Texas Statutes
Title 4 - Executive Branch
Subtitle I - Health and Human Services

Section 531.0011. References in Law Meaning Commission or Appropriate Division - Sec. 531.0011. REFERENCES IN LAW MEANING COMMISSION OR APPROPRIATE DIVISION....

Section 531.0012. References in Law Meaning Executive Commissioner or Designee - Sec. 531.0012. REFERENCES IN LAW MEANING EXECUTIVE COMMISSIONER OR DESIGNEE....

Section 531.002. Health and Human Services Commission; Responsibility - Sec. 531.002. HEALTH AND HUMAN SERVICES COMMISSION; RESPONSIBILITY. (a) The...

Section 531.0025. Restrictions on Awards to Family Planning Service Providers - Sec. 531.0025. RESTRICTIONS ON AWARDS TO FAMILY PLANNING SERVICE PROVIDERS....

Section 531.003. Goals - Sec. 531.003. GOALS. The commission's goals are to: (1) maximize...

Section 531.004. Sunset Provision - Sec. 531.004. SUNSET PROVISION. The Health and Human Services Commission...

Section 531.005. Executive Commissioner - Sec. 531.005. EXECUTIVE COMMISSIONER. (a) The commission is governed by...

Section 531.0051. Health and Human Services Commission Executive Council - Sec. 531.0051. HEALTH AND HUMAN SERVICES COMMISSION EXECUTIVE COUNCIL. (a)...

Section 531.0055. Executive Commissioner: General Responsibility for Health and Human Services System - Sec. 531.0055. EXECUTIVE COMMISSIONER: GENERAL RESPONSIBILITY FOR HEALTH AND HUMAN...

Section 531.00551. Procedures for Adopting Rules and Policies - Sec. 531.00551. PROCEDURES FOR ADOPTING RULES AND POLICIES. (a) The...

Section 531.00552. Consolidated Internal Audit Program - Sec. 531.00552. CONSOLIDATED INTERNAL AUDIT PROGRAM. (a) Notwithstanding Section 2102.005,...

Section 531.005522. Efficiency Audit - Sec. 531.005522. EFFICIENCY AUDIT. (a) For purposes of this section,...

Section 531.00553. Administrative Support Services - Sec. 531.00553. ADMINISTRATIVE SUPPORT SERVICES. (a) In this section, the...

Section 531.00554. Criminal Background Checks - Sec. 531.00554. CRIMINAL BACKGROUND CHECKS. (a) In this section, "eligible...

Section 531.0056. Appointment of Agency Director by Executive Commissioner - Sec. 531.0056. APPOINTMENT OF AGENCY DIRECTOR BY EXECUTIVE COMMISSIONER. (a)...

Section 531.00561. Appointment and Qualifications of Division Directors - Sec. 531.00561. APPOINTMENT AND QUALIFICATIONS OF DIVISION DIRECTORS. (a) The...

Section 531.00562. Division Director Duties - Sec. 531.00562. DIVISION DIRECTOR DUTIES. (a) The executive commissioner shall...

Section 531.0057. Medical Transportation Services - Sec. 531.0057. MEDICAL TRANSPORTATION SERVICES. (a) The commission shall provide...

Section 531.006. Eligibility for Appointment as Executive Commissioner; Employee Restrictions - Sec. 531.006. ELIGIBILITY FOR APPOINTMENT AS EXECUTIVE COMMISSIONER; EMPLOYEE RESTRICTIONS....

Section 531.007. Term - Sec. 531.007. TERM. The executive commissioner serves a two-year term...

Section 531.008. Divisions of Commission - Sec. 531.008. DIVISIONS OF COMMISSION. (a) The executive commissioner shall...

Section 531.0081. Medical Technology - Sec. 531.0081. MEDICAL TECHNOLOGY. (b) The commission shall explore and...

Section 531.0082. Data Analysis Unit - Sec. 531.0082. DATA ANALYSIS UNIT. (a) The executive commissioner shall...

Section 531.0083. Office of Policy and Performance - Sec. 531.0083. OFFICE OF POLICY AND PERFORMANCE. (a) In this...

Section 531.0084. Investigation Unit for Illegally Operating Child-Care Facilities - Sec. 531.0084. INVESTIGATION UNIT FOR ILLEGALLY OPERATING CHILD-CARE FACILITIES. The...

Section 531.009. Personnel - Sec. 531.009. PERSONNEL. (a) The executive commissioner shall employ a...

Section 531.010. Merit System - Sec. 531.010. MERIT SYSTEM. (a) The commission may establish a...

Section 531.011. Public Input Information and Complaints - Sec. 531.011. PUBLIC INPUT INFORMATION AND COMPLAINTS. (a) The commission...

Section 531.012. Advisory Committees - Sec. 531.012. ADVISORY COMMITTEES. (a) The executive commissioner shall establish...

Section 531.0121. Public Access to Advisory Committee Meetings - Sec. 531.0121. PUBLIC ACCESS TO ADVISORY COMMITTEE MEETINGS. (a) This...

Section 531.013. Electronic Availability of Technical Assistance - Sec. 531.013. ELECTRONIC AVAILABILITY OF TECHNICAL ASSISTANCE. (a) Health and...

Section 531.014. Consolidation of Reports - Sec. 531.014. CONSOLIDATION OF REPORTS. The commission may consolidate any...

Section 531.0141. Application Requirement for Colonias Projects - Sec. 531.0141. APPLICATION REQUIREMENT FOR COLONIAS PROJECTS. (a) In this...

Section 531.015. New Facilities in Certain Counties - Sec. 531.015. NEW FACILITIES IN CERTAIN COUNTIES. A health and...

Section 531.0161. Negotiated Rulemaking and Alternative Dispute Procedures - Sec. 531.0161. NEGOTIATED RULEMAKING AND ALTERNATIVE DISPUTE PROCEDURES. (a) The...

Section 531.0162. Use of Technology - Sec. 531.0162. USE OF TECHNOLOGY. (a) The commission shall develop...

Section 531.0163. Memorandum of Understanding - Sec. 531.0163. MEMORANDUM OF UNDERSTANDING. (a) The memorandum of understanding...

Section 531.0164. Health and Human Services System Internet Website Coordination - Sec. 531.0164. HEALTH AND HUMAN SERVICES SYSTEM INTERNET WEBSITE COORDINATION....

Section 531.0165. Internet Broadcast and Archive of Open Meetings - Sec. 531.0165. INTERNET BROADCAST AND ARCHIVE OF OPEN MEETINGS. (a)...

Section 531.017. Purchasing Unit - Sec. 531.017. PURCHASING UNIT. (a) The commission shall establish a...

Section 531.0171. Office of Ombudsman - Sec. 531.0171. OFFICE OF OMBUDSMAN. (a) The executive commissioner shall...

Section 531.018. Certain Contracts for Health Care Purposes; Review by Attorney General - Sec. 531.018. CERTAIN CONTRACTS FOR HEALTH CARE PURPOSES; REVIEW BY...

Section 531.019. Administrative and Judicial Review of Certain Decisions - Sec. 531.019. ADMINISTRATIVE AND JUDICIAL REVIEW OF CERTAIN DECISIONS. (a)...

Section 531.0191. Services Provided by Contractor to Persons With Limited English Proficiency - Sec. 531.0191. SERVICES PROVIDED BY CONTRACTOR TO PERSONS WITH LIMITED...

Section 531.0192. Health and Human Services System Hotline and Call Center Coordination - Sec. 531.0192. HEALTH AND HUMAN SERVICES SYSTEM HOTLINE AND CALL...

Section 531.020. Office of Community Access and Services - Sec. 531.020. OFFICE OF COMMUNITY ACCESS AND SERVICES. The executive...

Subchapter A. -1. Consolidation of Health and Human Services System

Section 531.02001. Consolidation of Health and Human Services System Generally - Sec. 531.02001. CONSOLIDATION OF HEALTH AND HUMAN SERVICES SYSTEM GENERALLY....

Section 531.02002. Meaning of Function in Relation to Transfers - Sec. 531.02002. MEANING OF FUNCTION IN RELATION TO TRANSFERS. For...

Section 531.0201. Phase One: Initial Transfers - Sec. 531.0201. PHASE ONE: INITIAL TRANSFERS. (a) On the dates...

Section 531.02011. Phase Two: Final Transfers to Commission - Sec. 531.02011. PHASE TWO: FINAL TRANSFERS TO COMMISSION. On the...

Section 531.02012. Transfer and Consolidation of Administrative Support Services Functions - Sec. 531.02012. TRANSFER AND CONSOLIDATION OF ADMINISTRATIVE SUPPORT SERVICES FUNCTIONS....

Section 531.02013. Functions Remaining With Certain Agencies - Sec. 531.02013. FUNCTIONS REMAINING WITH CERTAIN AGENCIES. The following functions...

Section 531.02014. Related Transfers; Effect of Consolidation - Sec. 531.02014. RELATED TRANSFERS; EFFECT OF CONSOLIDATION. (a) All of...

Section 531.0202. Abolition of State Agencies and Entities; Effect of Transfers - Sec. 531.0202. ABOLITION OF STATE AGENCIES AND ENTITIES; EFFECT OF...

Section 531.0203. Health and Human Services Transition Legislative Oversight Committee - Sec. 531.0203. HEALTH AND HUMAN SERVICES TRANSITION LEGISLATIVE OVERSIGHT COMMITTEE....

Section 531.02031. Study on Continuing Need for Certain State Agencies - Sec. 531.02031. STUDY ON CONTINUING NEED FOR CERTAIN STATE AGENCIES....

Section 531.0204. Transition Plan for Implementation of Consolidation - Sec. 531.0204. TRANSITION PLAN FOR IMPLEMENTATION OF CONSOLIDATION. (a) The...

Section 531.02041. Required Reports After Transition Plan Submission - Sec. 531.02041. REQUIRED REPORTS AFTER TRANSITION PLAN SUBMISSION. If, at...

Section 531.0205. Applicability of Former Law - Sec. 531.0205. APPLICABILITY OF FORMER LAW. An action brought or...

Section 531.0207. Expiration of Subchapter - Sec. 531.0207. EXPIRATION OF SUBCHAPTER. This subchapter expires September 1,...

Subchapter B. Powers and Duties

Section 531.021. Administration of Medicaid - Sec. 531.021. ADMINISTRATION OF MEDICAID. (a) The commission is the...

Section 531.0211. Managed Care Medicaid Program: Rules; Education Programs - Sec. 531.0211. MANAGED CARE MEDICAID PROGRAM: RULES; EDUCATION PROGRAMS. (a)...

