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2025 Texas Statutes
Human Resources Code
Title 2 - Human Services and Protective Services in General
Subtitle C - Assistance Programs
Chapter 32 - Medical Assistance Program
Subchapter B. Administrative Provisions
- Section 32.021. Administration of the Program
- Section 32.0211. Restrictions on Executive Commissioners, Former Members of a Board, Commissioners, and Their Business Partners
- Section 32.0212. Delivery of Medical Assistance
- Section 32.0213. Nursing Facility Bed Certification and Decertification
- Section 32.0214. Designations of Primary Care Provider by Certain Recipients
- Section 32.0215. Home or Community Care Providers: Civil Monetary Penalties
- Section 32.022. Medical and Hospital Care Advisory Committees
- Section 32.023. Cooperation With Other State Agencies
- Section 32.0231. Announcement of Funding or Program Change
- Section 32.024. Authority and Scope of Program; Eligibility
- Section 32.0241. Review of Waiver Request
- Section 32.0242. Verification of Certain Information
- Section 32.0244. Nursing Facility Beds in Certain Counties
- Section 32.0245. Nursing Facility Beds for Certain Facilities Treating Alzheimer's Disease
- Section 32.02451. Additional Personal Needs Allowance for Guardianship Expenses of Certain Recipients
- Section 32.0246. Medical Assistance Reimbursement for Certain Behavioral Health and Physical Health Services
- Section 32.02471. Medical Assistance for Certain Former Foster Care Adolescents Enrolled in Higher Education
- Section 32.024715. Streamlined Eligibility Determination Process for Certain Former Foster Care Youth
- Section 32.02482. Medical Assistance Reimbursement for Lactation Consultation Services
- Section 32.0249. Mental Health Screenings in Texas Health Steps Program
- Section 32.025. Application for Medical Assistance
- Section 32.0251. Eligibility Notification and Review for Certain Children
- Section 32.0255. Transitional Medical Assistance
- Section 32.0256. Continuation of Medical Assistance for Certain Individuals
- Section 32.026. Certification of Eligibility and Need for Medical Assistance
- Section 32.0261. Continuous Eligibility
- Section 32.026101. Determination of Eligibility by Health Care Exchanges Prohibited
- Section 32.02611. Exclusion of Assets in Prepaid Tuition Programs and Higher Education Savings Plans
- Section 32.02613. Life Insurance Assets; Life Insurance Policy Conversion
- Section 32.0262. Eligibility Transition
- Section 32.0263. Health Care Orientation
- Section 32.0264. Suspension and Reinstatement of Eligibility for Children in Juvenile Facilities
- Section 32.0265. Notice of Certain Placements in Juvenile Facilities
- Section 32.0266. Suspension, Termination, and Automatic Reinstatement of Eligibility for Individuals Confined in County Jails
- Section 32.027. Selection of Provider of Medical Assistance
- Section 32.0275. Military Medical Treatment Facilities and Affiliated Health Care Providers; Reimbursement
- Section 32.028. Fees, Charges, and Rates
- Section 32.0281. Rules and Notice Relating to Payment Rates
- Section 32.0282. Public Hearing on Rates
- Section 32.0284. Calculation of Payments Under Certain Supplemental Hospital Payment Programs
- Section 32.0285. Calculation of Medical Education Add-on for Reimbursement of Teaching Hospitals That Provide Behavioral Health and Physical Health Services
- Section 32.0286. Annual Patient Care Expense Ratio for Reimbursement of Certain Nursing Facility Providers
- Section 32.0287. Prescribed Pediatric Extended Care Center Reimbursement
- Section 32.029. Methods of Payment
- Section 32.0291. Prepayment Reviews and Payment Holds
- Section 32.031. Receipt and Expenditure of Funds
- Section 32.0311. Drug Reimbursement Under Certain Programs
- Section 32.03115. Reimbursement for Medication-Assisted Treatment for Opioid or Substance Use Disorder
- Section 32.03117. Reimbursement for Non-Opioid Treatments
- Section 32.0312. Reimbursement for Services Associated With Preventable Adverse Events
- Section 32.03126. Reimbursement for Childhood Cranial Remolding Orthosis
- Section 32.0313. Induced Deliveries or Cesarean Sections Before 39th Week
