SUBCHAPTER
PRIOR AUTHORIZATION AND UTILIZATION REVIEW PROCEDURES
- Tex. Gov't Code § 540.0301— INAPPLICABILITY OF CERTAIN OTHER LAW TO MEDICAID MANAGED CARE UTILIZATION REVIEWS
- Tex. Gov't Code § 540.0302— PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT
- Tex. Gov't Code § 540.0303— PRIOR AUTHORIZATION PROCEDURES FOR NONHOSPITALIZED RECIPIENT
- Tex. Gov't Code § 540.0304— ANNUAL REVIEW OF PRIOR AUTHORIZATION REQUIREMENTS
- Tex. Gov't Code § 540.0305— PHYSICIAN CONSULTATION BEFORE ADVERSE PRIOR AUTHORIZATION DETERMINATION
- Tex. Gov't Code § 540.0306— RECONSIDERATION FOLLOWING ADVERSE DETERMINATIONS ON CERTAIN PRIOR AUTHORIZATION REQUESTS
- Tex. Gov't Code § 540.0307— MAXIMUM PERIOD FOR PRIOR AUTHORIZATION DECISION; ACCESS TO CARE