Section 531.02111. Biennial Medicaid Financial Report - Sec. 531.02111. BIENNIAL MEDICAID FINANCIAL REPORT. (a) The commission shall...

Section 531.02113. Optimization of Medicaid Financing - Sec. 531.02113. OPTIMIZATION OF MEDICAID FINANCING. The commission shall ensure...

Section 531.021135. Commission's Authority to Retain Certain Money to Administer Certain Medicaid Programs; Report Required - Sec. 531.021135. COMMISSION'S AUTHORITY TO RETAIN CERTAIN MONEY TO ADMINISTER...

Section 531.02114. Dental Director - Sec. 531.02114. DENTAL DIRECTOR. The executive commissioner shall appoint for...

Section 531.02115. Marketing Activities by Providers Participating in Medicaid or Child Health Plan Program - Sec. 531.02115. MARKETING ACTIVITIES BY PROVIDERS PARTICIPATING IN MEDICAID OR...

Section 531.02118. Streamlining Medicaid Provider Enrollment and Credentialing Processes - Sec. 531.02118. STREAMLINING MEDICAID PROVIDER ENROLLMENT AND CREDENTIALING PROCESSES. (a)...

Section 531.021182. Use of National Provider Identifier Number - Sec. 531.021182. USE OF NATIONAL PROVIDER IDENTIFIER NUMBER. (a) In...

Section 531.021191. Medicaid Enrollment of Certain Eye Health Care Providers - Sec. 531.021191. MEDICAID ENROLLMENT OF CERTAIN EYE HEALTH CARE PROVIDERS....

Section 531.0212. Medicaid Bill of Rights and Bill of Responsibilities - Sec. 531.0212. MEDICAID BILL OF RIGHTS AND BILL OF RESPONSIBILITIES....

Section 531.0213. Support Services for Medicaid Recipients - Sec. 531.0213. SUPPORT SERVICES FOR MEDICAID RECIPIENTS. (a) The commission...

Section 531.02131. Grievances Related to Medicaid - Sec. 531.02131. GRIEVANCES RELATED TO MEDICAID. (a) The commission shall...

Section 531.0214. Medicaid Data Collection System - Sec. 531.0214. MEDICAID DATA COLLECTION SYSTEM. (a) The commission and...

Section 531.02141. Medicaid Information Collection and Analysis - Sec. 531.02141. MEDICAID INFORMATION COLLECTION AND ANALYSIS. (a) The commission...

Section 531.02142. Public Access to Certain Medicaid Data - Sec. 531.02142. PUBLIC ACCESS TO CERTAIN MEDICAID DATA. (a) To...

Section 531.02143. Data Regarding Postnatal Alcohol and Controlled Substance Treatment - Sec. 531.02143. DATA REGARDING POSTNATAL ALCOHOL AND CONTROLLED SUBSTANCE TREATMENT....

Section 531.0215. Compilation of Statistics Relating to Fraud - Sec. 531.0215. COMPILATION OF STATISTICS RELATING TO FRAUD. The commission...

Section 531.0216. Participation and Reimbursement of Telemedicine Medical Service Providers, Teledentistry Dental Service Providers, and Telehealth Service Providers Under Medicaid - Sec. 531.0216. PARTICIPATION AND REIMBURSEMENT OF TELEMEDICINE MEDICAL SERVICE PROVIDERS,...

Section 531.02161. Provision of Services Through Telecommunications and Information Technology Under Medicaid and Other Public Benefits Programs - Sec. 531.02161. PROVISION OF SERVICES THROUGH TELECOMMUNICATIONS AND INFORMATION TECHNOLOGY...

Section 531.02162. Medicaid Services Provided Through Telemedicine Medical Services, Teledentistry Dental Services, and Telehealth Services to Children With Special Health Care Needs - Sec. 531.02162. MEDICAID SERVICES PROVIDED THROUGH TELEMEDICINE MEDICAL SERVICES, TELEDENTISTRY...

Section 531.02164. Medicaid Services Provided Through Home Telemonitoring Services - Sec. 531.02164. MEDICAID SERVICES PROVIDED THROUGH HOME TELEMONITORING SERVICES. (a)...

Section 531.0217. Reimbursement for Certain Medical Consultations - Sec. 531.0217. REIMBURSEMENT FOR CERTAIN MEDICAL CONSULTATIONS. (a) In this...

Section 531.02171. Reimbursement for Certain Telehealth Services - Sec. 531.02171. REIMBURSEMENT FOR CERTAIN TELEHEALTH SERVICES. (a) In this...

Section 531.02172. Reimbursement for Teledentistry Dental Services - Sec. 531.02172. REIMBURSEMENT FOR TELEDENTISTRY DENTAL SERVICES. (a) The commission...

Section 531.02174. Additional Authority Regarding Telemedicine Medical Services - Sec. 531.02174. ADDITIONAL AUTHORITY REGARDING TELEMEDICINE MEDICAL SERVICES. (a) In...

Section 531.02175. Reimbursement for Online Medical Consultations - Sec. 531.02175. REIMBURSEMENT FOR ONLINE MEDICAL CONSULTATIONS. (a) In this...

Section 531.0218. Long-Term Care Medicaid Programs - Sec. 531.0218. LONG-TERM CARE MEDICAID PROGRAMS. (a) To the extent...

Section 531.02191. Public Input - Sec. 531.02191. PUBLIC INPUT. In complying with the requirements of...

Section 531.02192. Federally Qualified Health Center and Rural Health Clinic Services - Sec. 531.02192. FEDERALLY QUALIFIED HEALTH CENTER AND RURAL HEALTH CLINIC...

Section 531.02193. Certain Conditions on Medicaid Reimbursement of Rural Health Clinics Prohibited - Sec. 531.02193. CERTAIN CONDITIONS ON MEDICAID REIMBURSEMENT OF RURAL HEALTH...

Section 531.02194. Reimbursement Methodology for Rural Hospitals - Sec. 531.02194. REIMBURSEMENT METHODOLOGY FOR RURAL HOSPITALS. (a) In this...

Section 531.022. Coordinated Strategic Plan for Health and Human Services - Sec. 531.022. COORDINATED STRATEGIC PLAN FOR HEALTH AND HUMAN SERVICES....

Section 531.0222. Local Mental Health Authority Group Regional Planning - Sec. 531.0222. LOCAL MENTAL HEALTH AUTHORITY GROUP REGIONAL PLANNING. (a)...

Section 531.0224. Planning and Policy Direction of Temporary Assistance for Needy Families Program - Sec. 531.0224. PLANNING AND POLICY DIRECTION OF TEMPORARY ASSISTANCE FOR...

Section 531.02241. Pilot Program for Self-Sufficiency of Certain Persons Receiving Financial Assistance or Supplemental Nutrition Assistance Benefits - Sec. 531.02241. PILOT PROGRAM FOR SELF-SUFFICIENCY OF CERTAIN PERSONS RECEIVING...

Section 531.0225. Mental Health and Substance Abuse Services - Sec. 531.0225. MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES. (a) To...

Section 531.02251. Ombudsman for Behavioral Health Access to Care - Sec. 531.02251. OMBUDSMAN FOR BEHAVIORAL HEALTH ACCESS TO CARE. (a)...

Section 531.02253. Telehealth Treatment for Substance Use Disorders - Sec. 531.02253. TELEHEALTH TREATMENT FOR SUBSTANCE USE DISORDERS. The executive...

Section 531.0226. Chronic Health Conditions Services Medicaid Waiver Program - Sec. 531.0226. CHRONIC HEALTH CONDITIONS SERVICES MEDICAID WAIVER PROGRAM. (a)...

Section 531.0227. Person First Respectful Language Promotion - Sec. 531.0227. PERSON FIRST RESPECTFUL LANGUAGE PROMOTION. The executive commissioner...

Section 531.023. Submission of Plans and Updates by Agencies - Sec. 531.023. SUBMISSION OF PLANS AND UPDATES BY AGENCIES. (a)...

Section 531.024. Planning and Delivery of Health and Human Services; Data Sharing - Sec. 531.024. PLANNING AND DELIVERY OF HEALTH AND HUMAN SERVICES;...

Section 531.0241. Streamlining Delivery of Services - Sec. 531.0241. STREAMLINING DELIVERY OF SERVICES. To integrate and streamline...

Section 531.02411. Streamlining Administrative Processes - Sec. 531.02411. STREAMLINING ADMINISTRATIVE PROCESSES. The commission shall make every...

Section 531.024115. Service Delivery Area Alignment - Sec. 531.024115. SERVICE DELIVERY AREA ALIGNMENT. Notwithstanding Section 533.0025(e) or...

Section 531.02412. Service Delivery Audit Mechanisms - Sec. 531.02412. SERVICE DELIVERY AUDIT MECHANISMS. (a) The commission shall...

Section 531.02413. Billing Coordination System - Sec. 531.02413. BILLING COORDINATION SYSTEM. (a) If cost-effective and feasible,...

Section 531.024131. Expansion of Billing Coordination and Information Collection Activities - Sec. 531.024131. EXPANSION OF BILLING COORDINATION AND INFORMATION COLLECTION ACTIVITIES....

Section 531.02414. Nonemergency Transportation Services Under Medical Transportation Program - Sec. 531.02414. NONEMERGENCY TRANSPORTATION SERVICES UNDER MEDICAL TRANSPORTATION PROGRAM. (a)...

Section 531.024141. Pilot Program for Providing Medical Transportation Program Services to Pregnant Women and New Mothers - Sec. 531.024141. PILOT PROGRAM FOR PROVIDING MEDICAL TRANSPORTATION PROGRAM SERVICES...

Section 531.02415. Electronic Eligibility Information Pilot Project - Sec. 531.02415. ELECTRONIC ELIGIBILITY INFORMATION PILOT PROJECT. (a) The commission...

Section 531.024161. Reimbursement Claims for Certain Medicaid or Child Health Plan Services Involving Supervised Providers - Sec. 531.024161. REIMBURSEMENT CLAIMS FOR CERTAIN MEDICAID OR CHILD HEALTH...

Section 531.024162. Notice Requirements Regarding Medicaid Coverage or Prior Authorization Denial and Incomplete Requests - Sec. 531.024162. NOTICE REQUIREMENTS REGARDING MEDICAID COVERAGE OR PRIOR AUTHORIZATION...

