbursement for care at freestanding ASC facilities shall be limited to Levels I and II surgical procedures as designated by the American Society of Anesthesiologists.

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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