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Section 3000, Eligibility, Client Services, Community Activities and Clinical
... 3000 provides policy requirements for eligibility, client services, community activities and clinical guidelines.   ... not currently receive full Medicaid benefits, Children’s Health Insurance Program (CHIP), or Medicare Part A or B; Is ... ; From a local HHSC benefits office , an HTW provider’s office or any other location that makes HTW ...

Section 12000, Clinical Policy
... contractors pertaining to the delivery of direct clinical services to patients. In addition to the requirements and ... sterilizations, etc. Pregnancy testing and counseling Health screenings Cervical cancer screening (Pap smears, ... conditions (e.g., follow up of an abnormal Pap smear), the provider must educate the patient on how the service being ...

C-1100, Other/Miscellaneous
... July 1, 2019   Medical Programs Benefits provided through health insuring agent: In-patient hospital services* ... transportation. *With limitations — see appropriate provider manuals for details. The benefits of this program do ... Frames Revision 15-3; Effective July 1, 2015   Within one business day of the PE determination, the QH/QE must submit ...

TWH Glossary
... of the fair hearing record by a Health and Human Services (HHS) attorney to determine whether the hearing officer's ... Program (SNAP) by calculating income and deductions. Business Day  — Monday through Friday from 8 a.m. to 5 ... resources. Copayment  — Payment made directly to a provider according to a fee schedule. Correspondence  — ...

A-800, Medicaid Eligibility
... If information is requested but not returned by the 15th business day from the file date, deny the application. Reopen ... or received services from the Texas Department of State Health Services (DSHS). Example: A pregnant woman applies for ... 45, verify that the child resides in Texas. Related Policy Provider Referral Process, A-125   TP 56 Medicaid coverage ...

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