Section 531.024163. Accessibility of Information Regarding Medicaid Prior Authorization Requirements - Sec. 531.024163. ACCESSIBILITY OF INFORMATION REGARDING MEDICAID PRIOR AUTHORIZATION REQUIREMENTS....

Section 531.024164. External Medical Review - Sec. 531.024164. EXTERNAL MEDICAL REVIEW. (a) In this section, "external...

Section 531.024165. Medical Review of Medicaid Service Denials for Foster Care Youth - Sec. 531.024165. MEDICAL REVIEW OF MEDICAID SERVICE DENIALS FOR FOSTER...

Section 531.02417. Medicaid Nursing Services Assessments - Sec. 531.02417. MEDICAID NURSING SERVICES ASSESSMENTS. (a) In this section,...

Section 531.024171. Therapy Services Assessments - Sec. 531.024171. THERAPY SERVICES ASSESSMENTS. (a) In this section, "therapy...

Section 531.024172. Electronic Visit Verification System - Sec. 531.024172. ELECTRONIC VISIT VERIFICATION SYSTEM. (a) Not later than...

Section 531.02418. Medicaid and Child Health Plan Program Eligibility Determinations for Certain Individuals - Sec. 531.02418. MEDICAID AND CHILD HEALTH PLAN PROGRAM ELIGIBILITY DETERMINATIONS...

Section 531.024181. Verification of Immigration Status of Applicants for Certain Benefits Who Are Qualified Aliens - Sec. 531.024181. VERIFICATION OF IMMIGRATION STATUS OF APPLICANTS FOR CERTAIN...

Section 531.024182. Verification of Sponsorship Information for Certain Benefits Recipients; Reimbursement - Sec. 531.024182. VERIFICATION OF SPONSORSHIP INFORMATION FOR CERTAIN BENEFITS RECIPIENTS;...

Section 531.0242. Use of Agency Staff - Sec. 531.0242. USE OF AGENCY STAFF. To the extent requested...

Section 531.0244. Ensuring Appropriate Care Setting for Persons With Disabilities - Sec. 531.0244. ENSURING APPROPRIATE CARE SETTING FOR PERSONS WITH DISABILITIES....

Section 531.02442. Community Living Options Information Process for Certain Persons With an Intellectual Disability - Sec. 531.02442. COMMUNITY LIVING OPTIONS INFORMATION PROCESS FOR CERTAIN PERSONS...

Section 531.02443. Implementation of Community Living Options Information Process at State Institutions for Certain Adult Residents - Sec. 531.02443. IMPLEMENTATION OF COMMUNITY LIVING OPTIONS INFORMATION PROCESS AT...

Section 531.02444. Medicaid Buy-in Programs for Certain Persons With Disabilities - Sec. 531.02444. MEDICAID BUY-IN PROGRAMS FOR CERTAIN PERSONS WITH DISABILITIES....

Section 531.02445. Transition Services for Youth With Disabilities - Sec. 531.02445. TRANSITION SERVICES FOR YOUTH WITH DISABILITIES. (a) The...

Section 531.02447. Employment-First Policy - Sec. 531.02447. EMPLOYMENT-FIRST POLICY. (a) It is the policy of...

Section 531.02448. Competitive and Integrated Employment Initiative for Certain Medicaid Recipients - Sec. 531.02448. COMPETITIVE AND INTEGRATED EMPLOYMENT INITIATIVE FOR CERTAIN MEDICAID...

Section 531.0245. Permanency Planning for Certain Children - Sec. 531.0245. PERMANENCY PLANNING FOR CERTAIN CHILDREN. (a) The commission...

Section 531.0246. Regional Management of Health and Human Services Agencies - Sec. 531.0246. REGIONAL MANAGEMENT OF HEALTH AND HUMAN SERVICES AGENCIES....

Section 531.0247. Annual Business Plan - Sec. 531.0247. ANNUAL BUSINESS PLAN. The commission shall develop and...

Section 531.0248. Community-Based Support Systems - Sec. 531.0248. COMMUNITY-BASED SUPPORT SYSTEMS. (a) Subject to Section 531.0055(d),...

Section 531.02481. Community-Based Support and Service Delivery Systems for Long-Term Care Services - Sec. 531.02481. COMMUNITY-BASED SUPPORT AND SERVICE DELIVERY SYSTEMS FOR LONG-TERM...

Section 531.02482. Faith- and Community-Based Organization Support for Certain Persons Receiving Public Assistance - Sec. 531.02482. FAITH- AND COMMUNITY-BASED ORGANIZATION SUPPORT FOR CERTAIN PERSONS...

Section 531.02491. Joint Training for Certain Caseworkers - Sec. 531.02491. JOINT TRAINING FOR CERTAIN CASEWORKERS. (a) The executive...

Section 531.02492. Delivery of Health and Human Services to Young Texans - Sec. 531.02492. DELIVERY OF HEALTH AND HUMAN SERVICES TO YOUNG...

Section 531.025. Statewide Needs Appraisal Project - Sec. 531.025. STATEWIDE NEEDS APPRAISAL PROJECT. (a) The commission may...

Section 531.027. Appropriations Request by Agencies - Sec. 531.027. APPROPRIATIONS REQUEST BY AGENCIES. (a) Each health and...

Section 531.0271. Health and Human Services Agencies Operating Budgets - Sec. 531.0271. HEALTH AND HUMAN SERVICES AGENCIES OPERATING BUDGETS. The...

Section 531.0273. Information Resources Planning and Management - Sec. 531.0273. INFORMATION RESOURCES PLANNING AND MANAGEMENT. (a) The commission...

Section 531.02731. Report of Information Resources Manager to Commission - Sec. 531.02731. REPORT OF INFORMATION RESOURCES MANAGER TO COMMISSION. Notwithstanding...

Section 531.0274. Coordination and Approval of Caseload Estimates - Sec. 531.0274. COORDINATION AND APPROVAL OF CASELOAD ESTIMATES. (a) The...

Section 531.028. Monitoring and Effective Management of Funds - Sec. 531.028. MONITORING AND EFFECTIVE MANAGEMENT OF FUNDS. (a) The...

Section 531.031. Management Information and Cost Accounting System - Sec. 531.031. MANAGEMENT INFORMATION AND COST ACCOUNTING SYSTEM. The executive...

Section 531.0312. Texas Information and Referral Network - Sec. 531.0312. TEXAS INFORMATION AND REFERRAL NETWORK. (a) The Texas...

Section 531.0313. Electronic Access to Health and Human Services Referral Information - Sec. 531.0313. ELECTRONIC ACCESS TO HEALTH AND HUMAN SERVICES REFERRAL...

Section 531.03131. Electronic Access to Child-Care and Education Services Referral Information - Sec. 531.03131. ELECTRONIC ACCESS TO CHILD-CARE AND EDUCATION SERVICES REFERRAL...

Section 531.03132. Electronic Access to Referral Information About Housing Options for Persons With Mental Illness - Sec. 531.03132. ELECTRONIC ACCESS TO REFERRAL INFORMATION ABOUT HOUSING OPTIONS...

Section 531.0315. Implementing National Electronic Data Interchange Standards for Health Care Information - Sec. 531.0315. IMPLEMENTING NATIONAL ELECTRONIC DATA INTERCHANGE STANDARDS FOR HEALTH...

Section 531.0317. Health and Human Services Information Made Available Through the Internet - Sec. 531.0317. HEALTH AND HUMAN SERVICES INFORMATION MADE AVAILABLE THROUGH...

Section 531.0318. Long-Term Care Consumer Information Made Available Through the Internet - Sec. 531.0318. LONG-TERM CARE CONSUMER INFORMATION MADE AVAILABLE THROUGH THE...

Section 531.0319. Outreach Campaigns for Aging Adults With Visual Impairments - Sec. 531.0319. OUTREACH CAMPAIGNS FOR AGING ADULTS WITH VISUAL IMPAIRMENTS....

Section 531.032. Application of Other Laws - Sec. 531.032. APPLICATION OF OTHER LAWS. The commission is subject...

Section 531.033. Rules - Sec. 531.033. RULES. The executive commissioner shall adopt rules necessary...

Section 531.0335. Prohibition on Punitive Action for Failure to Immunize - Sec. 531.0335. PROHIBITION ON PUNITIVE ACTION FOR FAILURE TO IMMUNIZE....

Section 531.035. Dispute Arbitration - Sec. 531.035. DISPUTE ARBITRATION. The executive commissioner shall arbitrate and...

Section 531.036. Public Hearings - Sec. 531.036. PUBLIC HEARINGS. (a) The commission biennially shall conduct...

Section 531.037. Notice of Public Hearings - Sec. 531.037. NOTICE OF PUBLIC HEARINGS. (a) In addition to...

Section 531.038. Gifts and Grants - Sec. 531.038. GIFTS AND GRANTS. The commission may accept a...

Section 531.0381. Certain Gifts and Grants to Health and Human Services Agencies - Sec. 531.0381. CERTAIN GIFTS AND GRANTS TO HEALTH AND HUMAN...

Section 531.039. Contracts - Sec. 531.039. CONTRACTS. The commission may enter into contracts as...

Section 531.0391. Subrogation and Third-Party Reimbursement Collection Contract - Sec. 531.0391. SUBROGATION AND THIRD-PARTY REIMBURSEMENT COLLECTION CONTRACT. (a) The...

Section 531.0392. Recovery of Certain Third-Party Reimbursements Under Medicaid - Sec. 531.0392. RECOVERY OF CERTAIN THIRD-PARTY REIMBURSEMENTS UNDER MEDICAID. (a)...

Section 531.040. Reference Guide; Dictionary - Sec. 531.040. REFERENCE GUIDE; DICTIONARY. (a) The commission shall publish...

Section 531.041. General Powers and Duties - Sec. 531.041. GENERAL POWERS AND DUTIES. The executive commissioner and...

Section 531.0411. Rules Regarding Refugee Resettlement - Sec. 531.0411. RULES REGARDING REFUGEE RESETTLEMENT. (a) In this section,...

Section 531.042. Information and Assistance Regarding Care and Support Options - Sec. 531.042. INFORMATION AND ASSISTANCE REGARDING CARE AND SUPPORT OPTIONS....

Section 531.043. Long-Term Care Vision - Sec. 531.043. LONG-TERM CARE VISION. (a) In conjunction with the...

Section 531.044. Financial Assistance Recipients Eligible for Federal Programs - Sec. 531.044. FINANCIAL ASSISTANCE RECIPIENTS ELIGIBLE FOR FEDERAL PROGRAMS. The...

