| TEXAS DEPARTMENT OF MENTAL HEALTH AND MENTAL RETARDATION | ||||||
| MEDICAID REIMBURSEMENT RATE RULES TRANSFER (EFFECTIVE 9/1/97) | ||||||
| Title | Ch. | Subch. | Sec. | Caption | New citation | Retain? |
|---|---|---|---|---|---|---|
| 25 | 406 | D | ICF/MR Programs, Reimbursement Methodology | 1 TAC ch. 355, subch. D | ||
| 406.151 | Definitions and General Reimbursement Information | 1 TAC §355.451 | ||||
| 406.152 | Cost Reporting Procedures | 1 TAC §355.452 | ||||
| 406.153 | Allowable and Unallowable Costs | 1 TAC §355.453 | ||||
| 406.154 | Frequency of Reporting Costs | 1 TAC §355.454 | ||||
| 406.155 | Payments to Non-State Operated Facility Modeled Rates | 1 TAC §355.455 | ||||
| 406.156 | Rate Setting Methodology | 1 TAC §355.456 | ||||
| 406.157 | Fiscal Accountability | 1 TAC §355.457 | ||||
| 406.158 | Rebasing the Non-State Operated Facility Modeled Rates | 1 TAC §355.458 | ||||
| 409 | A | General Reimbursement Methodology for Medical Assistance Programs | 1 TAC ch. 355, subch. F | |||
| 409.001 | Definitions and General Specifications | 1 TAC §355.701 | ü | |||
| 409.002 | Method for Cost Determination | 1 TAC §355.702 | ü | |||
| 409.003 | Basic Objectives and Criteria for Review of Cost Reports | 1 TAC §355.703 | ü | |||
| 409.004 | Determination of Inflation Indices | 1 TAC §355.704 | ||||
| 409.005 | Notification | 1 TAC §355.705 | ü | |||
| 409.006 | Adjusting Rates When New Legislation, Regulations, or Economic Factors Affect Costs | 1 TAC §355.706 | ||||
| 409.007 | Reviews and Administrative Hearings | 1 TAC §355.707 | ü | |||
| 409.008 | Allowable and Unallowable Costs | 1 TAC §355.708 | ||||
| 409.009 | Revenues | 1 TAC §355.709 | ||||
| 409 | D | Home and Community-based Services (HCS) | 1 TAC ch. 355, subch. F | ü | ||
| 409.103 | Payment Category Assignment and Provider Claims Payment | 1 TAC §355.721 | ü | |||
| 409.107 | Reporting Costs | 1 TAC §355.722 | ||||
| 409.118 | Reimbursement Methodology for Home and Community-based Services (HCS) | 1 TAC §355.723 | ||||
| 409 | E | Home and Community-based Services (HCS) | 1 TAC ch. 355, subch. F | ü | ||
| 409.159 | Provider Claims Payment | 1 TAC §355.731 | ü | |||
| 409.163 | Cost Report | 1 TAC §355.732 | ü | |||
| 409.164 | Reimbursement Methodology | 1 TAC §355.733 | ||||
| 409 | F | Case Management Program Requirements | 1 TAC ch. 355, subch. F | ü | ||
| 409.201 | Definitions | 1 TAC §355.741 | ü | |||
| 409.204 | Service Limitations | 1 TAC §355.742 | ü | |||
| 409.206 | Reimbursement Methodology for Case Management for Individuals with Mental Retardation or Related Conditions | 1 TAC §355.743 | ||||
| 409.207 | Right to Appeal | 1 TAC §355.744 | ü | |||
| 409 | G | Case Management for Persons with Chronic Mental Illness | 1 TAC ch. 355, subch. F | ü | ||
| 409.253 | Service Limitations | 1 TAC §355.751 | ü | |||
| 409.255 | Reimbursement Methodology for Case Management for Persons with Chronic Mental Illness | 1 TAC §355.752 | ||||
| 409.256 | Right to Appeal | 1 TAC §355.753 | ü | |||
| 409 | J | Reimbursement for Services in Institutions for Mental Diseases (IMD) | ü | |||
| 409.377 | Reimbursement Methodology | 1 TAC §355.761 | ||||
*A checkmark (“ü”) indicates a rule required by the originating agency for purposes other than determining Medicaid reimbursement rates. Rules bearing this mark will be preserved by the originating agency in its rules base for these purposes.