TITLE 40. SOCIAL SERVICES AND ASSISTANCE

PART 1. TEXAS DEPARTMENT OF HUMAN SERVICES

CHAPTER 19. NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION

SUBCHAPTER S. REIMBURSEMENT METHODOLOGY FOR NURSING FACILITIES

40 TAC §19.1812

Senate Bill 30, §1.07, 75th Legislative Session transferred the responsibility for utilization review in the state Medicaid program from the Texas Department of Health and the Texas Department of Human Services to the Texas Health and Human Services Commission. In accordance with this transfer, Title 25, Part 1, §§41.101-41.105 and 41.107-41.113 concerning utilization review will become Title 1, Part 15, §§371.200-371.211, effective September 1, 1997. Title 40, Part 1, §§19.1812, 19.2411, and 19.2412 will become Title 1, Part 15, §§371.212-371.214, effective September 1, 1997. The rule conversion chart is published in the Tables and Graphic section.

Figure: 1 TAC Chapter 371

§167;19.1812.Case Mix Classification System.


SUBCHAPTER Y. MEDICAL REVIEW AND RE-EVALUATION

40 TAC §19.2411, §19.2412

Senate Bill 30, §1.07, 75th Legislative Session transferred the responsibility for utilization review in the state Medicaid program from the Texas Department of Health and the Texas Department of Human Services to the Texas Health and Human Services Commission. In accordance with this transfer, Title 25, Part 1, §§41.101-41.105 and 41.107-41.113 concerning utilization review will become Title 1, Part 15, §§371.200-371.211, effective September 1, 1997. Title 40, Part 1, §§19.1812, 19.2411, and 19.2412 will become Title 1, Part 15, §§371.212-371.214, effective September 1, 1997.

Figure: 1 TAC Chapter 371

§19.2411.Utilization Review and Control Activities Performed by Texas Department of Human Services (DHS).

§19.2412.Texas Index for Level of Effort (TILE) Assessments.