Section 531.047. Substitute Care Provider Outcome Standards - Sec. 531.047. SUBSTITUTE CARE PROVIDER OUTCOME STANDARDS. (a) The executive...

Section 531.048. Caseload Standards - Sec. 531.048. CASELOAD STANDARDS. (a) The executive commissioner may establish...

Section 531.050. Minimum Collection Goal - Sec. 531.050. MINIMUM COLLECTION GOAL. (a) Before August 31 of...

Section 531.0501. Medicaid Waiver Programs: Interest List Management - Sec. 531.0501. MEDICAID WAIVER PROGRAMS: INTEREST LIST MANAGEMENT. Text of...

Section 531.051. Consumer Direction of Certain Services for Persons With Disabilities and Elderly Persons - Sec. 531.051. CONSUMER DIRECTION OF CERTAIN SERVICES FOR PERSONS WITH...

Section 531.0511. Medically Dependent Children Waiver Program: Consumer Direction of Services - Sec. 531.0511. MEDICALLY DEPENDENT CHILDREN WAIVER PROGRAM: CONSUMER DIRECTION OF...

Section 531.0512. Notification Regarding Consumer Direction Model - Sec. 531.0512. NOTIFICATION REGARDING CONSUMER DIRECTION MODEL. The commission shall:...

Section 531.0515. Risk Management Criteria for Certain Waiver Programs - Sec. 531.0515. RISK MANAGEMENT CRITERIA FOR CERTAIN WAIVER PROGRAMS. (a)...

Section 531.053. Leases and Subleases of Certain Office Space - Sec. 531.053. LEASES AND SUBLEASES OF CERTAIN OFFICE SPACE. (a)...

Section 531.054. Assumption of Leases for Implementations of Integrated Enrollment Services Initiative - Sec. 531.054. ASSUMPTION OF LEASES FOR IMPLEMENTATIONS OF INTEGRATED ENROLLMENT...

Section 531.055. Memorandum of Understanding on Services for Persons Needing Multiagency Services - Sec. 531.055. MEMORANDUM OF UNDERSTANDING ON SERVICES FOR PERSONS NEEDING...

Section 531.056. Review of Survey Process in Certain Institutions and Facilities - Sec. 531.056. REVIEW OF SURVEY PROCESS IN CERTAIN INSTITUTIONS AND...

Section 531.057. Volunteer Advocate Program for the Elderly - Sec. 531.057. VOLUNTEER ADVOCATE PROGRAM FOR THE ELDERLY. (a) In...

Section 531.058. Informal Dispute Resolution for Certain Long-Term Care Facilities - Sec. 531.058. INFORMAL DISPUTE RESOLUTION FOR CERTAIN LONG-TERM CARE FACILITIES....

Section 531.0581. Long-Term Care Facilities Council - Sec. 531.0581. LONG-TERM CARE FACILITIES COUNCIL. (a) In this section:...

Section 531.0585. Issuance of Materials to Certain Long-Term Care Facilities - Sec. 531.0585. ISSUANCE OF MATERIALS TO CERTAIN LONG-TERM CARE FACILITIES....

Section 531.059. Voucher Program for Transitional Living Assistance for Persons With Disabilities - Sec. 531.059. VOUCHER PROGRAM FOR TRANSITIONAL LIVING ASSISTANCE FOR PERSONS...

Section 531.060. Family-Based Alternatives for Children - Sec. 531.060. FAMILY-BASED ALTERNATIVES FOR CHILDREN. (a) The purpose of...

Section 531.0601. Long-Term Care Services Waiver Program Interest Lists - Sec. 531.0601. LONG-TERM CARE SERVICES WAIVER PROGRAM INTEREST LISTS. (a)...

Section 531.06011. Certain Medicaid Waiver Programs: Interest List Management - Sec. 531.06011. CERTAIN MEDICAID WAIVER PROGRAMS: INTEREST LIST MANAGEMENT. (a)...

Section 531.0602. Medically Dependent Children (Mdcp) Waiver Program Assessments and Reassessments - Sec. 531.0602. MEDICALLY DEPENDENT CHILDREN (MDCP) WAIVER PROGRAM ASSESSMENTS AND...

Section 531.06021. Medically Dependent Children (Mdcp) Waiver Program Quality Monitoring; Report - Sec. 531.06021. MEDICALLY DEPENDENT CHILDREN (MDCP) WAIVER PROGRAM QUALITY MONITORING;...

Section 531.0603. Eligibility of Certain Children for Medically Dependent Children (Mdcp) or Deaf-Blind With Multiple Disabilities (Dbmd) Waiver Program - Sec. 531.0603. ELIGIBILITY OF CERTAIN CHILDREN FOR MEDICALLY DEPENDENT CHILDREN...

Section 531.0604. Medically Dependent Children Program Eligibility Requirements; Nursing Facility Level of Care - Sec. 531.0604. MEDICALLY DEPENDENT CHILDREN PROGRAM ELIGIBILITY REQUIREMENTS; NURSING FACILITY...

Section 531.0605. Advancing Care for Exceptional Kids Pilot Program - Sec. 531.0605. ADVANCING CARE FOR EXCEPTIONAL KIDS PILOT PROGRAM. (a)...

Section 531.061. Participation by Fathers - Sec. 531.061. PARTICIPATION BY FATHERS. (a) The commission and each...

Section 531.062. Pilot Projects Relating to Technology Applications - Sec. 531.062. PILOT PROJECTS RELATING TO TECHNOLOGY APPLICATIONS. (a) Notwithstanding...

Section 531.063. Call Centers - Sec. 531.063. CALL CENTERS. (a) The executive commissioner by rule...

Section 531.066. Participation of Diagnostic Laboratory Service Providers in Certain Programs - Sec. 531.066. PARTICIPATION OF DIAGNOSTIC LABORATORY SERVICE PROVIDERS IN CERTAIN...

Section 531.067. Program to Improve and Monitor Certain Outcomes of Recipients Under Child Health Plan Program and Medicaid - Sec. 531.067. PROGRAM TO IMPROVE AND MONITOR CERTAIN OUTCOMES OF...

Section 531.069. Periodic Review of Vendor Drug Program - Sec. 531.069. PERIODIC REVIEW OF VENDOR DRUG PROGRAM. (a) The...

Section 531.0693. Prescription Drug Use and Expenditure Patterns - Sec. 531.0693. PRESCRIPTION DRUG USE AND EXPENDITURE PATTERNS. (a) The...

Section 531.0694. Period of Validity for Prescription - Sec. 531.0694. PERIOD OF VALIDITY FOR PRESCRIPTION. In the rules...

Section 531.0696. Considerations in Awarding Certain Contracts - Sec. 531.0696. CONSIDERATIONS IN AWARDING CERTAIN CONTRACTS. The commission may...

Section 531.0697. Prior Approval and Provider Access to Certain Communications With Certain Recipients - Sec. 531.0697. PRIOR APPROVAL AND PROVIDER ACCESS TO CERTAIN COMMUNICATIONS...

Section 531.070. Supplemental Rebates - Sec. 531.070. SUPPLEMENTAL REBATES. (a) In this section: (1) "Labeler"...

Section 531.0701. Value-Based Arrangements - Sec. 531.0701. VALUE-BASED ARRANGEMENTS. (a) In this section, "manufacturer" has...

Section 531.071. Confidentiality of Information Regarding Drug Rebates, Pricing, and Negotiations - Sec. 531.071. CONFIDENTIALITY OF INFORMATION REGARDING DRUG REBATES, PRICING, AND...

Section 531.072. Preferred Drug Lists - Sec. 531.072. PREFERRED DRUG LISTS. (a) In a manner that...

Section 531.073. Prior Authorization for Certain Prescription Drugs - Sec. 531.073. PRIOR AUTHORIZATION FOR CERTAIN PRESCRIPTION DRUGS. (a) The...

Section 531.0735. Medicaid Drug Utilization Review Program: Drug Use Reviews and Annual Report - Sec. 531.0735. MEDICAID DRUG UTILIZATION REVIEW PROGRAM: DRUG USE REVIEWS...

Section 531.0736. Drug Utilization Review Board - Sec. 531.0736. DRUG UTILIZATION REVIEW BOARD. (a) In this section,...

Section 531.0737. Drug Utilization Review Board: Conflicts of Interest - Sec. 531.0737. DRUG UTILIZATION REVIEW BOARD: CONFLICTS OF INTEREST. (a)...

Section 531.0741. Publication of Information Regarding Commission Decisions on Preferred Drug List Placement - Sec. 531.0741. PUBLICATION OF INFORMATION REGARDING COMMISSION DECISIONS ON PREFERRED...

Section 531.075. Prior Authorization for High-Cost Medical Services - Sec. 531.075. PRIOR AUTHORIZATION FOR HIGH-COST MEDICAL SERVICES. The commission...

Section 531.076. Review of Prior Authorization and Utilization Review Processes - Sec. 531.076. REVIEW OF PRIOR AUTHORIZATION AND UTILIZATION REVIEW PROCESSES....

Section 531.077. Recovery of Certain Assistance - Sec. 531.077. RECOVERY OF CERTAIN ASSISTANCE. (a) The executive commissioner...

Section 531.078. Quality Assurance Fees on Certain Waiver Program Services - Sec. 531.078. QUALITY ASSURANCE FEES ON CERTAIN WAIVER PROGRAM SERVICES....

Section 531.079. Waiver Program Quality Assurance Fee Account - Sec. 531.079. WAIVER PROGRAM QUALITY ASSURANCE FEE ACCOUNT. (a) The...

Section 531.080. Reimbursement of Waiver Programs - Sec. 531.080. REIMBURSEMENT OF WAIVER PROGRAMS. Subject to legislative appropriation...

Section 531.081. Invalidity; Federal Funds - Sec. 531.081. INVALIDITY; FEDERAL FUNDS. If any portion of Sections...

Section 531.082. Expiration of Quality Assurance Fee on Waiver Programs - Sec. 531.082. EXPIRATION OF QUALITY ASSURANCE FEE ON WAIVER PROGRAMS....

Section 531.083. Medicaid Long-Term Care System - Sec. 531.083. MEDICAID LONG-TERM CARE SYSTEM. The commission shall ensure...

Section 531.084. Medicaid Long-Term Care Cost Containment Strategies - Sec. 531.084. MEDICAID LONG-TERM CARE COST CONTAINMENT STRATEGIES. (a) The...

Section 531.0841. Long-Term Care Insurance Awareness and Education Campaign - Sec. 531.0841. LONG-TERM CARE INSURANCE AWARENESS AND EDUCATION CAMPAIGN. (a)...