- Section 32.0314. Reimbursement for Durable Medical Equipment and Supplies
- Section 32.03141. Authority of Advanced Practice Registered Nurses and Physician Assistants Regarding Durable Medical Equipment and Supplies
- Section 32.0315. Funds for Graduate Medical Education
- Section 32.0316. Electronic Transactions; Medicaid
- Section 32.0317. Reimbursement for Services Provided Under School Health and Related Services Program
- Section 32.032. Prevention and Detection of Fraud and Abuse
- Section 32.0321. Surety Bond
- Section 32.0322. Criminal History Record Information; Enrollment of Providers
- Section 32.033. Subrogation
- Section 32.034. Contract Cancellation; Notice and Hearing
- Section 32.035. Appeals
- Section 32.036. Program Payments Nonassignable and Exempt From Legal Process
- Section 32.038. Collection of Insurance Payments
- Section 32.0381. Icf-Iid Payment Rates
- Section 32.039. Administrative Remedies
- Section 32.0391. Criminal Offense
- Section 32.040. Identification of Husband or Alleged Father
- Section 32.0421. Administrative Penalty for Failure to Provide Information
- Section 32.0422. Health Insurance Premium Payment Reimbursement Program for Medical Assistance Recipients
- Section 32.0423. Recovery of Reimbursements From Health Coverage Providers
- Section 32.0424. Requirements of Third-Party Health Insurers
- Section 32.04242. Payor of Last Resort
- Section 32.0425. Reimbursement for Wheeled Mobility Systems
- Section 32.043. Procurement Rules for Public Disproportionate Share Hospitals
- Section 32.044. Group Purchasing for Disproportionate Share Hospitals
- Section 32.045. Enhanced Reimbursement
- Section 32.046. Sanctions and Penalties Related to the Provision of Pharmacy Products
- Section 32.0461. Vendor Drug Program; Competitive Bidding
- Section 32.0462. Vendor Drug Program; Pricing Standard
- Section 32.0463. Medications and Medical Supplies
- Section 32.047. Prohibition of Certain Health Care Service Providers
- Section 32.048. Managed Care Information and Training Plan
- Section 32.049. Managed Care Contract Compliance
- Section 32.050. Dual Medicaid and Medicare Coverage
- Section 32.051. Misdirected Billing
- Section 32.052. Waiver Programs for Children With Disabilities or Special Health Care Needs
- Section 32.0531. Pace Program Team
- Section 32.0532. Pace Program Reimbursement Methodology
- Section 32.0533. Data Collection: Pace and Star + Plus Medicaid Managed Care Programs
- Section 32.054. Dental Services
- Section 32.055. Catastrophic Case Management
- Section 32.0551. Optimization of Case Management Systems
- Section 32.056. Compliance With Texas Health Steps Comprehensive Care Program
- Section 32.0561. Maternal Depression Screening
- Section 32.057. Contracts for Disease Management Programs
- Section 32.058. Limitation on Medical Assistance in Certain Alternative Community-Based Care Settings
- Section 32.059. Use of Respiratory Therapists for Respiratory Therapy Services
- Section 32.061. Community Attendant Services Program
- Section 32.062. Admissibility of Certain Evidence Relating to Nursing Institutions
- Section 32.063. Third-Party Billing Vendors
- Section 32.0631. Annual Notice to Certain Providers Regarding Use of Medicaid Identification Numbers With Respect to Newborn Children
- Section 32.0641. Recipient Accountability Provisions; Cost-Sharing Requirement to Improve Appropriate Utilization of Services
- Section 32.067. Delivery of Comprehensive Care Services to Certain Recipients of Medical Assistance
- Section 32.068. In-Person Evaluation Required for Certain Services
- Section 32.069. Chronic Kidney Disease Management Initiative
- Section 32.070. Audits of Providers
- Section 32.0705. External Audits of Certain Medicaid Contractors Based on Risk
- Section 32.071. Recipient and Provider Education
- Section 32.072. Direct Access to Eye Health Care Services
- Section 32.073. Health Information Technology Standards
- Section 32.074. Access to Personal Emergency Response System
- Section 32.075. Employment Assistance and Supported Employment
- Section 32.0755. Prevocational Services Under Certain Waiver Programs
- Section 32.076. Substitute Dentists
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