19 Tex. Admin. Code § 23.65 - Definitions
In addition to the words and terms defined in § 23.1 of this chapter (relating to Definitions), the following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise:
(1) Full-time Service--An
average of at least thirty-two hours of direct patient care per week during the
service period at the practice site.
(2) HPSAs--Health Professional Shortage Areas
(HPSAs) are designated by the U. S. Department of Health and Human Services
(HHS) as having shortages of primary medical care, dental or mental health
providers and may be geographic (a county or service area), demographic (low
income population) or institutional (comprehensive health center, federally
qualified health center, as defined under
42 USC §
1396d (l)(2)(B), or other
public facility). Designations meet the requirements of Sec. 332 of the Public
Health Service Act, 90 Stat. 2270-2272 (42 U.S.C. 254e).
(3) Medicaid--The medical assistance program
authorized by Chapter 32, Human Resources Code.
(4) NPI--National Provider Identifier; the
Health Insurance Portability and Accountability Act (HIPAA) Administrative
Simplification Standard unique identification number for covered health care
providers. Covered health care providers and all health plans and health care
clearinghouses must use the NPIs in the administrative and financial
transactions adopted under HIPAA.
(5) Primary Care Physician--Physicians
practicing family medicine, family practice, general practice,
obstetrics/gynecology, general internal medicine, general pediatrics, combined
internal medicine and pediatrics (medicine-pediatrics) in an outpatient
setting, psychiatry, or geriatrics. With the exception of psychiatrists and
geriatricians, physicians must provide services in an outpatient setting to be
considered primary care.
(6)
Program--The Physician Education Loan Repayment Assistance Program.
(7) Rural HPSA--A HPSA-designated whole
county with a population of less than 50,000 persons or a HPSA-designated
facility or population group located in a county with a population of less than
50,000 persons.
(8) Service
Period--A period of twelve consecutive months qualifying a physician for loan
repayment.
(9) Texas Women's Health
Program--The program authorized by Health and Safety Code, §
31.002(a)(4)(C) and
(H), §31.003, and §31.004, which
provides primary health care services, including family planning services and
health screenings, at no cost to eligible low-income women; administered by the
Texas Health and Human Services Commission.
(10) TMHP--Texas Medicaid and Healthcare
Partnership; the entity that administers Texas Medicaid and other state
health-care programs on behalf of the Texas Health and Human Services
Commission.
(11) TPI--Texas
Provider Identifier; the number Managed Care Medicaid Providers must use when
filing claims with the Texas Medicaid and Healthcare Partnership (TMHP), for
payment of services rendered.
Notes
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