Texas Statutes
Subtitle C - Assistance Programs
Chapter 32 - Medical Assistance Program

Section 32.0211. Restrictions on Executive Commissioners, Former Members of a Board, Commissioners, and Their Business Partners - Sec. 32.0211. RESTRICTIONS ON EXECUTIVE COMMISSIONERS, FORMER MEMBERS OF A...

Section 32.0212. Delivery of Medical Assistance - Sec. 32.0212. DELIVERY OF MEDICAL ASSISTANCE. Notwithstanding any other law...

Section 32.0213. Nursing Facility Bed Certification and Decertification - Sec. 32.0213. NURSING FACILITY BED CERTIFICATION AND DECERTIFICATION. (a) The...

Section 32.0214. Designations of Primary Care Provider by Certain Recipients - Sec. 32.0214. DESIGNATIONS OF PRIMARY CARE PROVIDER BY CERTAIN RECIPIENTS....

Section 32.0215. Home or Community Care Providers: Civil Monetary Penalties - Sec. 32.0215. HOME OR COMMUNITY CARE PROVIDERS: CIVIL MONETARY PENALTIES....

Section 32.022. Medical and Hospital Care Advisory Committees - Sec. 32.022. MEDICAL AND HOSPITAL CARE ADVISORY COMMITTEES. (a) The...

Section 32.023. Cooperation With Other State Agencies - Sec. 32.023. COOPERATION WITH OTHER STATE AGENCIES. (a) The commission's...

Section 32.0231. Announcement of Funding or Program Change - Sec. 32.0231. ANNOUNCEMENT OF FUNDING OR PROGRAM CHANGE. (a) The...

Section 32.024. Authority and Scope of Program; Eligibility - Sec. 32.024. AUTHORITY AND SCOPE OF PROGRAM; ELIGIBILITY. (a) The...

Section 32.0241. Review of Waiver Request - Sec. 32.0241. REVIEW OF WAIVER REQUEST. The commission shall, at...

Section 32.0242. Verification of Certain Information - Sec. 32.0242. VERIFICATION OF CERTAIN INFORMATION. To the extent possible,...

Section 32.0244. Nursing Facility Beds in Certain Counties - Sec. 32.0244. NURSING FACILITY BEDS IN CERTAIN COUNTIES. (a) At...

Section 32.0245. Nursing Facility Beds for Certain Facilities Treating Alzheimer's Disease - Sec. 32.0245. NURSING FACILITY BEDS FOR CERTAIN FACILITIES TREATING ALZHEIMER'S...

Section 32.02451. Additional Personal Needs Allowance for Guardianship Expenses of Certain Recipients - Sec. 32.02451. ADDITIONAL PERSONAL NEEDS ALLOWANCE FOR GUARDIANSHIP EXPENSES OF...

Section 32.0246. Medical Assistance Reimbursement for Certain Behavioral Health and Physical Health Services - Sec. 32.0246. MEDICAL ASSISTANCE REIMBURSEMENT FOR CERTAIN BEHAVIORAL HEALTH AND...

Section 32.02471. Medical Assistance for Certain Former Foster Care Adolescents Enrolled in Higher Education - Sec. 32.02471. MEDICAL ASSISTANCE FOR CERTAIN FORMER FOSTER CARE ADOLESCENTS...

Section 32.024715. Streamlined Eligibility Determination Process for Certain Former Foster Care Youth - Sec. 32.024715. STREAMLINED ELIGIBILITY DETERMINATION PROCESS FOR CERTAIN FORMER FOSTER...

Section 32.0249. Mental Health Screenings in Texas Health Steps Program - Sec. 32.0249. MENTAL HEALTH SCREENINGS IN TEXAS HEALTH STEPS PROGRAM....

Section 32.025. Application for Medical Assistance - Sec. 32.025. APPLICATION FOR MEDICAL ASSISTANCE. (a) A recipient of...

Section 32.0251. Eligibility Notification and Review for Certain Children - Sec. 32.0251. ELIGIBILITY NOTIFICATION AND REVIEW FOR CERTAIN CHILDREN. (a)...

Section 32.0255. Transitional Medical Assistance - Sec. 32.0255. TRANSITIONAL MEDICAL ASSISTANCE. (a) The commission shall provide...

Section 32.0256. Continuation of Medical Assistance for Certain Individuals - Sec. 32.0256. CONTINUATION OF MEDICAL ASSISTANCE FOR CERTAIN INDIVIDUALS. (a)...