Section 531.0843. Durable Medical Equipment Reuse Program - Sec. 531.0843. DURABLE MEDICAL EQUIPMENT REUSE PROGRAM. (a) In this...

Section 531.085. Hospital Emergency Room Use Reduction Initiatives - Sec. 531.085. HOSPITAL EMERGENCY ROOM USE REDUCTION INITIATIVES. (a) The...

Section 531.0861. Physician Incentive Program to Reduce Hospital Emergency Room Use for Non-Emergent Conditions - Sec. 531.0861. PHYSICIAN INCENTIVE PROGRAM TO REDUCE HOSPITAL EMERGENCY ROOM...

Section 531.0862. Continued Implementation of Certain Interventions and Best Practices by Providers; Biannual Report - Sec. 531.0862. CONTINUED IMPLEMENTATION OF CERTAIN INTERVENTIONS AND BEST PRACTICES...

Section 531.087. Distribution of Earned Income Tax Credit Information - Sec. 531.087. DISTRIBUTION OF EARNED INCOME TAX CREDIT INFORMATION. (a)...

Section 531.088. Pooled Funding for Foster Care Preventive Services - Sec. 531.088. POOLED FUNDING FOR FOSTER CARE PREVENTIVE SERVICES. (a)...

Section 531.089. Certain Medication for Sex Offenders Prohibited - Sec. 531.089. CERTAIN MEDICATION FOR SEX OFFENDERS PROHIBITED. (a) To...

Section 531.090. Joint Purchasing of Prescription Drugs and Other Medications - Sec. 531.090. JOINT PURCHASING OF PRESCRIPTION DRUGS AND OTHER MEDICATIONS....

Section 531.091. Integrated Benefits Issuance - Sec. 531.091. INTEGRATED BENEFITS ISSUANCE. (a) The commission may develop...

Section 531.092. Transfer of Money for Community-Based Services - Sec. 531.092. TRANSFER OF MONEY FOR COMMUNITY-BASED SERVICES. (a) The...

Section 531.0925. Veteran Suicide Prevention Action Plan - Sec. 531.0925. VETERAN SUICIDE PREVENTION ACTION PLAN. (a) The commission,...

Section 531.093. Services for Military Personnel - Sec. 531.093. SERVICES FOR MILITARY PERSONNEL. (a) In this section,...

Section 531.0931. Interest List or Other Waiting List Rules for Certain Military Members and Their Dependents - Sec. 531.0931. INTEREST LIST OR OTHER WAITING LIST RULES FOR...

Section 531.0941. Medicaid Health Savings Account Pilot Program - Sec. 531.0941. MEDICAID HEALTH SAVINGS ACCOUNT PILOT PROGRAM. (a) If...

Section 531.097. Tailored Benefit Packages for Certain Categories of the Medicaid Population - Sec. 531.097. TAILORED BENEFIT PACKAGES FOR CERTAIN CATEGORIES OF THE...

Section 531.0971. Tailored Benefit Packages for Non-Medicaid Populations - Sec. 531.0971. TAILORED BENEFIT PACKAGES FOR NON-MEDICAID POPULATIONS. (a) The...

Section 531.0972. Pilot Program to Prevent the Spread of Certain Infectious or Communicable Diseases - Sec. 531.0972. PILOT PROGRAM TO PREVENT THE SPREAD OF CERTAIN...

Section 531.0973. Deaf-Blind With Multiple Disabilities Waiver Program: Career Ladder for Interveners - Sec. 531.0973. DEAF-BLIND WITH MULTIPLE DISABILITIES WAIVER PROGRAM: CAREER LADDER...

Section 531.0981. Wellness Screening Program - Sec. 531.0981. WELLNESS SCREENING PROGRAM. If cost-effective, the commission may...

Section 531.099. Alignment of Medicaid Diabetic Equipment and Supplies Written Order Procedures With Medicare Diabetic Equipment and Supplies Written Order Procedures - Sec. 531.099. ALIGNMENT OF MEDICAID DIABETIC EQUIPMENT AND SUPPLIES WRITTEN...

Section 531.0991. Grant Program for Mental Health Services - Sec. 531.0991. GRANT PROGRAM FOR MENTAL HEALTH SERVICES. (a) To...

Section 531.0992. Grant Program for Mental Health Services for Veterans and Their Families - Sec. 531.0992. GRANT PROGRAM FOR MENTAL HEALTH SERVICES FOR VETERANS...

Section 531.0993. Grant Program to Reduce Recidivism, Arrest, and Incarceration Among Individuals With Mental Illness and to Reduce Wait Time for Forensic Commitment - Sec. 531.0993. GRANT PROGRAM TO REDUCE RECIDIVISM, ARREST, AND INCARCERATION...

Section 531.09935. Grant Program to Reduce Recidivism, Arrest, and Incarceration Among Individuals With Mental Illness and to Reduce Wait Time for Forensic Commitment in Most Populous County - Sec. 531.09935. GRANT PROGRAM TO REDUCE RECIDIVISM, ARREST, AND INCARCERATION...

Section 531.0994. Study; Annual Report - Sec. 531.0994. STUDY; ANNUAL REPORT. (a) The commission, in consultation...

Section 531.0995. Information for Certain Enrollees in the Healthy Texas Women Program - Sec. 531.0995. INFORMATION FOR CERTAIN ENROLLEES IN THE HEALTHY TEXAS...

Section 531.0996. Pregnancy Medical Home Pilot Program - Sec. 531.0996. PREGNANCY MEDICAL HOME PILOT PROGRAM. (a) The commission...

Section 531.0998. Memorandum of Understanding Regarding Public Assistance Reporting Information System; Maximization of Benefits - Sec. 531.0998. MEMORANDUM OF UNDERSTANDING REGARDING PUBLIC ASSISTANCE REPORTING INFORMATION...

Section 531.0999. Peer Specialists - Sec. 531.0999. PEER SPECIALISTS. (a) With input from mental health...

Subchapter C. Medicaid and Other Health and Human Services Fraud, Abuse, or Overcharges

Section 531.101. Award for Reporting Medicaid Fraud, Abuse, or Overcharges - Sec. 531.101. AWARD FOR REPORTING MEDICAID FRAUD, ABUSE, OR OVERCHARGES....

Section 531.1011. Definitions - Sec. 531.1011. DEFINITIONS. For purposes of this subchapter: (1) "Abuse"...

Section 531.102. Office of Inspector General - Sec. 531.102. OFFICE OF INSPECTOR GENERAL. (a) The commission's office...

Section 531.1021. Subpoenas - Sec. 531.1021. SUBPOENAS. (a) The office of inspector general may...

Section 531.1022. Peace Officers - Sec. 531.1022. PEACE OFFICERS. (a) The commission's office of inspector...

Section 531.1023. Compliance With Federal Coding Guidelines - Sec. 531.1023. COMPLIANCE WITH FEDERAL CODING GUIDELINES. (a) The commission's...

Section 531.1024. Hospital Utilization Reviews and Audits: Provider Education Process - Sec. 531.1024. HOSPITAL UTILIZATION REVIEWS AND AUDITS: PROVIDER EDUCATION PROCESS....

Section 531.1025. Performance Audits and Coordination of Audit Activities - Sec. 531.1025. PERFORMANCE AUDITS AND COORDINATION OF AUDIT ACTIVITIES. (a)...

Section 531.103. Interagency Coordination - Sec. 531.103. INTERAGENCY COORDINATION. (a) The commission, acting through the...

Section 531.1031. Duty to Exchange Information - Sec. 531.1031. DUTY TO EXCHANGE INFORMATION. (a) In this section...

Section 531.1032. Office of Inspector General: Criminal History Record Information Check - Sec. 531.1032. OFFICE OF INSPECTOR GENERAL: CRIMINAL HISTORY RECORD INFORMATION...

Section 531.1033. Monitoring of Certain Federal Databases - Sec. 531.1033. MONITORING OF CERTAIN FEDERAL DATABASES. The office shall...

Section 531.1034. Time to Determine Provider Eligibility; Performance Metrics - Sec. 531.1034. TIME TO DETERMINE PROVIDER ELIGIBILITY; PERFORMANCE METRICS. (a)...

Section 531.104. Assisting Investigations by Attorney General - Sec. 531.104. ASSISTING INVESTIGATIONS BY ATTORNEY GENERAL. (a) The commission...

Section 531.105. Fraud Detection Training - Sec. 531.105. FRAUD DETECTION TRAINING. (a) The commission shall develop...

Section 531.106. Learning, Neural Network, or Other Technology - Sec. 531.106. LEARNING, NEURAL NETWORK, OR OTHER TECHNOLOGY. (a) The...

Section 531.1061. Fraud Investigation Tracking System - Sec. 531.1061. FRAUD INVESTIGATION TRACKING SYSTEM. (a) The commission shall...

Section 531.1062. Recovery Monitoring System - Sec. 531.1062. RECOVERY MONITORING SYSTEM. (a) The commission shall use...

Section 531.108. Fraud Prevention - Sec. 531.108. FRAUD PREVENTION. (a) The commission's office of inspector...

Section 531.1081. Integrity of Certain Public Assistance Programs - Sec. 531.1081. INTEGRITY OF CERTAIN PUBLIC ASSISTANCE PROGRAMS. (a) In...

Section 531.109. Selection and Review of Claims - Sec. 531.109. SELECTION AND REVIEW OF CLAIMS. (a) The commission...

Section 531.110. Electronic Data Matching Program - Sec. 531.110. ELECTRONIC DATA MATCHING PROGRAM. (a) In this section,...

Section 531.111. Fraud Detection Technology - Sec. 531.111. FRAUD DETECTION TECHNOLOGY. The commission may contract with...

Section 531.1112. Study Concerning Increased Use of Technology to Strengthen Fraud Detection and Deterrence; Implementation - Sec. 531.1112. STUDY CONCERNING INCREASED USE OF TECHNOLOGY TO STRENGTHEN...

Section 531.112. Expunction of Information Related to Certain Chemical Dependency Diagnoses in Certain Records - Sec. 531.112. EXPUNCTION OF INFORMATION RELATED TO CERTAIN CHEMICAL DEPENDENCY...

Section 531.113. Managed Care Organizations: Special Investigative Units or Contracts - Sec. 531.113. MANAGED CARE ORGANIZATIONS: SPECIAL INVESTIGATIVE UNITS OR CONTRACTS....

