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Texas Human Resources Code - Chapter 32 Medical Assistance Program

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  • Texas Human Resources Code Section 32.001 - Purpose Of Chapter
    The purpose of this chapter is to enable the state to provide medical assistance on behalf of needy individuals and to enable the state to ...
  • Texas Human Resources Code Section 32.002 - Construction Of Chapter
    (a) This chapter shall be liberally construed and applied in relation to applicable federal laws and regulations so that adequate and high quality health care ...
  • Texas Human Resources Code Section 32.003 - Definitions
    In this chapter: (1) "Board" means the Health and Human Services Commission or the governing body of an agency operating part of the medical assistance ...
  • Texas Human Resources Code Section 32.021 - Administration Of The Program
    (a) The department is the state agency designated to administer the medical assistance program provided in this chapter. (b) The department shall enter into agreements ...
  • Texas Human Resources Code Section 32.0211 - Restrictions On Members Of The Board, Commissioners, And Their Partners
    (a) After service in the department ends, a former member of the board or a former commissioner may not knowingly represent a person before an ...
  • Texas Human Resources Code Section 32.0212 - Delivery Of Medical Assistance
    Notwithstanding any other law and subject to Section 533.0025, Government Code, the department shall provide medical assistance for acute care through the Medicaid managed care ...
  • Texas Human Resources Code Section 32.0213 - Nursing Facility Bed Certification And Decertification
    (a) The department by rule shall establish procedures for: (1) controlling the number of Medicaid beds in nursing facilities; (2) decertification of unused Medicaid beds ...
  • Texas Human Resources Code Section 32.0215 - Home Or Community Care Providers: Civil Monetary Penalties
    (a) The department may include in a contract for the delivery of medical assistance by a home or community care provider a provision for monetary ...
  • Texas Human Resources Code Section 32.022 - Medical And Hospital Care Advisory Committees
    (a) The board, on the recommendation of the commissioner, shall appoint a medical care advisory committee to advise the board and the department in developing ...
  • Texas Human Resources Code Section 32.023 - Cooperation With Other State Agencies
    (a) The department's plan for administering medical assistance must include procedures for using health services administered by other state agencies pursuant to cooperative arrangements. (b) ...
  • Texas Human Resources Code Section 32.0231 - Announcement Of Funding Or Program Change
    (a) The department shall publish notice in the Texas Register of: (1) any attempt to obtain a waiver of federal regulations in the medical assistance ...
  • Texas Human Resources Code Section 32.024 - Authority And Scope Of Program; Eligibility
    (a) The department shall provide medical assistance to all persons who receive financial assistance from the state under Chapter 31 of this code and to ...
  • Texas Human Resources Code Section 32.0241 - Review Of Waiver Request
    The department shall, at least biennially, review the feasibility of requesting a waiver for the elderly under Section 1915(c), federal Social Security Act (42 U.S.C. ...
  • Texas Human Resources Code Section 32.0242 - Verification Of Certain Information
    To the extent possible, the department shall verify an applicant's residential address at the time the application for medical assistance is filed. Added by Acts ...
  • Texas Human Resources Code Section 32.0243 - Periodic Review Of Eligibility For Certain Recipients
    (a) The department, in cooperation with the United States Social Security Administration, shall periodically review the eligibility of a recipient of medical assistance who is ...
  • Texas Human Resources Code Section 32.0244 - Nursing Home Beds In Certain Counties
    (a) At the request of the commissioners court of a county in which not more than two nursing facilities are certified to participate in the ...
  • Texas Human Resources Code Section 32.0245 - Nursing Home Beds For Certain Facilities Treating Alzheimer's Disease
    The department shall waive for a nursing facility a restriction imposed by state law on the authority to contract under the state Medicaid program for ...
  • Texas Human Resources Code Section 32.0246 - Pilot Program For Treatment Of Alzheimer's Patients
    (a) The Texas Department of Human Services, in cooperation with all appropriate state and federal agencies and with the advisory committee established in Subsection (b), ...