Section 32.026. Certification of Eligibility and Need for Medical Assistance - Sec. 32.026. CERTIFICATION OF ELIGIBILITY AND NEED FOR MEDICAL ASSISTANCE....

Section 32.0261. Continuous Eligibility - Sec. 32.0261. CONTINUOUS ELIGIBILITY. (a) This section applies only to...

Section 32.026101. Determination of Eligibility by Health Care Exchanges Prohibited - Sec. 32.026101. DETERMINATION OF ELIGIBILITY BY HEALTH CARE EXCHANGES PROHIBITED....

Section 32.02611. Exclusion of Assets in Prepaid Tuition Programs and Higher Education Savings Plans - Sec. 32.02611. EXCLUSION OF ASSETS IN PREPAID TUITION PROGRAMS AND...

Section 32.02613. Life Insurance Assets; Life Insurance Policy Conversion - Sec. 32.02613. LIFE INSURANCE ASSETS; LIFE INSURANCE POLICY CONVERSION. (a)...

Section 32.0262. Eligibility Transition - Sec. 32.0262. ELIGIBILITY TRANSITION. (a) The executive commissioner shall develop...

Section 32.0263. Health Care Orientation - Sec. 32.0263. HEALTH CARE ORIENTATION. (a) The commission shall require...

Section 32.0264. Suspension and Reinstatement of Eligibility for Children in Juvenile Facilities - Sec. 32.0264. SUSPENSION AND REINSTATEMENT OF ELIGIBILITY FOR CHILDREN IN...

Section 32.0265. Notice of Certain Placements in Juvenile Facilities - Sec. 32.0265. NOTICE OF CERTAIN PLACEMENTS IN JUVENILE FACILITIES. (a)...

Section 32.0266. Suspension, Termination, and Automatic Reinstatement of Eligibility for Individuals Confined in County Jails - Sec. 32.0266. SUSPENSION, TERMINATION, AND AUTOMATIC REINSTATEMENT OF ELIGIBILITY FOR...

Section 32.027. Selection of Provider of Medical Assistance - Sec. 32.027. SELECTION OF PROVIDER OF MEDICAL ASSISTANCE. (a) Except...

Section 32.0275. Military Medical Treatment Facilities and Affiliated Health Care Providers; Reimbursement - Sec. 32.0275. MILITARY MEDICAL TREATMENT FACILITIES AND AFFILIATED HEALTH CARE...

Section 32.028. Fees, Charges, and Rates - Sec. 32.028. FEES, CHARGES, AND RATES. (a) The executive commissioner...

Section 32.0281. Rules and Notice Relating to Payment Rates - Sec. 32.0281. RULES AND NOTICE RELATING TO PAYMENT RATES. (a)...

Section 32.0282. Public Hearing on Rates - Sec. 32.0282. PUBLIC HEARING ON RATES. (a) The commission shall...

Section 32.0284. Calculation of Payments Under Certain Supplemental Hospital Payment Programs - Sec. 32.0284. CALCULATION OF PAYMENTS UNDER CERTAIN SUPPLEMENTAL HOSPITAL PAYMENT...

Section 32.0285. Calculation of Medical Education Add-on for Reimbursement of Teaching Hospitals That Provide Behavioral Health and Physical Health Services - Sec. 32.0285. CALCULATION OF MEDICAL EDUCATION ADD-ON FOR REIMBURSEMENT OF...

Section 32.029. Methods of Payment - Sec. 32.029. METHODS OF PAYMENT. (a) The commission may prescribe...

Section 32.0291. Prepayment Reviews and Payment Holds - Sec. 32.0291. PREPAYMENT REVIEWS AND PAYMENT HOLDS. (a) Notwithstanding any...

Section 32.031. Receipt and Expenditure of Funds - Sec. 32.031. RECEIPT AND EXPENDITURE OF FUNDS. (a) The commission...

Section 32.0311. Drug Reimbursement Under Certain Programs - Sec. 32.0311. DRUG REIMBURSEMENT UNDER CERTAIN PROGRAMS. The commission shall...

Section 32.03115. Reimbursement for Medication-Assisted Treatment for Opioid or Substance Use Disorder - Sec. 32.03115. REIMBURSEMENT FOR MEDICATION-ASSISTED TREATMENT FOR OPIOID OR SUBSTANCE...

Section 32.0312. Reimbursement for Services Associated With Preventable Adverse Events - Sec. 32.0312. REIMBURSEMENT FOR SERVICES ASSOCIATED WITH PREVENTABLE ADVERSE EVENTS....