Section 531.1131. Fraud and Abuse Recovery by Certain Persons; Retention of Recovered Amounts - Sec. 531.1131. FRAUD AND ABUSE RECOVERY BY CERTAIN PERSONS; RETENTION...

Section 531.1132. Annual Report on Certain Fraud and Abuse Recoveries - Sec. 531.1132. ANNUAL REPORT ON CERTAIN FRAUD AND ABUSE RECOVERIES....

Section 531.1135. Managed Care Organizations: Process to Recoup Certain Overpayments - Sec. 531.1135. MANAGED CARE ORGANIZATIONS: PROCESS TO RECOUP CERTAIN OVERPAYMENTS....

Section 531.114. Financial Assistance Fraud - Sec. 531.114. FINANCIAL ASSISTANCE FRAUD. (a) For purposes of establishing...

Section 531.115. Federal Felony Match - Sec. 531.115. FEDERAL FELONY MATCH. The commission shall develop and...

Section 531.116. Compliance With Law Prohibiting Solicitation - Sec. 531.116. COMPLIANCE WITH LAW PROHIBITING SOLICITATION. A provider who...

Section 531.117. Recovery Audit Contractors - Sec. 531.117. RECOVERY AUDIT CONTRACTORS. To the extent required under...

Section 531.118. Preliminary Investigations of Allegations of Fraud or Abuse and Fraud Referrals - Sec. 531.118. PRELIMINARY INVESTIGATIONS OF ALLEGATIONS OF FRAUD OR ABUSE...

Section 531.119. Website Posting - Sec. 531.119. WEBSITE POSTING. The commission's office of inspector general...

Section 531.120. Notice and Informal Resolution of Proposed Recoupment of Overpayment or Debt - Sec. 531.120. NOTICE AND INFORMAL RESOLUTION OF PROPOSED RECOUPMENT OF...

Section 531.1201. Appeal of Determination to Recoup Overpayment or Debt - Sec. 531.1201. APPEAL OF DETERMINATION TO RECOUP OVERPAYMENT OR DEBT....

Section 531.1202. Record and Confidentiality of Informal Resolution Meetings - Sec. 531.1202. RECORD AND CONFIDENTIALITY OF INFORMAL RESOLUTION MEETINGS. (a)...

Section 531.1203. Rights of and Provision of Information to Pharmacies Subject to Certain Audits - Sec. 531.1203. RIGHTS OF AND PROVISION OF INFORMATION TO PHARMACIES...

Subchapter D. Plan to Support Guardianships

Section 531.121. Definitions - Sec. 531.121. DEFINITIONS. In this subchapter: (1) Repealed by Acts...

Section 531.124. Commission Duties - Sec. 531.124. COMMISSION DUTIES. The commission shall develop and, subject...

Section 531.125. Grants - Sec. 531.125. GRANTS. (a) The commission in accordance with commission...

Subchapter D. -1. Permanency Planning

Section 531.151. Definitions - Sec. 531.151. DEFINITIONS. In this subchapter: (1) "Child" means a...

Section 531.152. Policy Statement - Sec. 531.152. POLICY STATEMENT. It is the policy of the...

Section 531.1521. Preadmission Information - Sec. 531.1521. PREADMISSION INFORMATION. (a) The executive commissioner by rule...

Section 531.153. Development of Permanency Plan - Sec. 531.153. DEVELOPMENT OF PERMANENCY PLAN. (a) To further the...

Section 531.1531. Assistance With Permanency Planning Efforts - Sec. 531.1531. ASSISTANCE WITH PERMANENCY PLANNING EFFORTS. An institution in...

Section 531.1532. Interference With Permanency Planning Efforts - Sec. 531.1532. INTERFERENCE WITH PERMANENCY PLANNING EFFORTS. An entity that...

Section 531.1533. Requirements on Admissions of Children to Certain Institutions - Sec. 531.1533. REQUIREMENTS ON ADMISSIONS OF CHILDREN TO CERTAIN INSTITUTIONS....

Section 531.154. Notification Required - Sec. 531.154. NOTIFICATION REQUIRED. (a) Not later than the third...

Section 531.155. Offer of Services - Sec. 531.155. OFFER OF SERVICES. Each entity receiving notice of...

Section 531.156. Designation of Advocate - Sec. 531.156. DESIGNATION OF ADVOCATE. (a) The Department of Aging...

Section 531.158. Local Permanency Planning Sites - Sec. 531.158. LOCAL PERMANENCY PLANNING SITES. The commission shall develop...

Section 531.159. Monitoring of Permanency Planning Efforts - Sec. 531.159. MONITORING OF PERMANENCY PLANNING EFFORTS. (a) The commission...

Section 531.1591. Annual Reauthorization of Plans of Care for Certain Children - Sec. 531.1591. ANNUAL REAUTHORIZATION OF PLANS OF CARE FOR CERTAIN...

Section 531.160. Inspections - Sec. 531.160. INSPECTIONS. As part of each inspection, survey, or...

Section 531.161. Access to Records - Sec. 531.161. ACCESS TO RECORDS. Each institution in which a...

Section 531.162. Permanency Reporting - Sec. 531.162. PERMANENCY REPORTING. (a) For each of the local...

Section 531.163. Effect on Other Law - Sec. 531.163. EFFECT ON OTHER LAW. This subchapter does not...

Section 531.164. Duties of Certain Institutions - Sec. 531.164. DUTIES OF CERTAIN INSTITUTIONS. (a) This section applies...

Section 531.165. Search for Parent or Guardian of a Child - Sec. 531.165. SEARCH FOR PARENT OR GUARDIAN OF A CHILD....

Section 531.166. Transfer of Child Between Institutions - Sec. 531.166. TRANSFER OF CHILD BETWEEN INSTITUTIONS. (a) This section...

Section 531.167. Collection of Information Regarding Involvement of Certain Parents and Guardians - Sec. 531.167. COLLECTION OF INFORMATION REGARDING INVOLVEMENT OF CERTAIN PARENTS...

Subchapter E. Health and Human Services Legislative Oversight

Section 531.171. Committee Duties - Sec. 531.171. COMMITTEE DUTIES. (a) The standing or other committees...

Subchapter F. Texas Integrated Enrollment Services

Section 531.191. Integrated Eligibility Determination - Sec. 531.191. INTEGRATED ELIGIBILITY DETERMINATION. (a) The commission, subject to...

Subchapter G. Rural Hospitals

Section 531.201. Strategic Plan; Report - Sec. 531.201. STRATEGIC PLAN; REPORT. (a) The commission shall develop...

Section 531.202. Advisory Committee on Rural Hospitals - Sec. 531.202. ADVISORY COMMITTEE ON RURAL HOSPITALS. (a) The commission...

Section 531.203. Collaboration With Office of Rural Affairs - Sec. 531.203. COLLABORATION WITH OFFICE OF RURAL AFFAIRS. The commission...

Subchapter G. -1. Developing Local Mental Health Systems of Care for Certain Children

Section 531.251. Texas System of Care Framework - Sec. 531.251. TEXAS SYSTEM OF CARE FRAMEWORK. (a) In this...

Section 531.255. Evaluation - Sec. 531.255. EVALUATION. The commission shall monitor the implementation of...

Section 531.257. Technical Assistance for Projects - Sec. 531.257. TECHNICAL ASSISTANCE FOR PROJECTS. The commission may provide...

Subchapter H. Office of Health Coordination and Consumer Services

Section 531.281. Definition - Sec. 531.281. DEFINITION. In this chapter, "office" means the Office...

Section 531.282. Office; Staff - Sec. 531.282. OFFICE; STAFF. (a) The Office of Health Coordination...

Section 531.283. Goals - Sec. 531.283. GOALS. The goals of the office are to:...

Section 531.284. Strategic Plan - Sec. 531.284. STRATEGIC PLAN. (a) The office shall create and...

Section 531.285. Powers and Duties - Sec. 531.285. POWERS AND DUTIES. (a) The office shall identify:...

Section 531.287. Texas Home Visiting Program Trust Fund - Sec. 531.287. TEXAS HOME VISITING PROGRAM TRUST FUND. (a) The...

Subchapter I. State Prescription Drug Program

Section 531.301. Development and Implementation of State Program; Funding - Sec. 531.301. DEVELOPMENT AND IMPLEMENTATION OF STATE PROGRAM; FUNDING. (a)...

Section 531.302. Rules - Sec. 531.302. RULES. (a) The executive commissioner shall adopt all...

Section 531.303. Generic Equivalent Authorized - Sec. 531.303. GENERIC EQUIVALENT AUTHORIZED. In adopting rules under the...

Section 531.304. Program Funding Priorities - Sec. 531.304. PROGRAM FUNDING PRIORITIES. If money available for the...

Subchapter J. Provision of Information About Patient Assistance Programs

Section 531.351. Definition - Sec. 531.351. DEFINITION. In this subchapter, "patient assistance program" means...

Section 531.352. Providing Information to Commission - Sec. 531.352. PROVIDING INFORMATION TO COMMISSION. Each pharmaceutical company that...

Section 531.353. Toll-Free Telephone Number - Sec. 531.353. TOLL-FREE TELEPHONE NUMBER. (a) The commission shall establish...

Subchapter J. -1. Assistance Program for Domestic Victims of Trafficking

Section 531.381. Definitions - Sec. 531.381. DEFINITIONS. In this subchapter: (1) "Domestic victim" means...

Section 531.382. Victim Assistance Program Established - Sec. 531.382. VICTIM ASSISTANCE PROGRAM ESTABLISHED. The commission shall develop...

Section 531.383. Grant Program - Sec. 531.383. GRANT PROGRAM. (a) Subject to available funds, the...

Section 531.384. Training Programs - Sec. 531.384. TRAINING PROGRAMS. The commission, with assistance from the...

Section 531.385. Funding - Sec. 531.385. FUNDING. (a) The commission may use appropriated funds...

Subchapter L. Provision of Services for Certain Children With Multiagency Needs

Section 531.421. Definitions - Sec. 531.421. DEFINITIONS. In this subchapter: (1) "Children with severe...

Section 531.422. Evaluations by Community Resource Coordination Groups - Sec. 531.422. EVALUATIONS BY COMMUNITY RESOURCE COORDINATION GROUPS. (a) Each...

Section 531.423. Summary Report by Commission - Sec. 531.423. SUMMARY REPORT BY COMMISSION. (a) The commission shall...

Section 531.424. Agency Implementation of Recommendations - Sec. 531.424. AGENCY IMPLEMENTATION OF RECOMMENDATIONS. As appropriate, the person...

