Current through Reg. 49, No. 45; November 8, 2024
Section 354.1235 - Requirements for Provider Participation(a) Provider enrollment. All authorized hearing aid providers, as described in §354.1233 of this Division (relating to Requirements for Hearing Aid Services), claiming reimbursement for hearing aid services provided as a Title XIX benefit to an eligible Medicaid recipient must be enrolled in the Texas Medicaid Program. (1) To be eligible for reimbursement of Title XIX benefits for hearing aid services covered by the Texas Medicaid Program, each provider of medical care and services must enter into a written agreement with the Health and Human Services Commission (Commission).(2) Participating providers must comply with all federal and state laws and regulations governing the Texas Medicaid Program. Providers must also comply with the provisions, conditions, certifications, and limitations as described in this subchapter.(b) Provider licensure and certification. To be eligible for participation as a provider of hearing aid services under the Texas Medicaid Program, all authorized hearing aid providers, as described in §354.1233 of this Division, must meet applicable federal and state licensing and certification laws and rules for the services they provide.1 Tex. Admin. Code § 354.1235
The provisions of this §354.1235 adopted to be effective February 14, 1985, 10 TexReg 406; transferred effective September 1, 1993, as published in the Texas Register September 7, 1993, 18 TexReg 5978; Amended to be effective September 3, 1996, 21 TexReg 7986; transferred effective September 1, 2001, as published in the Texas Register May 24, 2002, 27 TexReg 4561; Amended to be effective September 1, 2003 28 TeReg 7288; Amended to be effective October 1, 2005, 30 TexReg 6042; Amended to be effective December 2, 2008, 33 TexReg 9667