Section 32.0313. Induced Deliveries or Cesarean Sections Before 39th Week - Sec. 32.0313. INDUCED DELIVERIES OR CESAREAN SECTIONS BEFORE 39TH WEEK....

Section 32.0314. Reimbursement for Durable Medical Equipment and Supplies - Sec. 32.0314. REIMBURSEMENT FOR DURABLE MEDICAL EQUIPMENT AND SUPPLIES. The...

Section 32.03141. Authority of Advanced Practice Registered Nurses and Physician Assistants Regarding Durable Medical Equipment and Supplies - Sec. 32.03141. AUTHORITY OF ADVANCED PRACTICE REGISTERED NURSES AND PHYSICIAN...

Section 32.0315. Funds for Graduate Medical Education - Sec. 32.0315. FUNDS FOR GRADUATE MEDICAL EDUCATION. (a) Subject to...

Section 32.0316. Electronic Transactions; Medicaid - Sec. 32.0316. ELECTRONIC TRANSACTIONS; MEDICAID. The executive commissioner shall adopt...

Section 32.0317. Reimbursement for Services Provided Under School Health and Related Services Program - Sec. 32.0317. REIMBURSEMENT FOR SERVICES PROVIDED UNDER SCHOOL HEALTH AND...

Section 32.032. Prevention and Detection of Fraud and Abuse - Sec. 32.032. PREVENTION AND DETECTION OF FRAUD AND ABUSE. The...

Section 32.0321. Surety Bond - Sec. 32.0321. SURETY BOND. (a) The executive commissioner by rule...

Section 32.0322. Criminal History Record Information; Enrollment of Providers - Sec. 32.0322. CRIMINAL HISTORY RECORD INFORMATION; ENROLLMENT OF PROVIDERS. (a)...

Section 32.033. Subrogation - Sec. 32.033. SUBROGATION. (a) The filing of an application for...

Section 32.034. Contract Cancellation; Notice and Hearing - Sec. 32.034. CONTRACT CANCELLATION; NOTICE AND HEARING. (a) The commission...

Section 32.035. Appeals - Sec. 32.035. APPEALS. The provisions of Section 31.034 governing the...

Section 32.036. Program Payments Nonassignable and Exempt From Legal Process - Sec. 32.036. PROGRAM PAYMENTS NONASSIGNABLE AND EXEMPT FROM LEGAL PROCESS....

Section 32.038. Collection of Insurance Payments - Sec. 32.038. COLLECTION OF INSURANCE PAYMENTS. (a) The commission may...

Section 32.0381. Icf-Iid Payment Rates - Sec. 32.0381. ICF-IID PAYMENT RATES. (a) The executive commissioner shall...

Section 32.039. Damages and Penalties - Sec. 32.039. DAMAGES AND PENALTIES. (a) In this section: (1)...

Section 32.0391. Criminal Offense - Sec. 32.0391. CRIMINAL OFFENSE. (a) A person commits an offense...

Section 32.040. Identification of Husband or Alleged Father - Sec. 32.040. IDENTIFICATION OF HUSBAND OR ALLEGED FATHER. (a) A...

Section 32.042. Information Required From Health Insurers - Sec. 32.042. INFORMATION REQUIRED FROM HEALTH INSURERS. (a) An insurer...

Section 32.0421. Administrative Penalty for Failure to Provide Information - Sec. 32.0421. ADMINISTRATIVE PENALTY FOR FAILURE TO PROVIDE INFORMATION. (a)...

Section 32.0422. Health Insurance Premium Payment Reimbursement Program for Medical Assistance Recipients - Sec. 32.0422. HEALTH INSURANCE PREMIUM PAYMENT REIMBURSEMENT PROGRAM FOR MEDICAL...

Section 32.0423. Recovery of Reimbursements From Health Coverage Providers - Sec. 32.0423. RECOVERY OF REIMBURSEMENTS FROM HEALTH COVERAGE PROVIDERS. To...

Section 32.0424. Requirements of Third-Party Health Insurers - Sec. 32.0424. REQUIREMENTS OF THIRD-PARTY HEALTH INSURERS. (a) A third-party...

Section 32.04242. Payor of Last Resort - Sec. 32.04242. PAYOR OF LAST RESORT. The executive commissioner shall...

Section 32.0425. Reimbursement for Wheeled Mobility Systems - Sec. 32.0425. REIMBURSEMENT FOR WHEELED MOBILITY SYSTEMS. (a) In this...