Subchapter M. Coordination of Quality Initiatives

Section 531.451. Operational Plan to Coordinate Initiatives - Sec. 531.451. OPERATIONAL PLAN TO COORDINATE INITIATIVES. (a) The commission...

Section 531.452. Revision of Major Initiatives - Sec. 531.452. REVISION OF MAJOR INITIATIVES. Notwithstanding any other law,...

Section 531.453. Incentives for Initiative Coordination - Sec. 531.453. INCENTIVES FOR INITIATIVE COORDINATION. The commission shall consider...

Subchapter M. -1. Statewide Behavioral Health Coordinating Council

Section 531.471. Definition - Sec. 531.471. DEFINITION. In this subchapter, "council" means the statewide...

Section 531.472. Purpose - Sec. 531.472. PURPOSE. The council is established to ensure a...

Section 531.473. Composition of Council - Sec. 531.473. COMPOSITION OF COUNCIL. (a) The council is composed...

Section 531.474. Presiding Officer - Sec. 531.474. PRESIDING OFFICER. The mental health statewide coordinator shall...

Section 531.475. Meetings - Sec. 531.475. MEETINGS. The council shall meet at least once...

Section 531.476. Powers and Duties - Sec. 531.476. POWERS AND DUTIES. (a) The council: (1) shall...

Section 531.477. Suicide Prevention Subcommittee; Suicide Data Reports - Sec. 531.477. SUICIDE PREVENTION SUBCOMMITTEE; SUICIDE DATA REPORTS. (a) The...

Subchapter N. Texas Health Opportunity Pool Trust Fund

Section 531.501. Definition - Sec. 531.501. DEFINITION. In this subchapter, "fund" means the Texas...

Section 531.502. Direction to Obtain Federal Waiver - Sec. 531.502. DIRECTION TO OBTAIN FEDERAL WAIVER. (a) The executive...

Section 531.503. Establishment of Texas Health Opportunity Pool Trust Fund - Sec. 531.503. ESTABLISHMENT OF TEXAS HEALTH OPPORTUNITY POOL TRUST FUND....

Section 531.504. Deposits to Fund - Sec. 531.504. DEPOSITS TO FUND. (a) The comptroller shall deposit...

Section 531.505. Use of Fund in General; Rules for Allocation - Sec. 531.505. USE OF FUND IN GENERAL; RULES FOR ALLOCATION....

Section 531.506. Reimbursements for Uncompensated Health Care Costs - Sec. 531.506. REIMBURSEMENTS FOR UNCOMPENSATED HEALTH CARE COSTS. (a) Except...

Section 531.507. Increasing Access to Health Benefits Coverage - Sec. 531.507. INCREASING ACCESS TO HEALTH BENEFITS COVERAGE. (a) Except...

Section 531.508. Infrastructure Improvements - Sec. 531.508. INFRASTRUCTURE IMPROVEMENTS. (a) Except as otherwise provided by...

Subchapter O. Uncompensated Hospital Care

Section 531.551. Uncompensated Hospital Care Reporting and Analysis - Sec. 531.551. UNCOMPENSATED HOSPITAL CARE REPORTING AND ANALYSIS. (a) The...

Subchapter S. Community-Based Navigator Program

Section 531.751. Definitions - Sec. 531.751. DEFINITIONS. In this subchapter: (1) "Community-based organization" and...

Section 531.752. Establishment of Community-Based Navigator Program - Sec. 531.752. ESTABLISHMENT OF COMMUNITY-BASED NAVIGATOR PROGRAM. If the executive...

Section 531.753. Program Standards - Sec. 531.753. PROGRAM STANDARDS. The executive commissioner shall adopt standards...

Section 531.754. Training Program - Sec. 531.754. TRAINING PROGRAM. The commission shall develop and administer...

Section 531.755. Publication of Navigator List - Sec. 531.755. PUBLICATION OF NAVIGATOR LIST. The commission shall maintain...

Subchapter U. Mortality Review for Certain Individuals With an Intellectual or Developmental Disability

Section 531.8501. Definition - Sec. 531.8501. DEFINITION. In this subchapter, "contracted organization" means an...

Section 531.851. Mortality Review - Sec. 531.851. MORTALITY REVIEW. (a) The executive commissioner shall establish...

Section 531.852. Access to Information - Sec. 531.852. ACCESS TO INFORMATION. (a) A contracted organization may...

Section 531.853. Mortality Review Report - Sec. 531.853. MORTALITY REVIEW REPORT. Subject to Section 531.854, a...

Section 531.854. Use and Publication Restrictions; Confidentiality - Sec. 531.854. USE AND PUBLICATION RESTRICTIONS; CONFIDENTIALITY. (a) The commission...

Section 531.855. Limitation on Liability - Sec. 531.855. LIMITATION ON LIABILITY. A health care provider or...

Subchapter V. Health Information Exchange Systems

Section 531.901. Definitions - Sec. 531.901. DEFINITIONS. In this subchapter: (1) "Electronic health record"...

Section 531.903. Electronic Health Information Exchange System - Sec. 531.903. ELECTRONIC HEALTH INFORMATION EXCHANGE SYSTEM. (a) The commission...

Section 531.9051. Electronic Health Information Exchange System Stage One: Encounter Data - Sec. 531.9051. ELECTRONIC HEALTH INFORMATION EXCHANGE SYSTEM STAGE ONE: ENCOUNTER...

Section 531.906. Electronic Health Information Exchange System Stage One: Electronic Prescribing - Sec. 531.906. ELECTRONIC HEALTH INFORMATION EXCHANGE SYSTEM STAGE ONE: ELECTRONIC...

Section 531.907. Electronic Health Information Exchange System Stage Two: Expansion - Sec. 531.907. ELECTRONIC HEALTH INFORMATION EXCHANGE SYSTEM STAGE TWO: EXPANSION....

Section 531.908. Electronic Health Information Exchange System Stage Three: Expansion - Sec. 531.908. ELECTRONIC HEALTH INFORMATION EXCHANGE SYSTEM STAGE THREE: EXPANSION....

Section 531.909. Incentives - Sec. 531.909. INCENTIVES. The commission shall develop strategies to encourage...

Section 531.911. Rules - Sec. 531.911. RULES. The executive commissioner may adopt rules to...

Section 531.912. Common Performance Measurements and Pay-for-Performance Incentives for Certain Nursing Facilities - Sec. 531.912. COMMON PERFORMANCE MEASUREMENTS AND PAY-FOR-PERFORMANCE INCENTIVES FOR CERTAIN...

Subchapter W. Adverse Licensing, Listing, or Registration Decisions

Section 531.951. Applicability - Sec. 531.951. APPLICABILITY. (a) This subchapter applies only to the...

Section 531.952. Record of Final Decision - Sec. 531.952. RECORD OF FINAL DECISION. (a) Each health and...

Section 531.953. Denial of Application Based on Adverse Agency Decision - Sec. 531.953. DENIAL OF APPLICATION BASED ON ADVERSE AGENCY DECISION....

Section 531.954. Required Application Information - Sec. 531.954. REQUIRED APPLICATION INFORMATION. An applicant submitting an initial...

Subchapter X. Texas Home Visiting Program

Section 531.981. Definitions - Sec. 531.981. DEFINITIONS. In this subchapter: (1) "Home visiting program"...

Section 531.982. Implementation of Texas Home Visiting Program - Sec. 531.982. IMPLEMENTATION OF TEXAS HOME VISITING PROGRAM. (a) The...

Section 531.983. Types of Home Visiting Programs - Sec. 531.983. TYPES OF HOME VISITING PROGRAMS. (a) A home...

Section 531.984. Funding - Sec. 531.984. FUNDING. (a) The commission shall ensure that at...

Section 531.985. Outcomes - Sec. 531.985. OUTCOMES. The commission shall ensure that a home...

Section 531.986. Evaluation of Home Visiting Program - Sec. 531.986. EVALUATION OF HOME VISITING PROGRAM. (a) The commission...

Section 531.9871. Reports to Legislature - Sec. 531.9871. REPORTS TO LEGISLATURE. (a) Not later than December...

Section 531.988. Rules - Sec. 531.988. RULES. The executive commissioner may adopt rules as...

Subchapter Y. Ombudsman for the Department of Family and Protective Services

Section 531.991. Definitions - Sec. 531.991. DEFINITIONS. In this subchapter: (1) "Department" means the...

Section 531.992. Ombudsman for the Department of Family and Protective Services - Sec. 531.992. OMBUDSMAN FOR THE DEPARTMENT OF FAMILY AND PROTECTIVE...

Section 531.9921. Conflict of Interest - Sec. 531.9921. CONFLICT OF INTEREST. A person may not serve...

Section 531.993. Duties of Ombudsman - Sec. 531.993. DUTIES OF OMBUDSMAN. (a) The ombudsman serves as...

Section 531.9931. Division of Ombudsman for Children and Youth in Foster Care - Sec. 531.9931. DIVISION OF OMBUDSMAN FOR CHILDREN AND YOUTH IN...

Section 531.994. Investigation of Unreported Complaints - Sec. 531.994. INVESTIGATION OF UNREPORTED COMPLAINTS. If, during the investigation...

Section 531.9941. Disputes Regarding Foster Children - Sec. 531.9941. DISPUTES REGARDING FOSTER CHILDREN. (a) A child-placing agency...

Section 531.995. Access to Information - Sec. 531.995. ACCESS TO INFORMATION. The department and each health...

Section 531.996. Communication and Confidentiality - Sec. 531.996. COMMUNICATION AND CONFIDENTIALITY. (a) A person may communicate...

Section 531.997. Retaliation Prohibited - Sec. 531.997. RETALIATION PROHIBITED. The department or another health and...

Section 531.998. Report - Sec. 531.998. REPORT. (a) The ombudsman shall prepare an annual...

Chapter 533 - Medicaid Managed Care Program

Subchapter A. General Provisions

Section 533.001. Definitions - Sec. 533.001. DEFINITIONS. In this chapter: (1) "Commission" means the...

Section 533.002. Purpose - Sec. 533.002. PURPOSE. The commission shall implement the Medicaid managed...

Section 533.0025. Delivery of Services - Sec. 533.0025. DELIVERY OF SERVICES. (a) Repealed by Acts 2015,...

Section 533.00251. Delivery of Certain Benefits, Including Nursing Facility Benefits, Through Star + Plus Medicaid Managed Care Program - Sec. 533.00251. DELIVERY OF CERTAIN BENEFITS, INCLUDING NURSING FACILITY BENEFITS,...