  • Texas Human Resources Code Section 32.0247 - Medical Assistance For Certain Persons Making Transition From Foster Care To Independent Living
    (a) In this section, "independent foster care adolescent" has the meaning assigned by 42 U.S.C. Section 1396d(w)(1), as amended. (b) The department shall provide medical ...
  • Texas Human Resources Code Section 32.0248 - Demonstration Project For Women's Health Care Services
    Text of section effective until September 1, 2011 (a) The department shall establish a five-year demonstration project through the medical assistance program to expand ...
  • Texas Human Resources Code Section 32.025 - Application For Medical Assistance
    (a) A recipient of benefits under Chapter 31 of this code or supplemental security income from the federal government is automatically eligible for medical assistance, ...
  • Texas Human Resources Code Section 32.0251 - Eligibility Notification And Review For Certain Children
    (a) The department shall establish and implement procedures under which the department automatically reviews a child's eligibility for medical assistance if: (1) the child originally ...
  • Texas Human Resources Code Section 32.0255 - Transitional Medical Assistance
    (a) The state shall provide transitional medical assistance, in accordance with state rules and federal law, to a person who was receiving financial assistance under ...
  • Texas Human Resources Code Section 32.026 - Certification Of Eligibility And Need For Medical Assistance
    (a) The department shall promulgate rules for determining and certifying a person's eligibility and need for medical assistance. (b) The department shall promulgate rules to ...
  • Texas Human Resources Code Section 32.0261 - Continuous Eligibility
    The department shall adopt rules in accordance with 42 U.S.C. Section 1396a(e)(12), as amended, to provide for a period of continuous eligibility for a child ...
  • Texas Human Resources Code Section 32.0262 - Eligibility Transition
    (a) The department shall develop procedures to ensure that all necessary information regarding a child who will be denied continued medical assistance under this chapter ...
  • Texas Human Resources Code Section 32.0263 - Health Care Orientation
    (a) The department shall require that the parent or guardian of a child under 19 years of age who originally establishes eligibility for medical assistance ...
  • Texas Human Resources Code Section 32.027 - Selection Of Provider Of Medical Assistance
    [Without reference to the amendment of subsec. (b) by Acts 2003, 78th Leg., ch. 1251, § 9, Acts 2003, 78th Leg., ch. 198, § ...
  • Texas Human Resources Code Section 32.028 - Fees, Charges, And Rates
    (a) The department shall adopt reasonable rules and standards governing the determination of fees, charges, and rates for medical assistance payments. (b) The fee, charge, ...
  • Texas Human Resources Code Section 32.0281 - Rules And Notice Relating To Payment Rates
    (a) The department shall by rule describe the process used to determine payment rates for medical assistance and shall notify providers, consumers, the Legislative Budget ...
  • Texas Human Resources Code Section 32.0282 - Public Hearing On Rates
    (a) The department shall hold a public hearing to allow interested persons to present comments relating to proposed payment rates for medical assistance. (b) The ...
  • Texas Human Resources Code Section 32.029 - Methods Of Payment
    (a) The department may prescribe a method of payment for medical assistance claims by establishing a direct vendor payment program that is administered by the ...
  • Texas Human Resources Code Section 32.0291 - Prepayment Reviews And Postpayment Holds
    (a) Notwithstanding any other law, the department may: (1) perform a prepayment review of a claim for reimbursement under the medical assistance program to determine ...
  • Texas Human Resources Code Section 32.030 - Medical Assistance Fund
    (a) The medical assistance fund is a special fund in the treasury and constitutes a separate account. The fund may be expended only for the ...
  • Texas Human Resources Code Section 32.031 - Receipt And Expenditure Of Funds
    (a) The department may accept federal funds for the support of the medical assistance program and may expend the funds in the manner prescribed by ...
  • Texas Human Resources Code Section 32.0311 - Drug Reimbursement Under Certain Programs
    The department shall require a recipient of medical assistance to exhaust drug benefits available under the medical assistance program before reimbursing the recipient, pharmacist, or ...
  • Texas Human Resources Code Section 32.0315 - Funds For Graduate Medical Education
    (a) Subject to appropriated state funds, the department shall establish procedures and formulas for the allocation of federal medical assistance funds that are directed to ...
