A provider must:

1. (1) operate in accordance with the laws, rules, regulations, and standards of care relating to the practice of the provider's respective license or certifications;

2. (2) ensure the provider's case managers operate:

   1. (A) within the laws, rules, regulations, and standards of care relating to the practice of the case manager's respective license, or certification; and
   2. (B) only within the scope of the case manager's respective license or certification;

3. (3) provide services:

   1. (A) according to policies and procedures as published in the TMPPM and Medicaid bulletins; and
   2. (B) in accordance with the policies and procedures of HHSC;
4. (4) cease providing services and notify HHSC if the professional license of a case manager is suspended or revoked, with such notification to be provided to HHSC no later than seven calendar days after the date that the suspension or revocation is imposed;
5. (5) assure that the provider's case managers attend required trainings provided by HHSC;
6. (6) 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 the client's health condition, health risk, high-risk condition, or nonmedical need;

7. (7) ensure that outreach activities:

   1. (A) do not impede freedom of client choice; and
   2. (B) comply with 1 TAC §371.27 (relating to Prohibition against Solicitation of Medicaid or CHIP Recipients); and
8. (8) ensure that a client is given freedom of choice to choose a provider for case management.

Source Note:The provisions of this §257.17 adopted to be effective May 29, 2025, 50 TexReg 3129.