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Tex. Hum. Res. Code § 161.082

LONG-TERM CARE MEDICAID WAIVER PROGRAMS: UTILIZATION REVIEW

Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 1.06(b), eff

(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.

Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.