  • Texas Human Resources Code Section 32.032 - Prevention And Detection Of Fraud And Abuse
    The department shall adopt reasonable rules for minimizing the opportunity for fraud and abuse, for establishing and maintaining methods for detecting and identifying situations in ...
  • Texas Human Resources Code Section 32.0321 - Surety Bond
    (a) The department by rule may require each provider of medical assistance in a provider type that has demonstrated significant potential for fraud or abuse ...
  • Texas Human Resources Code Section 32.0322 - Criminal History Record Information
    (a) The department may obtain from any law enforcement or criminal justice agency the criminal history record information that relates to a provider under the ...
  • Texas Human Resources Code Section 32.033 - Subrogation
    (a) The filing of an application for or receipt of medical assistance constitutes an assignment of the applicant's or recipient's right of recovery from: (1) ...
  • Texas Human Resources Code Section 32.034 - Contract Cancellation; Notice And Hearing
    (a) The department has authority to adjudicate claims of contested cases in accordance with Chapter 2001, Government Code. When the department intends to cancel its ...
  • Texas Human Resources Code Section 32.035 - Appeals
    The provisions of Section 31.034 of this code governing the right of appeal of an applicant for or recipient of financial assistance authorized under Chapter ...
  • Texas Human Resources Code Section 32.036 - Program Payments Nonassignable And Exempt From Legal Process
    (a) Neither medical assistance nor payments to providers of medical assistance under this chapter are transferable or assignable at law or in equity. (b) No ...
  • Texas Human Resources Code Section 32.038 - Collection Of Insurance Payments
    (a) The department may receive directly from an insurance company any payments to which the department is entitled under Section 1204.153, Insurance Code. (b) The ...
  • Texas Human Resources Code Section 32.0381 - Icf-Mr Payment Rates
    (a) The board shall set the payment rates for ICF-MR facilities at least annually. (b) The board shall adopt by rule the methodology used by ...
  • Texas Human Resources Code Section 32.039 - Damages And Penalties
    (a) In this section: (1) "Claim" means an application for payment of health care services under Title XIX of the federal Social Security Act that ...
  • Texas Human Resources Code Section 32.0391 - Criminal Offense
    (a) A person commits an offense if the person intentionally or knowingly commits a violation under Section 32.039(b)(1-b), (1-c), (1-d), or (1-e). (b) An offense ...
  • Texas Human Resources Code Section 32.040 - Identification Of Husband Or Alleged Father
    (a) A woman receiving medical assistance in the form of prenatal care, child delivery care, and obstetrical care related to prenatal care and child delivery ...
  • Texas Human Resources Code Section 32.041 - Medicaid Managed Care Demonstration Project
    (a) Beginning September 1, 1991, the department in consultation with the Medicaid analysis and cost control unit of the Legislative Budget Board shall initiate the ...
  • Texas Human Resources Code Section 32.042 - Information Required From Health Insurers
    (a) An insurer shall maintain a file system that contains: (1) the name, address, including claim submission address, group policy number, employer's mailing address, social ...
  • Texas Human Resources Code Section 32.0421 - Administrative Penalty For Failure To Provide Information
    (a) The department may impose an administrative penalty on a person who does not comply with a request for information made under Section 32.042(b). (b) ...
  • Texas Human Resources Code Section 32.0422 - Health Insurance Premium Payment Reimbursement Program For Medical Assistance Recipients
    (a) In this section: (1) "Department" means the Texas Department of Health. (2) "Group health benefit plan" means a plan described by Section 1207.001, Insurance ...
  • Texas Human Resources Code Section 32.0423 - Recovery Of Reimbursements From Health Coverage Providers
    To the extent allowed by federal law, a health care service provider must seek reimbursement from available third-party health coverage or insurance that the provider ...
  • Texas Human Resources Code Section 32.043 - Procurement Rules For Public Disproportionate Share Hospitals
    (a) A public hospital that is designated as a disproportionate share hospital during a fiscal year may acquire goods and services in accordance with this ...
  • Texas Human Resources Code Section 32.044 - Group Purchasing For Disproportionate Share Hospitals
    (a) A public or private hospital that is designated as a disproportionate share hospital during a fiscal year may purchase goods and services in accordance ...
