Nurse Practitioner and Clinical Nurse Specialist
An advanced practice registered nurse (APRN) is licensed by the Texas Board of Nursing or another state's licensing authority as recognized by the Texas Board of Nursing
Methodology / Rules
The Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS) program rules are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 354, SubChapter A, Division 24, Rules 1331-1332.
Reimbursement rules applicable to the Medicaid services delivered by Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS) services are located at Title 1 of the Texas Administrative Code, Part 15, Chapter 355, SubChapter J, Division 15, Rule 8281 and Division 5, Rule 8085.
The fee schedules and any periodic adjustment(s) to the fee schedules are published in banner messages contained in provider Remittance and Status (R&S) reports, Medicaid Bulletin articles, web postings, provider manual, fee schedules or other provider notification.
Payment Rate Information
Payment rate information is published by procedure code in the applicable Texas Medicaid Fee Schedule located on the Texas Medicaid & Healthcare Partnership (TMHP) website (see Fee Schedules).