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Texas Statutes
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Government Code
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Title 4. Executive Branch
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Subtitle I. Health and Human Services
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Chapter 531. Health and Human Services Commission
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Subchapter B. Powers and Duties
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Sec. 531.021. Administration of Medicaid.
Sec. 531.0211. Managed Care Medicaid Program: Rules; Education Programs.
Sec. 531.02111. Biennial Medicaid Financial Report.
Sec. 531.02113. Optimization of Medicaid Financing.
Sec. 531.021135. Commission's Authority to Retain Certain Money to Administer Certain Medicaid Programs; Report Required.
Sec. 531.02114. Dental Director.
Sec. 531.02115. Marketing Activities by Providers Participating in Medicaid Or Child Health Plan Program.
Sec. 531.02118. Streamlining Medicaid Provider Enrollment and Credentialing Processes.
Sec. 531.021182. Use of National Provider Identifier Number.
Sec. 531.02119. Discrimination Based On Immunization Status Prohibited.
Sec. 531.021191. Medicaid Enrollment of Certain Eye Health Care Providers.
Sec. 531.0212. Medicaid Bill of Rights and Bill of Responsibilities.
Sec. 531.02131. Grievances Related to Medicaid.
Sec. 531.0214. Medicaid Data Collection System.
Sec. 531.02141. Medicaid Information Collection and Analysis.
Sec. 531.02142. Public Access to Certain Medicaid Data.
Sec. 531.02143. Data Regarding Postnatal Alcohol and Controlled Substance Treatment.
Sec. 531.0215. Compilation of Statistics Relating to Fraud.
Sec. 531.0216. Participation and Reimbursement of Telemedicine Medical Service Providers, Teledentistry Dental Service Providers, and Telehealth Service Providers Under Medicaid.
Sec. 531.02161. Provision of Services Through Telecommunications and Information Technology Under Medicaid and Other Public Benefits Programs.
Sec. 531.02162. Medicaid Services Provided Through Telemedicine Medical Services, Teledentistry Dental Services, and Telehealth Services to Children with Special Health Care Needs.
Sec. 531.02164. Medicaid Services Provided Through Home Telemonitoring Services.
Sec. 531.0217. Reimbursement for Certain Medical Consultations.
Sec. 531.02171. Reimbursement for Certain Telehealth Services.
Sec. 531.02172. Reimbursement for Teledentistry Dental Services.
Sec. 531.02174. Additional Authority Regarding Telemedicine Medical Services.
Sec. 531.02175. Reimbursement for Online Medical Consultations.
Sec. 531.0218. Long-term Care Medicaid Programs.
Sec. 531.02191. Public Input.
Sec. 531.02192. Federally Qualified Health Center and Rural Health Clinic Services.
Sec. 531.02193. Certain Conditions On Medicaid Reimbursement of Rural Health Clinics Prohibited.
Sec. 531.02194. Reimbursement Methodology for Rural Hospitals.
Sec. 531.0222. Local Mental Health Authority Group Regional Planning.
Sec. 531.0224. Planning and Policy Direction of Temporary Assistance for Needy Families Program.
Sec. 531.02241. Pilot Program for Self-sufficiency of Certain Persons Receiving Financial Assistance Or Supplemental Nutrition Assistance Benefits.
Sec. 531.0225. Mental Health and Substance Abuse Services.
Sec. 531.02253. Telehealth Treatment for Substance Use Disorders.
Sec. 531.0226. Chronic Health Conditions Services Medicaid Waiver Program.
Sec. 531.0227. Person First Respectful Language Promotion.
Sec. 531.023. Submission of Plans and Updates by Agencies.
Sec. 531.024. Planning and Delivery of Health and Human Services; Data Sharing.
Sec. 531.0241. Streamlining Delivery of Services.
Sec. 531.02411. Streamlining Administrative Processes.
Sec. 531.024115. Service Delivery Area Alignment.
Sec. 531.02412. Service Delivery Audit Mechanisms.
Sec. 531.02413. Billing Coordination System.
Sec. 531.024131. Expansion of Billing Coordination and Information Collection Activities.
Sec. 531.02414. Nonemergency Transportation Services Under Medical Transportation Program.
Sec. 531.02415. Electronic Eligibility Information Pilot Project.