  • Texas Human Resources Code Section 32.045 - Enhanced Reimbursement
    The department shall develop a procedure for: (1) identifying each service provided under the medical assistance program for which the state is eligible to receive ...
  • Texas Human Resources Code Section 32.046 - Vendor Drug Program; Sanctions And Penalties
    (a) The department shall adopt rules governing sanctions and penalties that apply to a provider in the vendor drug program who submits an improper claim ...
  • Texas Human Resources Code Section 32.0461 - Vendor Drug Program; Competitive Bidding
    (a) In consultation and coordination with the State Council on Competitive Government, the Texas Department of Health shall seek competitive bids for the claims processing ...
  • Texas Human Resources Code Section 32.0462 - Vendor Drug Program; Pricing Standard
    (a) Notwithstanding any other provision of state law, the department shall: (1) consider a nationally recognized, unbiased pricing standard for prescription drugs in determining reimbursement ...
  • Texas Human Resources Code Section 32.0463 - Medications And Medical Supplies
    The department may adopt rules establishing procedures for the purchase and distribution of medically necessary, over-the-counter medications and medical supplies under the medical assistance program ...
  • Texas Human Resources Code Section 32.047 - Prohibition Of Certain Health Care Service Providers
    A person is permanently prohibited from providing or arranging to provide health care services under the medical assistance program if: (1) the person is convicted ...
  • Texas Human Resources Code Section 32.048 - Managed Care Information And Training Plan
    (a) Subject to the availability of funds, the department shall develop a comprehensive plan to provide information and training about the requirements of a managed ...
  • Texas Human Resources Code Section 32.049 - Managed Care Contract Compliance
    (a) The department shall review each managed care organization that has contracted with the department to provide medical assistance to medical assistance recipients through a ...
  • Texas Human Resources Code Section 32.050 - Dual Medicaid And Medicare Coverage
    (a) At least annually the department shall identify each individual receiving medical assistance under the medical assistance program who is eligible to receive similar assistance ...
  • Texas Human Resources Code Section 32.051 - Misdirected Billing
    To the extent authorized by federal law, the department shall develop a procedure for the state to: (1) match claims for payment for medical assistance ...
  • Texas Human Resources Code Section 32.052 - Waiver Programs For Children With Disabilities Or Special Health Care Needs
    (a) This section applies to services under the medical assistance program provided to children younger than 23 years of age with disabilities or special health ...
  • Texas Human Resources Code Section 32.053. PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). (a) The department, as a part of the medical assistance program, shall develop and implement a program of all-inclusive care for the elderly (PACE) in accordance with Section 4802 of the Balanced Budget Act of 1997 (Pub. L. No. 105-33), as amended. The department shall provide medical assistance to a participant in the PACE program in the manner and to the extent authorized by federal law. (b) The department shall adopt rules as necessary to implement this section. In adopting rules, the department shall: (1) use the Bienvivir Senior Health Services of El Paso initiative as a model for the program; and (2) ensure that a person is not required to hold a certificate of authority as a health maintenance organization under the Texas Health Maintenance Organization Act (Chapter 20A, Vernon's Texas Insurance Code) to provide services under the PACE program. (c) The department may not contract with a person to provide services under the PACE program unless the person: (1) purchases reinsurance in an amount determined by the department that is sufficient to ensure the person's continued solvency; or (2) has the financial resources sufficient to cover expenses in the event of the person's insolvency. (d) To demonstrate sufficiency of financial resources for purposes of Subsection (c)(2), a person may use cash reserves, a letter of credit, a guarantee of a company affiliated with the person, or a combination of those arrangements. The amount of a person's financial arrangement must be at least equal to the sum of: (1) the total capitation revenue for one month; and (2) the average monthly payment of operating expenses. (e) The department, with the cooperation of the Texas Department on Aging and area agencies on aging, shall develop and implement a coordinated plan to promote PACE program sites operating under this section. The department shall adopt policies and procedures to ensure that caseworkers and any other appropriate department staff discuss the benefits of participating in the PACE program with long-term care clients. Added by Acts 2001, 77th Leg., ch. 170, § 1, eff. Sept - 1, 2001
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  • Texas Human Resources Code Section 32.054 - Dental Services
    (a) For purposes of this section, the "dental necessity" for a dental service or product is based on whether a prudent dentist, acting in accordance ...
