Tex. Human Resources Code Section 161.082
Long-term Care Medicaid Waiver Programs: Utilization Review

(a)

In this section, “Section 1915(c) waiver program” has the meaning assigned by Section 531.001 (Definitions), Government Code.

(a)

In this section, “Section 1915(c) waiver program” has the meaning assigned by Section 521.0001 (Definitions), Government Code.

(b)

The department shall perform a utilization review of services in all Section 1915(c) waiver programs. The utilization review must include, at a minimum, reviewing program recipients’ levels of care and any plans of care for those recipients that exceed service level thresholds established in the applicable waiver program guidelines.
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 1.06(b), eff. September 28, 2011.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.112, eff. April 1, 2025.

Source: Section 161.082 — Long-term Care Medicaid Waiver Programs: Utilization Review, https://statutes.­capitol.­texas.­gov/Docs/HR/htm/HR.­161.­htm#161.­082 (accessed Jun. 5, 2024).

161.001
Definitions 161.003
Sunset Provision 161.057
Criminal Background Checks 161.071
General Powers and Duties of Department 161.073
Rules 161.074
Competitive Grant Program 161.075
Immunity for Area Agencies on Aging and Agency Employees and Volunteers 161.076
On-site Surveys of Certain Providers 161.077
Investigation Database 161.078
Eligibility for Deaf-blind with Multiple Disabilities Waiver Program 161.079
Informal Caregiver Services 161.080
Contracts for Services for Individuals with Developmental Disabilities 161.081
Long-term Care Medicaid Waiver Programs: Streamlining and Uniformity 161.082
Long-term Care Medicaid Waiver Programs: Utilization Review 161.083
Corrections Medication Aides 161.084
Medicaid Service Options Public Education Initiative 161.085
Interest List Reporting 161.086
Electronic Visit Verification System 161.087
Gifts and Grants 161.088
Trauma-informed Care Training 161.089
Administrative Penalties 161.091
Definitions 161.092
Applicability 161.093
Administration of Medication 161.094
Department Duties 161.095
Liability 161.096
Conflict with Other Law 161.101
Guardianship Services 161.102
Referral to Guardianship Program, Court, or Other Person 161.103
Contract for Guardianship Services 161.104
Quality Assurance Program 161.105
Oath 161.106
Guardianship Powers and Duties 161.107
Exemption from Guardianship Bonds, Certain Costs, Fees, and Expenses 161.108
Successor Guardian 161.109
Access to Records or Documents 161.110
Legal Representation of Department 161.111
Confidentiality and Disclosure of Information 161.112
Indemnification for Legal Expenses 161.113
Immunity 161.114
Use of Volunteers 161.151
Definitions 161.152
Lifespan Respite Services Program 161.153
Eligibility 161.154
Respite Services Contracts 161.155
Respite Services Coordinator Functions 161.156
Rules 161.251
Definitions 161.252
Legislative Committee on Aging Established 161.253
Composition of Committee 161.254
Committee Powers and Duties 161.255
Report 161.301
Definition 161.302
Contract to Provide Outreach and Input Relating to Aging Population 161.303
Establishment and Administration of Fund 161.304
Use of Fund 161.351
Legislative Findings 161.352
Fall Prevention Awareness Week 161.353
Fall Prevention Policy 161.0515
Assistant Commissioner for State Supported Living Centers 161.0541
Maintenance of Merit System 161.0892
Informal Dispute Resolution
Green check means up to date. Up to date

Accessed:
Jun. 5, 2024

§ 161.082’s source at texas​.gov