Section 32.043. Procurement Rules for Public Disproportionate Share Hospitals - Sec. 32.043. PROCUREMENT RULES FOR PUBLIC DISPROPORTIONATE SHARE HOSPITALS. (a)...

Section 32.044. Group Purchasing for Disproportionate Share Hospitals - Sec. 32.044. GROUP PURCHASING FOR DISPROPORTIONATE SHARE HOSPITALS. (a) A...

Section 32.045. Enhanced Reimbursement - Sec. 32.045. ENHANCED REIMBURSEMENT. The commission shall develop a procedure...

Section 32.046. Sanctions and Penalties Related to the Provision of Pharmacy Products - Sec. 32.046. SANCTIONS AND PENALTIES RELATED TO THE PROVISION OF...

Section 32.0461. Vendor Drug Program; Competitive Bidding - Sec. 32.0461. VENDOR DRUG PROGRAM; COMPETITIVE BIDDING. (a) The commission...

Section 32.0462. Vendor Drug Program; Pricing Standard - Sec. 32.0462. VENDOR DRUG PROGRAM; PRICING STANDARD. (a) Notwithstanding any...

Section 32.0463. Medications and Medical Supplies - Sec. 32.0463. MEDICATIONS AND MEDICAL SUPPLIES. The executive commissioner may...

Section 32.047. Prohibition of Certain Health Care Service Providers - Sec. 32.047. PROHIBITION OF CERTAIN HEALTH CARE SERVICE PROVIDERS. (a)...

Section 32.048. Managed Care Information and Training Plan - Sec. 32.048. MANAGED CARE INFORMATION AND TRAINING PLAN. (a) Subject...

Section 32.049. Managed Care Contract Compliance - Sec. 32.049. MANAGED CARE CONTRACT COMPLIANCE. (a) The commission shall...

Section 32.050. Dual Medicaid and Medicare Coverage - Sec. 32.050. DUAL MEDICAID AND MEDICARE COVERAGE. (a) At least...

Section 32.051. Misdirected Billing - Sec. 32.051. MISDIRECTED BILLING. To the extent authorized by federal...

Section 32.052. Waiver Programs for Children With Disabilities or Special Health Care Needs - Sec. 32.052. WAIVER PROGRAMS FOR CHILDREN WITH DISABILITIES OR SPECIAL...

Section 32.0531. Pace Program Team - Sec. 32.0531. PACE PROGRAM TEAM. (a) The Department of Aging...

Section 32.0532. Pace Program Reimbursement Methodology - Sec. 32.0532. PACE PROGRAM REIMBURSEMENT METHODOLOGY. (a) In this section...

Section 32.0533. Data Collection: Pace and Star + Plus Medicaid Managed Care Programs - Sec. 32.0533. DATA COLLECTION: PACE AND STAR + PLUS MEDICAID...

Section 32.054. Dental Services - Sec. 32.054. DENTAL SERVICES. (a) For purposes of this section,...

Section 32.055. Catastrophic Case Management - Sec. 32.055. CATASTROPHIC CASE MANAGEMENT. (a) The commission shall develop...

Section 32.0551. Optimization of Case Management Systems - Sec. 32.0551. OPTIMIZATION OF CASE MANAGEMENT SYSTEMS. The commission shall:...

Section 32.056. Compliance With Texas Health Steps Comprehensive Care Program - Sec. 32.056. COMPLIANCE WITH TEXAS HEALTH STEPS COMPREHENSIVE CARE PROGRAM....

Section 32.0561. Maternal Depression Screening - Sec. 32.0561. MATERNAL DEPRESSION SCREENING. (a) In this section, "maternal...

Section 32.057. Contracts for Disease Management Programs - Sec. 32.057. CONTRACTS FOR DISEASE MANAGEMENT PROGRAMS. (a) The commission...

Section 32.058. Limitation on Medical Assistance in Certain Alternative Community-Based Care Settings - Sec. 32.058. LIMITATION ON MEDICAL ASSISTANCE IN CERTAIN ALTERNATIVE COMMUNITY-BASED...

Section 32.059. Use of Respiratory Therapists for Respiratory Therapy Services - Sec. 32.059. USE OF RESPIRATORY THERAPISTS FOR RESPIRATORY THERAPY SERVICES....

Section 32.061. Community Attendant Services Program - Sec. 32.061. COMMUNITY ATTENDANT SERVICES PROGRAM. (a) Any home and...

Section 32.062. Admissibility of Certain Evidence Relating to Nursing Institutions - Sec. 32.062. ADMISSIBILITY OF CERTAIN EVIDENCE RELATING TO NURSING INSTITUTIONS....

