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Texas Statutes (Last Updated: January 4, 2014) |
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HUMAN RESOURCES CODE |
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Title 2. DEPARTMENT OF HUMAN SERVICES AND DEPARTMENT OF PROTECTIVE AND REGULATORY SERVICES |
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Subtitle C. ASSISTANCE PROGRAMS |
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Chapter 32. MEDICAL ASSISTANCE PROGRAM |
| Subchapter A. GENERAL PROVISIONS |
| § 32.001. PURPOSE OF CHAPTER |
| § 32.002. CONSTRUCTION OF CHAPTER |
| § 32.003. DEFINITIONS |
| Subchapter B. ADMINISTRATIVE PROVISIONS |
| § 32.021. ADMINISTRATION OF THE PROGRAM |
| § 32.0211. RESTRICTIONS ON MEMBERS OF THE BOARD, COMMISSIONERS, AND THEIR PARTNERS |
| § 32.0212. DELIVERY OF MEDICAL ASSISTANCE |
| § 32.0213. NURSING FACILITY BED CERTIFICATION AND DECERTIFICATION |
| § 32.0214. DESIGNATIONS OF PRIMARY CARE PROVIDER BY CERTAIN RECIPIENTS |
| § 32.0215. HOME OR COMMUNITY CARE PROVIDERS: CIVIL MONETARY PENALTIES |
| § 32.022. MEDICAL AND HOSPITAL CARE ADVISORY COMMITTEES |
| § 32.023. COOPERATION WITH OTHER STATE AGENCIES |
| § 32.0231. ANNOUNCEMENT OF FUNDING OR PROGRAM CHANGE |
| § 32.024. AUTHORITY AND SCOPE OF PROGRAM; ELIGIBILITY |
| § 32.0241. REVIEW OF WAIVER REQUEST |
| § 32.0242. VERIFICATION OF CERTAIN INFORMATION |
| § 32.0243. PERIODIC REVIEW OF ELIGIBILITY FOR CERTAIN RECIPIENTS |
| § 32.0244. NURSING HOME BEDS IN CERTAIN COUNTIES |
| § 32.0245. NURSING HOME BEDS FOR CERTAIN FACILITIES TREATING ALZHEIMER'S DISEASE |
| § 32.02451. ADDITIONAL PERSONAL NEEDS ALLOWANCE FOR GUARDIANSHIP EXPENSES OF CERTAIN RECIPIENTS |
| § 32.0246. PILOT PROGRAM FOR TREATMENT OF ALZHEIMER'S PATIENTS |
| § 32.0247. MEDICAL ASSISTANCE FOR CERTAIN PERSONS MAKING TRANSITION FROM FOSTER CARE TO INDEPENDENT LIVING |
| § 32.02471. MEDICAL ASSISTANCE FOR CERTAIN FORMER FOSTER CARE ADOLESCENTS ENROLLED IN HIGHER EDUCATION |
| § 32.025. APPLICATION FOR MEDICAL ASSISTANCE |
| § 32.0251. ELIGIBILITY NOTIFICATION AND REVIEW FOR CERTAIN CHILDREN |
| § 32.0255. TRANSITIONAL MEDICAL ASSISTANCE |
| § 32.026. CERTIFICATION OF ELIGIBILITY AND NEED FOR MEDICAL ASSISTANCE |
| § 32.0261. CONTINUOUS ELIGIBILITY |
| § 32.02611. EXCLUSION OF ASSETS IN PREPAID TUITION PROGRAMS AND HIGHER EDUCATION SAVINGS PLANS |
| § 32.0262. ELIGIBILITY TRANSITION |
| § 32.0263. HEALTH CARE ORIENTATION |
| § 32.027. SELECTION OF PROVIDER OF MEDICAL ASSISTANCE |
| § 32.028. FEES, CHARGES, AND RATES |
| § 32.0281. RULES AND NOTICE RELATING TO PAYMENT RATES |
| § 32.0282. PUBLIC HEARING ON RATES |
| § 32.029. METHODS OF PAYMENT |
| § 32.0291. PREPAYMENT REVIEWS AND POSTPAYMENT HOLDS |
| § 32.030. MEDICAL ASSISTANCE FUND |
| § 32.031. RECEIPT AND EXPENDITURE OF FUNDS |
| § 32.0311. DRUG REIMBURSEMENT UNDER CERTAIN PROGRAMS |
| § 32.0312. REIMBURSEMENT FOR SERVICES ASSOCIATED WITH PREVENTABLE ADVERSE EVENTS |
| § 32.0313. INDUCED DELIVERIES OR CESAREAN SECTIONS BEFORE 39TH WEEK |
| § 32.0314. REIMBURSEMENT FOR DURABLE MEDICAL EQUIPMENT AND SUPPLIES |
| § 32.0315. FUNDS FOR GRADUATE MEDICAL EDUCATION |
| § 32.032. PREVENTION AND DETECTION OF FRAUD AND ABUSE |
| § 32.0321. SURETY BOND |
| § 32.0322. CRIMINAL HISTORY RECORD INFORMATION; ENROLLMENT OF PROVIDERS |
| § 32.033. SUBROGATION |
| § 32.034. CONTRACT CANCELLATION; NOTICE AND HEARING |
| § 32.035. APPEALS |
| § 32.036. PROGRAM PAYMENTS NONASSIGNABLE AND EXEMPT FROM LEGAL PROCESS |