Sec. 531.024161. Reimbursement Claims for Certain Medicaid Or Child Health Plan Services Involving Supervised Providers.
Sec. 531.024162. Notice Requirements Regarding Medicaid Coverage Or Prior Authorization Denial and Incomplete Requests.
Sec. 531.024163. Accessibility of Information Regarding Medicaid Prior Authorization Requirements.
Sec. 531.024164. External Medical Review.
Sec. 531.02417. Medicaid Nursing Services Assessments.
Sec. 531.024171. Therapy Services Assessments.
Sec. 531.024172. Electronic Visit Verification System.
Sec. 531.02418. Medicaid and Child Health Plan Program Eligibility Determinations for Certain Individuals.
Sec. 531.024181. Verification of Immigration Status of Applicants for Certain Benefits Who Are Qualified Aliens.
Sec. 531.024182. Verification of Sponsorship Information for Certain Benefits Recipients; Reimbursement.
Sec. 531.024183. Standardized Screening Questions for Assessing Nonmedical Health-related Needs of Certain Pregnant Women; Informed Consent.
Sec. 531.0242. Use of Agency Staff.
Sec. 531.0244. Ensuring Appropriate Care Setting for Persons with Disabilities.
Sec. 531.02442. Community Living Options Information Process for Certain Persons with An Intellectual Disability.
Sec. 531.02443. Implementation of Community Living Options Information Process at State Institutions for Certain Adult Residents.
Sec. 531.02444. Medicaid Buy-in Programs for Certain Persons with Disabilities.
Sec. 531.02445. Transition Services for Youth with Disabilities.
Sec. 531.02447. Employment-first Policy.
Sec. 531.02448. Competitive and Integrated Employment Initiative for Certain Medicaid Recipients.
Sec. 531.0245. Permanency Planning for Certain Children.
Sec. 531.0246. Regional Management of Health and Human Services Agencies.
Sec. 531.0247. Annual Business Plan.
Sec. 531.0248. Community-based Support Systems.
Sec. 531.02481. Community-based Support and Service Delivery Systems for Long-term Care Services.
Sec. 531.02482. Faith- and Community-based Organization Support for Certain Persons Receiving Public Assistance.
Sec. 531.02485. Required Review of Criminal History Record Information for Certain Residential Caregivers.
Sec. 531.02486. Suspending Employment of Certain Residential Caregivers.
Sec. 531.02491. Joint Training for Certain Caseworkers.
Sec. 531.02492. Delivery of Health and Human Services to Young Texans.
Sec. 531.025. Statewide Needs Appraisal Project.
Sec. 531.027. Appropriations Request by Agencies.
Sec. 531.0271. Health and Human Services Agencies Operating Budgets.
Sec. 531.0273. Information Resources Planning and Management.
Sec. 531.02731. Report of Information Resources Manager to Commission.
Sec. 531.0274. Coordination and Approval of Caseload Estimates.
Sec. 531.028. Monitoring and Effective Management of Funds.
Sec. 531.031. Management Information and Cost Accounting System.
Sec. 531.0312. Texas Information and Referral Network.
Sec. 531.0313. Electronic Access to Health and Human Services Referral Information.
Sec. 531.03131. Electronic Access to Child-care and Education Services Referral Information.
Sec. 531.03132. Electronic Access to Referral Information about Housing Options for Persons with Mental Illness.
Sec. 531.0315. Implementing National Electronic Data Interchange Standards for Health Care Information.
Sec. 531.0317. Health and Human Services Information Made Available Through the Internet.
Sec. 531.0318. Long-term Care Consumer Information Made Available Through the Internet.
Sec. 531.0319. Outreach Campaigns for Aging Adults with Visual Impairments.
Sec. 531.032. Application of Other Laws.
Sec. 531.033. Rules.
Sec. 531.0335. Prohibition On Punitive Action for Failure to Immunize.
Sec. 531.035. Dispute Arbitration.
Sec. 531.036. Public Hearings.
Sec. 531.037. Notice of Public Hearings.
Sec. 531.038. Gifts and Grants.
Sec. 531.0381. Certain Gifts and Grants to Health and Human Services Agencies.
Sec. 531.039. Contracts.
Sec. 531.0391. Subrogation and Third-party Reimbursement Collection Contract.
Sec. 531.0392. Recovery of Certain Third-party Reimbursements Under Medicaid.
