Texas Human Resources Code

§ 161.082 — LONG-TERM CARE MEDICAID WAIVER PROGRAMS: UTILIZATION REVIEW

HR § 161.082Title 11. AGING, COMMUNITY-BASED, AND LONG-TERM CARE SERVICES · Ch. 161. DEPARTMENT OF AGING AND DISABILITY SERVICES · Art. D. POWERS AND DUTIES OF DEPARTMENT

Statute text

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(a)In this section, "Section 1915(c) waiver program" has the meaning assigned by Section 521.0001, Government Code.

(b)The department shall perform a utilization review of services in all Section 1915(c) waiver programs. The utilization review must include, at a minimum, reviewing program recipients' levels of care and any plans of care for those recipients that exceed service level thresholds established in the applicable waiver program guidelines. Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 1.06(b), eff. September 28, 2011. Amended by:

Legislative history

Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.112, eff. April 1, 2025.