Tex. Gov't Code Section 542.0001
Definitions


In this chapter:

(1)

“Advisory committee” means the intellectual and developmental disability system redesign advisory committee established under Section 542.0052 (Intellectual and Developmental Disability System Redesign Advisory Committee).

(2)

“Basic attendant service” means a service provided to an individual to assist the individual with an activity of daily living, including an instrumental activity of daily living, because of a physical, cognitive, or behavioral limitation related to the individual’s disability or chronic health condition.

(3)

“Comprehensive long-term services and supports provider” means a provider of long-term services and supports under this chapter that ensures the coordinated, seamless delivery of the full range of services in a recipient’s program plan. The term includes:

(A)

an ICF-IID program provider; and

(B)

a Medicaid waiver program provider.

(4)

“Consumer direction model” has the meaning assigned by Section 546.0101 (Definitions).

(5)

“Functional need” means the measurement of an individual’s services and supports needs, including the individual’s intellectual, psychiatric, medical, and physical support needs.

(6)

“Habilitation service” includes a service provided to an individual to assist the individual with acquiring, retaining, or improving:

(A)

a skill related to the activities of daily living; and

(B)

the social and adaptive skills necessary for the individual to live and fully participate in the community.

(7)

“ICF-IID” means the Medicaid program serving individuals with an intellectual or developmental disability who receive care in intermediate care facilities other than a state supported living center.

(8)

“ICF-IID program” means a Medicaid program serving individuals with an intellectual or developmental disability who reside in and receive care from:

(A)

an intermediate care facility licensed under Chapter 252 (Intermediate Care Facilities for Individuals with an Intellectual Disability), Health and Safety Code; or

(B)

a community-based intermediate care facility operated by a local intellectual and developmental disability authority.

(9)

“Local intellectual and developmental disability authority” has the meaning assigned by Section 531.002 (Definitions), Health and Safety Code.

(10)

“Managed care organization” has the meaning assigned by Section 543A.0001 (Definitions).

(11)

“Medicaid waiver program” means only the following programs that are authorized under Section 1915(c) of the Social Security Act (42 U.S.C. Section 1396n(c)) for the provision of services to individuals with an intellectual or developmental disability:

(A)

the community living assistance and support services (CLASS) waiver program;

(B)

the home and community-based services (HCS) waiver program;

(C)

the deaf-blind with multiple disabilities (DBMD) waiver program; and

(D)

the Texas home living (TxHmL) waiver program.

(12)

“Potentially preventable event” has the meaning assigned by Section 543A.0001 (Definitions).

(13)

“Residential service” means a service provided to an individual with an intellectual or developmental disability through a community-based ICF-IID, three- or four-person home or host home setting under the home and community-based services (HCS) waiver program, or a group home under the deaf-blind with multiple disabilities (DBMD) waiver program.

(14)

“State supported living center” has the meaning assigned by Section 531.002 (Definitions), Health and Safety Code.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 542.0001 — Definitions, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­542.­htm#542.­0001 (accessed Jun. 5, 2024).

542.0001
Definitions
542.0002
Conflict with Other Law
542.0003
Delayed Implementation Authorized
542.0051
Redesign of Acute Care Services and Long-term Services and Supports System for Individuals with an Intellectual or Developmental Disability
542.0052
Intellectual and Developmental Disability System Redesign Advisory Committee
542.0053
Implementation of System Redesign
542.0054
Annual Report on Implementation
542.0101
Definitions
542.0102
Pilot Program to Test Person-centered Managed Care Strategies and Improvements Based on Capitation
542.0103
Alternative Payment Rate or Methodology
542.0104
Pilot Program Work Group
542.0105
Stakeholder Input
542.0106
Measurable Goals
542.0107
Managed Care Organization Selection
542.0108
Managed Care Organization Participation Requirements
542.0109
Required Benefits
542.0110
Provider Participation
542.0111
Care Coordination
542.0112
Person-centered Planning
542.0113
Use of Innovative Technology
542.0114
Informational Materials
542.0115
Implementation, Location, and Duration
542.0116
Recipient Enrollment, Participation, and Eligibility
542.0117
Pilot Program Information Collection and Analysis
542.0118
Pilot Program Conclusion
542.0119
Evaluations and Reports
542.0120
Transition Between Programs
542.0121
Service Transition Requirements
542.0151
Delivery of Acute Care Services to Individuals with an Intellectual or Developmental Disability
542.0201
Transition of Icf-iid Program Recipients and Certain Other Medicaid Waiver Program Recipients to Managed Care Program
542.0202
Recipient Choice of Delivery Model
542.0203
Required Contract Provisions
542.0204
Responsibilities of Commission Under Subchapter

Accessed:
Jun. 5, 2024

§ 542.0001’s source at texas​.gov