- (a) Primary health care services, as described in Title 25, Part 1, Chapter 39 (relating to Primary Health Care Services Program) will be delivered through a network of contractors.
- (b) Services may be limited as to frequency, duration, and cost for budgetary and administrative reasons.
- (c) In order to conserve funds and effectively administer the program, the department shall contract on a Request for Proposal basis for primary health care services.
- (d) The Department of State Health Services (DSHS) shall publish public notice of Requests for Proposal, release the applications, and select providers in accordance with state law and department policy.
- (e) DSHS may deny, modify, suspend, or terminate the approval of providers for submitting false or fraudulent claims or failing to provide and maintain quality services according to medically acceptable standards. A provider's performance under its contract may subject the provider to review, fraud referral to the appropriate authority, and/or administrative sanctions.
- (f) An applicant and/or a current contractor who is aggrieved in connection with the award of a department contract to provide primary health care services may file a protest in accordance with DSHS policy.
Source Note:The provisions of this §392.601 adopted to be effective June 17, 2015, 40 TexReg 3638.