Section 533.00253. Star Kids Medicaid Managed Care Program - Sec. 533.00253. STAR KIDS MEDICAID MANAGED CARE PROGRAM. (a) In...

Section 533.00254. Star Kids Managed Care Advisory Committee - Sec. 533.00254. STAR KIDS MANAGED CARE ADVISORY COMMITTEE. (a) The...

Section 533.00255. Behavioral Health and Physical Health Services Network - Sec. 533.00255. BEHAVIORAL HEALTH AND PHYSICAL HEALTH SERVICES NETWORK. (a)...

Section 533.002551. Monitoring of Compliance With Behavioral Health Integration - Sec. 533.002551. MONITORING OF COMPLIANCE WITH BEHAVIORAL HEALTH INTEGRATION. (a)...

Section 533.002552. Targeted Case Management and Psychiatric Rehabilitative Services for Children, Adolescents, and Families - Sec. 533.002552. TARGETED CASE MANAGEMENT AND PSYCHIATRIC REHABILITATIVE SERVICES FOR...

Section 533.002553. Behavioral Health Services Provided Through Third Party or Subsidiary - Sec. 533.002553. BEHAVIORAL HEALTH SERVICES PROVIDED THROUGH THIRD PARTY OR...

Section 533.002555. Transition of Case Management for Children and Pregnant Women Program Recipients to Managed Care Program - Sec. 533.002555. TRANSITION OF CASE MANAGEMENT FOR CHILDREN AND PREGNANT...

Section 533.00256. Managed Care Clinical Improvement Program - Sec. 533.00256. MANAGED CARE CLINICAL IMPROVEMENT PROGRAM. (a) In consultation...

Section 533.00257. Delivery of Medical Transportation Program Services Through Managed Transportation Organization - Sec. 533.00257. DELIVERY OF MEDICAL TRANSPORTATION PROGRAM SERVICES THROUGH MANAGED...

Section 533.002571. Delivery of Nonemergency Transportation Services to Certain Medicaid Recipients Through Medicaid Managed Care Organization - Sec. 533.002571. DELIVERY OF NONEMERGENCY TRANSPORTATION SERVICES TO CERTAIN MEDICAID...

Section 533.00258. Nonmedical Transportation Services Under Medicaid Managed Care Program - Sec. 533.00258. NONMEDICAL TRANSPORTATION SERVICES UNDER MEDICAID MANAGED CARE PROGRAM....

Section 533.002581. Delivery of Nonmedical Transportation Services Under Medicaid Managed Care Program - Sec. 533.002581. DELIVERY OF NONMEDICAL TRANSPORTATION SERVICES UNDER MEDICAID MANAGED...

Section 533.0026. Direct Access to Eye Health Care Services Under Medicaid Managed Care Model or Arrangement - Sec. 533.0026. DIRECT ACCESS TO EYE HEALTH CARE SERVICES UNDER...

Section 533.0027. Procedures to Ensure Certain Recipients Are Enrolled in Same Managed Care Plan - Sec. 533.0027. PROCEDURES TO ENSURE CERTAIN RECIPIENTS ARE ENROLLED IN...

Section 533.0028. Evaluation of Certain Star + Plus Medicaid Managed Care Program Services - Sec. 533.0028. EVALUATION OF CERTAIN STAR + PLUS MEDICAID MANAGED...

Section 533.00281. Utilization Review for Star + Plus Medicaid Managed Care Organizations - Sec. 533.00281. UTILIZATION REVIEW FOR STAR + PLUS MEDICAID MANAGED...

Section 533.00282. Utilization Review and Prior Authorization Procedures - Sec. 533.00282. UTILIZATION REVIEW AND PRIOR AUTHORIZATION PROCEDURES. (a) Section...

Section 533.002821. Prior Authorization Procedures for Hospitalized Recipient - Sec. 533.002821. PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT. In addition...

Section 533.00283. Annual Review of Prior Authorization Requirements - Sec. 533.00283. ANNUAL REVIEW OF PRIOR AUTHORIZATION REQUIREMENTS. (a) Each...

Section 533.00284. Reconsideration Following Adverse Determinations on Certain Prior Authorization Requests - Sec. 533.00284. RECONSIDERATION FOLLOWING ADVERSE DETERMINATIONS ON CERTAIN PRIOR AUTHORIZATION...

Section 533.002841. Maximum Period for Prior Authorization Decision; Access to Care - Sec. 533.002841. MAXIMUM PERIOD FOR PRIOR AUTHORIZATION DECISION; ACCESS TO...

Section 533.0029. Promotion and Principles of Patient-Centered Medical Homes for Recipients - Sec. 533.0029. PROMOTION AND PRINCIPLES OF PATIENT-CENTERED MEDICAL HOMES FOR...

Section 533.003. Considerations in Awarding Contracts - Sec. 533.003. CONSIDERATIONS IN AWARDING CONTRACTS. (a) In awarding contracts...

Section 533.0031. Medicaid Managed Care Plan Accreditation - Sec. 533.0031. MEDICAID MANAGED CARE PLAN ACCREDITATION. (a) A managed...

Section 533.0035. Certification by Commission - Sec. 533.0035. CERTIFICATION BY COMMISSION. (a) Before the commission may...

Section 533.004. Mandatory Contracts - Sec. 533.004. MANDATORY CONTRACTS. (a) Subject to the considerations required...

Section 533.005. Required Contract Provisions - Sec. 533.005. REQUIRED CONTRACT PROVISIONS. (a) A contract between a...

Section 533.0051. Performance Measures and Incentives for Value-Based Contracts - Sec. 533.0051. PERFORMANCE MEASURES AND INCENTIVES FOR VALUE-BASED CONTRACTS. (a)...

Section 533.00511. Quality-Based Enrollment Incentive Program for Managed Care Organizations - Sec. 533.00511. QUALITY-BASED ENROLLMENT INCENTIVE PROGRAM FOR MANAGED CARE ORGANIZATIONS....

Section 533.00515. Medication Therapy Management - Sec. 533.00515. MEDICATION THERAPY MANAGEMENT. The executive commissioner shall collaborate...

Section 533.0052. Star Health Program: Trauma-Informed Care Training - Sec. 533.0052. STAR HEALTH PROGRAM: TRAUMA-INFORMED CARE TRAINING. (a) A...

Section 533.00521. Star Health Program: Health Care for Foster Children - Sec. 533.00521. STAR HEALTH PROGRAM: HEALTH CARE FOR FOSTER CHILDREN....

Section 533.00522. Star Health Program: Mental Health Providers - Sec. 533.00522. STAR HEALTH PROGRAM: MENTAL HEALTH PROVIDERS. A contract...

Section 533.0053. Compliance With Texas Health Steps - Sec. 533.0053. COMPLIANCE WITH TEXAS HEALTH STEPS. The commission shall...

Section 533.00531. Medicaid Benefits for Certain Children Formerly in Foster Care - Sec. 533.00531. MEDICAID BENEFITS FOR CERTAIN CHILDREN FORMERLY IN FOSTER...

Section 533.0054. Health Screening Requirements for Enrollee Under Star Health Program - Sec. 533.0054. HEALTH SCREENING REQUIREMENTS FOR ENROLLEE UNDER STAR HEALTH...

Section 533.0055. Provider Protection Plan - Sec. 533.0055. PROVIDER PROTECTION PLAN. (a) The commission shall develop...

Section 533.0056. Star Health Program: Notification of Placement Change - Sec. 533.0056. STAR HEALTH PROGRAM: NOTIFICATION OF PLACEMENT CHANGE. A...

Section 533.006. Provider Networks - Sec. 533.006. PROVIDER NETWORKS. (a) The commission shall require that...

Section 533.0061. Provider Access Standards; Report - Sec. 533.0061. PROVIDER ACCESS STANDARDS; REPORT. (a) The commission shall...

Section 533.0062. Penalties and Other Remedies for Failure to Comply With Provider Access Standards - Sec. 533.0062. PENALTIES AND OTHER REMEDIES FOR FAILURE TO COMPLY...

Section 533.0063. Provider Network Directories - Sec. 533.0063. PROVIDER NETWORK DIRECTORIES. (a) The commission shall ensure...

Section 533.0064. Expedited Credentialing Process for Certain Providers - Sec. 533.0064. EXPEDITED CREDENTIALING PROCESS FOR CERTAIN PROVIDERS. (a) In...

Section 533.0065. Frequency of Provider Credentialing - Sec. 533.0065. FREQUENCY OF PROVIDER CREDENTIALING. A managed care organization...

Section 533.0066. Provider Incentives - Sec. 533.0066. PROVIDER INCENTIVES. The commission shall, to the extent...

Section 533.0067. Eye Health Care Service Providers - Sec. 533.0067. EYE HEALTH CARE SERVICE PROVIDERS. Subject to Section...

Section 533.007. Contract Compliance - Sec. 533.007. CONTRACT COMPLIANCE. (a) The commission shall review each...

Section 533.0071. Administration of Contracts - Sec. 533.0071. ADMINISTRATION OF CONTRACTS. The commission shall make every...

Section 533.0072. Internet Posting of Sanctions Imposed for Contractual Violations - Sec. 533.0072. INTERNET POSTING OF SANCTIONS IMPOSED FOR CONTRACTUAL VIOLATIONS....

Section 533.0073. Medical Director Qualifications - Sec. 533.0073. MEDICAL DIRECTOR QUALIFICATIONS. A person who serves as...

Section 533.0075. Recipient Enrollment - Sec. 533.0075. RECIPIENT ENROLLMENT. The commission shall: (1) encourage recipients...

Section 533.00751. Recipient Directory - Sec. 533.00751. RECIPIENT DIRECTORY. The commission shall in accordance with...

Section 533.0076. Limitations on Recipient Disenrollment - Sec. 533.0076. LIMITATIONS ON RECIPIENT DISENROLLMENT. (a) Except as provided...

Section 533.0077. Statewide Effort to Promote Maintenance of Eligibility - Sec. 533.0077. STATEWIDE EFFORT TO PROMOTE MAINTENANCE OF ELIGIBILITY. (a)...

Section 533.008. Marketing Guidelines - Sec. 533.008. MARKETING GUIDELINES. (a) The commission shall establish marketing...

Section 533.009. Special Disease Management - Sec. 533.009. SPECIAL DISEASE MANAGEMENT. (a) The commission shall ensure...

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Texas Statutes Title 4 - Executive Branch Subtitle I - Health and Human Services

Texas Statutes
Title 4 - Executive Branch
Subtitle I - Health and Human Services