Texas Administrative Code › Title 19 - EDUCATION › Part 1 - TEXAS HIGHER EDUCATION COORDINATING BOARD › Chapter 23 - EDUCATION LOAN REPAYMENT PROGRAMS › Subchapter C - THE PHYSICIAN EDUCATION LOAN REPAYMENT PROGRAM › Section 23.65 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this
					 subchapter, shall have the following meanings, unless the context clearly
					 indicates otherwise:
(1) Board--The
				  Texas Higher Education Coordinating Board.
(2) CHIP--The Children's Health Insurance
				  Program, authorized by the Texas Health and Safety Code, Chapter 62.
(3) DSHS--The Texas Department of State
				  Health Services.
(4) Federally
				  Qualified Health Center--Any entity in Texas defined under
				  42
				  USC §
											1396d(l)(2)(B).
(5) Full-time Service--An average of at least
				  32 hours of direct patient care per week during the service period at the
				  practice site.
(6) 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 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). Texas HPSAs are recommended for
				  designation by HHS based on analysis of data by DSHS.
(7) Medicaid--The medical assistance program
				  authorized by Chapter 32, Human Resources Code.
(8) 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.
(9) 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.
(10)
				  Program--The Physician Education Loan Repayment Program.
(11) Rural HPSA--A HPSA-designated whole
				  county whose population is less than 50,000 or a HPSA-designated facility or
				  population group located in a county whose population is less than
				  50,000.
(12) Service Period--A
				  period of 12 consecutive months qualifying a physician for loan
				  repayment.
(13) 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.
(14) 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.
(15) 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.