SECTION 392.601. Provision of Contracts for Primary Health Care Services

(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