Section 23.65 - [Effective 11/14/2024] DefinitionsIn 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.19 Tex. Admin. Code § 23.65
The provisions of this § 23.65 adopted to be effective November 30, 2009, 34 TexReg 8524; amended to be effective November 20, 2013, 38 TexReg 8196; Amended by Texas Register, Volume 41, Number 08, February 19, 2016, TexReg 1230, eff. 2/22/2016; transferred from 21.254 Texas Register, Volume 41, Number 48, November 25, 2016, TexReg 9341, eff. 12/15/2016; Amended by Texas Register, Volume 44, Number 48, November 29, 2019, TexReg 7383, eff. 12/5/2019; Amended by Texas Register, Volume 45, Number 47, November 20, 2020, TexReg 8343, eff. 11/22/2020; Amended by Texas Register, Volume 49, Number 45, November 8, 2024, TexReg 8904, eff. 11/14/2024