| § 32.038. COLLECTION OF INSURANCE PAYMENTS |
| § 32.0381. ICF-MR PAYMENT RATES |
| § 32.039. DAMAGES AND PENALTIES |
| § 32.0391. CRIMINAL OFFENSE |
| § 32.040. IDENTIFICATION OF HUSBAND OR ALLEGED FATHER |
| § 32.041. MEDICAID MANAGED CARE DEMONSTRATION PROJECT |
| § 32.042. INFORMATION REQUIRED FROM HEALTH INSURERS |
| § 32.0421. ADMINISTRATIVE PENALTY FOR FAILURE TO PROVIDE INFORMATION |
| § 32.0422. HEALTH INSURANCE PREMIUM PAYMENT REIMBURSEMENT PROGRAM FOR MEDICAL ASSISTANCE RECIPIENTS |
| § 32.0423. RECOVERY OF REIMBURSEMENTS FROM HEALTH COVERAGE PROVIDERS |
| § 32.0424. REQUIREMENTS OF THIRD-PARTY HEALTH INSURERS |
| § 32.04242. PAYOR OF LAST RESORT |
| § 32.0425. REIMBURSEMENT FOR WHEELED MOBILITY SYSTEMS |
| § 32.043. PROCUREMENT RULES FOR PUBLIC DISPROPORTIONATE SHARE HOSPITALS |
| § 32.044. GROUP PURCHASING FOR DISPROPORTIONATE SHARE HOSPITALS |
| § 32.045. ENHANCED REIMBURSEMENT |
| § 32.046. SANCTIONS AND PENALTIES RELATED TO THE PROVISION OF PHARMACY PRODUCTS |
| § 32.0461. VENDOR DRUG PROGRAM; COMPETITIVE BIDDING |
| § 32.0462. VENDOR DRUG PROGRAM; PRICING STANDARD |
| § 32.0463. MEDICATIONS AND MEDICAL SUPPLIES |
| § 32.047. PROHIBITION OF CERTAIN HEALTH CARE SERVICE PROVIDERS |
| § 32.048. MANAGED CARE INFORMATION AND TRAINING PLAN |
| § 32.049. MANAGED CARE CONTRACT COMPLIANCE |
| § 32.050. DUAL MEDICAID AND MEDICARE COVERAGE |
| § 32.051. MISDIRECTED BILLING |
| § 32.052. WAIVER PROGRAMS FOR CHILDREN WITH DISABILITIES OR SPECIAL HEALTH CARE NEEDS |
| § 32.053. PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) |
| § 32.0531. PACE PROGRAM TEAM |
| § 32.054. DENTAL SERVICES |
| § 32.055. CATASTROPHIC CASE MANAGEMENT |
| § 32.0551. OPTIMIZATION OF CASE MANAGEMENT SYSTEMS |
| § 32.056. COMPLIANCE WITH TEXAS HEALTH STEPS |
| § 32.057. CONTRACTS FOR DISEASE MANAGEMENT PROGRAMS. |
| § 32.058. LIMITATION ON MEDICAL ASSISTANCE IN CERTAIN ALTERNATIVE COMMUNITY-BASED CARE SETTINGS |
| § 32.059. USE OF RESPIRATORY THERAPISTS FOR RESPIRATORY THERAPY SERVICES |
| § 32.060. NURSING FACILITY QUALITY ASSURANCE TEAM |
| § 32.061. COMMUNITY ATTENDANT SERVICES PROGRAM |
| § 32.062. ADMISSIBILITY OF CERTAIN EVIDENCE RELATING TO NURSING INSTITUTIONS |
| § 32.063. THIRD-PARTY BILLING VENDORS |
| § 32.064. COST SHARING |
| § 32.0641. RECIPIENT ACCOUNTABILITY PROVISIONS; COST-SHARING REQUIREMENT TO IMPROVE APPROPRIATE UTILIZATION OF SERVICES |
| § 32.067. DELIVERY OF COMPREHENSIVE CARE SERVICES TO CERTAIN RECIPIENTS OF MEDICAL ASSISTANCE |
| § 32.068. IN-PERSON EVALUATION REQUIRED FOR CERTAIN SERVICES |
| § 32.069. CHRONIC KIDNEY DISEASE MANAGEMENT INITIATIVE |
| § 32.070. AUDITS OF PROVIDERS |
| § 32.071. RECIPIENT AND PROVIDER EDUCATION |
| § 32.072. DIRECT ACCESS TO EYE HEALTH CARE SERVICES |
| § 32.073. HEALTH INFORMATION TECHNOLOGY STANDARDS |
| § 32.074. ACCESS TO PERSONAL EMERGENCY RESPONSE SYSTEM |
| Subchapter C. MEDICAL ASSISTANCE PROGRAM PROVIDER DATABASE |
| § 32.101. DEFINITIONS |
| § 32.102. DATABASE OF MEDICAL ASSISTANCE PROGRAM PROVIDERS |
| § 32.103. CERTAIN FEES PROHIBITED |
| § 32.104. AUTHORITY TO CONTRACT |
| § 32.105. RULES |
| Subchapter E. ELECTRONIC COMMUNICATIONS |
| § 32.201. DEFINITIONS |
| § 32.202. ELECTRONIC COMMUNICATIONS |
| Subchapter F. PARTNERSHIP FOR LONG-TERM CARE PROGRAM |
| § 32.251. DEFINITIONS |
| § 32.252. PARTNERSHIP FOR LONG-TERM CARE PROGRAM |
| § 32.253. ASSET DISREGARD |
| § 32.254. RECIPROCAL AGREEMENTS |
| § 32.255. TRAINING; INFORMATION AND TECHNICAL ASSISTANCE |
| § 32.256. RULES |