Section 27.19 - Provider ResponsibilitiesProviders must:
(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.25 Tex. Admin. Code § 27.19
The provisions of this §27.19 adopted to be effective June 30, 2013, 38 TexReg 3985