  • Texas Human Resources Code Section 32.055 - Catastrophic Case Management
    (a) The department shall develop and implement a catastrophic case management system to be used in providing medical assistance to persons with catastrophic health problems. ...
  • Texas Human Resources Code Section 32.0551 - Optimization Of Case Management Systems
    The Health and Human Services Commission shall: (1) create and coordinate staffing and other administrative efficiencies for case management initiatives across the commission and health ...
  • Texas Human Resources Code Section 32.056 - Compliance With Texas Health Steps
    The commissioner by rule shall develop procedures to ensure that recipients of medical assistance who are eligible for Texas Health Steps comply with the regimen ...
  • Texas Human Resources Code Section 32.057 - Contracts For Disease Management Programs
    (a) The department shall request contract proposals from providers of disease management programs to provide program services to recipients of medical assistance who: (1) have ...
  • Texas Human Resources Code Section 32.058 - Limitation On Medical Assistance In Certain Alternative Community-Based Care Settings
    (a) In this section: (1) "Institution" means a nursing facility or an ICF-MR facility. (2) "Medical assistance waiver program" means: (A) the community-based alternatives program; ...
  • Texas Human Resources Code Section 32.059 - Use Of Respiratory Therapists For Respiratory Therapy Services
    The department by rule shall require that respiratory therapy services for ventilator-dependent persons furnished as part of a plan of care under this chapter be ...
  • Texas Human Resources Code Section 32.060 - Nursing Facility Quality Assurance Team
    Text of section as added by Acts 2003, 78th Leg., ch. 198, § 2.109(a) (a) The nursing facility quality assurance team is established to ...
  • Texas Human Resources Code Section 32.060 - Admissibility Of Certain Evidence Relating To Nursing Institutions
    Text of section as added by Acts 2003, 78th Leg., ch. 204, § 16.01 (a) The following are not admissible as evidence in a civil ...
  • Texas Human Resources Code Section 32.061 - Community Attendant Services Program
    Any home and community-based services that the department provides under Section 1929, Social Security Act (42 U.S.C. Section 1396t) and its subsequent amendments to functionally ...
  • Texas Human Resources Code Section 32.063 - Third-Party Billing Vendors
    (a) A third-party billing vendor may not submit a claim with the department for reimbursement on behalf of a provider of medical services under the ...
  • Texas Human Resources Code Section 32.064 - Cost Sharing
    (a) To the extent permitted under Title XIX, Social Security Act (42 U.S.C. Section 1396 et seq.), as amended, and any other applicable law or ...
  • Texas Human Resources Code Section 32.066 - Consumer-Directed Services Program
    Text of section effective until September 1, 2007 (a) In this section: (1) "Consumer" means a participant in the consumer-directed services program established under ...
  • Texas Human Resources Code Section 32.067 - Delivery Of Comprehensive Care Services To Certain Recipients Of Medical Assistance
    (a) In this section, "certified agency" and "home health service" have the meanings assigned by Section 142.001, Health and Safety Code. (b) The department shall ...
  • Texas Human Resources Code Section 32.068 - Language Interpreter Services Pilot Program
    Text of section effective until September 1, 2009 (a) The Health and Human Services Commission shall establish a pilot program to provide recipients of ...
  • Texas Human Resources Code Section 32.069 - Chronic Kidney Disease Management Initiative
    A provider of disease management programs under Section 32.059, as added by Chapter 208, Acts of the 78th Legislature, Regular Session, 2003, shall develop a ...
  • Texas Human Resources Code Section 32.070 - Audits Of Providers
    (a) In this section, "provider" means an individual, firm, partnership, corporation, agency, association, institution, or other entity that is or was approved by the department ...
  • Texas Human Resources Code Section 32.071 - Recipient And Provider Education
    (a) The department shall develop and implement a comprehensive medical assistance education campaign for recipients and providers to ensure that care is provided in such ...
  • Last modified: August 10, 2007