Text of section effective on April 01, 2025

Sec. 532.0305.  THERAPY SERVICES ASSESSMENTS.  (a)  In this section, "therapy services" includes occupational, physical, and speech therapy services.
(b)  After implementing the objective assessment process for acute nursing services in accordance with Section 532.0304, the commission shall consider whether implementing age- and diagnosis-appropriate objective assessment processes for use in assessing a recipient's need for therapy services would be feasible and beneficial.
(c)  If the commission determines that implementing age- and diagnosis-appropriate processes with respect to one or more types of therapy services is feasible and would be beneficial, the commission may implement the processes within:
(1)  the Medicaid fee-for-service model;
(2)  the primary care case management Medicaid managed care model; and
(3)  the STAR and STAR+PLUS Medicaid managed care programs.
(d)  An objective assessment process implemented under this section must include a process that allows a therapy services provider to request and obtain a review of the results of an assessment conducted as provided by this section. The review process must be comparable to the review process implemented under Section 532.0304(e).
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.