Section 32.063. Third-Party Billing Vendors - Sec. 32.063. THIRD-PARTY BILLING VENDORS. (a) A third-party billing vendor...

Section 32.0641. Recipient Accountability Provisions; Cost-Sharing Requirement to Improve Appropriate Utilization of Services - Sec. 32.0641. RECIPIENT ACCOUNTABILITY PROVISIONS; COST-SHARING REQUIREMENT TO IMPROVE APPROPRIATE...

Section 32.067. Delivery of Comprehensive Care Services to Certain Recipients of Medical Assistance - Sec. 32.067. DELIVERY OF COMPREHENSIVE CARE SERVICES TO CERTAIN RECIPIENTS...

Section 32.068. In-Person Evaluation Required for Certain Services - Sec. 32.068. IN-PERSON EVALUATION REQUIRED FOR CERTAIN SERVICES. (a) A...

Section 32.069. Chronic Kidney Disease Management Initiative - Sec. 32.069. CHRONIC KIDNEY DISEASE MANAGEMENT INITIATIVE. A provider of...

Section 32.070. Audits of Providers - Sec. 32.070. AUDITS OF PROVIDERS. (a) In this section, "provider"...

Section 32.0705. External Audits of Certain Medicaid Contractors Based on Risk - Sec. 32.0705. EXTERNAL AUDITS OF CERTAIN MEDICAID CONTRACTORS BASED ON...

Section 32.071. Recipient and Provider Education - Sec. 32.071. RECIPIENT AND PROVIDER EDUCATION. (a) The commission shall...

Section 32.072. Direct Access to Eye Health Care Services - Sec. 32.072. DIRECT ACCESS TO EYE HEALTH CARE SERVICES. (a)...

Section 32.073. Health Information Technology Standards - Sec. 32.073. HEALTH INFORMATION TECHNOLOGY STANDARDS. (a) In this section,...

Section 32.074. Access to Personal Emergency Response System - Sec. 32.074. ACCESS TO PERSONAL EMERGENCY RESPONSE SYSTEM. (a) In...

Section 32.075. Employment Assistance and Supported Employment - Sec. 32.075. EMPLOYMENT ASSISTANCE AND SUPPORTED EMPLOYMENT. (a) In this...

Section 32.076. Substitute Dentists - Sec. 32.076. SUBSTITUTE DENTISTS. To the extent allowed by federal...

Subchapter C. Medical Assistance Program Provider Database

Section 32.101. Definitions - Sec. 32.101. DEFINITIONS. In this subchapter: (1) Repealed by Acts...

Section 32.102. Database of Medical Assistance Program Providers - Sec. 32.102. DATABASE OF MEDICAL ASSISTANCE PROGRAM PROVIDERS. (a) The...

Section 32.103. Certain Fees Prohibited - Sec. 32.103. CERTAIN FEES PROHIBITED. A person, including the executive...

Section 32.104. Authority to Contract - Sec. 32.104. AUTHORITY TO CONTRACT. (a) The executive commissioner may...

Section 32.105. Rules - Sec. 32.105. RULES. The executive commissioner shall adopt rules to...

Subchapter E. Electronic Communications

Section 32.201. Definitions - Sec. 32.201. DEFINITIONS. In this subchapter: (1) "Electronic health record"...

Section 32.202. Electronic Communications - Sec. 32.202. ELECTRONIC COMMUNICATIONS. (a) To the extent allowed by...

Subchapter F. Partnership for Long-Term Care Program

Section 32.251. Definitions - Sec. 32.251. DEFINITIONS. In this subchapter: (1) "Approved plan" means...

Section 32.252. Partnership for Long-Term Care Program - Sec. 32.252. PARTNERSHIP FOR LONG-TERM CARE PROGRAM. The partnership for...

Section 32.253. Asset Disregard - Sec. 32.253. ASSET DISREGARD. (a) To the extent allowed by...

Section 32.254. Reciprocal Agreements - Sec. 32.254. RECIPROCAL AGREEMENTS. The commission may enter into reciprocal...

Section 32.255. Training; Information and Technical Assistance - Sec. 32.255. TRAINING; INFORMATION AND TECHNICAL ASSISTANCE. The commission shall...

Section 32.256. Rules - Sec. 32.256. RULES. (a) The executive commissioner shall adopt rules...

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Texas Statutes Subtitle C - Assistance Programs Chapter 32 - Medical Assistance Program

Texas Statutes
Subtitle C - Assistance Programs
Chapter 32 - Medical Assistance Program