Sec. 531.040. Reference Guide; Dictionary.
Sec. 531.041. General Powers and Duties.
Sec. 531.0411. Rules Regarding Refugee Resettlement.
Sec. 531.042. Information and Assistance Regarding Care and Support Options.
Sec. 531.043. Long-term Care Vision.
Sec. 531.044. Financial Assistance Recipients Eligible for Federal Programs.
Sec. 531.047. Substitute Care Provider Outcome Standards.
Sec. 531.048. Caseload Standards.
Sec. 531.050. Minimum Collection Goal.
Sec. 531.0501. Medicaid Waiver Programs: Interest List Management.
Sec. 531.051. Consumer Direction of Certain Services for Persons with Disabilities and Elderly Persons.
Sec. 531.0511. Medically Dependent Children Waiver Program: Consumer Direction of Services.
Sec. 531.0512. Notification Regarding Consumer Direction Model.
Sec. 531.0515. Risk Management Criteria for Certain Waiver Programs.
Sec. 531.053. Leases and Subleases of Certain Office Space.
Sec. 531.054. Assumption of Leases for Implementations of Integrated Enrollment Services Initiative.
Sec. 531.055. Memorandum of Understanding On Services for Persons Needing Multiagency Services.
Sec. 531.056. Review of Survey Process in Certain Institutions and Facilities.
Sec. 531.057. Volunteer Advocate Program for the Elderly.
Sec. 531.058. Informal Dispute Resolution for Certain Long-term Care Facilities.
Sec. 531.0581. Long-term Care Facilities Council.
Sec. 531.0585. Issuance of Materials to Certain Long-term Care Facilities.
Sec. 531.059. Voucher Program for Transitional Living Assistance for Persons with Disabilities.
Sec. 531.060. Family-based Alternatives for Children.
Sec. 531.0601. Long-term Care Services Waiver Program Interest Lists.
Sec. 531.06011. Certain Medicaid Waiver Programs: Interest List Management.
Sec. 531.0602. Medically Dependent Children (mdcp) Waiver Program Assessments and Reassessments.
Sec. 531.06021. Medically Dependent Children (mdcp) Waiver Program Quality Monitoring; Report.
Sec. 531.0603. Eligibility of Certain Children for Medically Dependent Children (mdcp) Or Deaf-blind with Multiple Disabilities (dbmd) Waiver Program.
Sec. 531.0604. Medically Dependent Children Program Eligibility Requirements; Nursing Facility Level of Care.
Sec. 531.0605. Advancing Care for Exceptional Kids Pilot Program.
Sec. 531.061. Participation by Fathers.
Sec. 531.062. Pilot Projects Relating to Technology Applications.
Sec. 531.063. Call Centers.
Sec. 531.064. Vaccines for Children Program Provider Enrollment and Reimbursement.
Sec. 531.066. Participation of Diagnostic Laboratory Service Providers in Certain Programs.
Sec. 531.067. Program to Improve and Monitor Certain Outcomes of Recipients Under Child Health Plan Program and Medicaid.
Sec. 531.069. Periodic Review of Vendor Drug Program.
Sec. 531.0691. Vendor Drug Program Inclusion.
Sec. 531.0693. Prescription Drug Use and Expenditure Patterns.
Sec. 531.0694. Period of Validity for Prescription.
Sec. 531.0696. Considerations in Awarding Certain Contracts.
Sec. 531.0697. Prior Approval and Provider Access to Certain Communications with Certain Recipients.
Sec. 531.070. Supplemental Rebates.
Sec. 531.0701. Value-based Arrangements.
Sec. 531.071. Confidentiality of Information Regarding Drug Rebates, Pricing, and Negotiations.
Sec. 531.072. Preferred Drug Lists.
Sec. 531.072. Preferred Drug Lists.
Sec. 531.073. Prior Authorization for Certain Prescription Drugs.
Sec. 531.0735. Medicaid Drug Utilization Review Program: Drug Use Reviews and Annual Report.
Sec. 531.0736. Drug Utilization Review Board.
Sec. 531.0737. Drug Utilization Review Board: Conflicts of Interest.
Sec. 531.0741. Publication of Information Regarding Commission Decisions On Preferred Drug List Placement.
Sec. 531.075. Prior Authorization for High-cost Medical Services.
Sec. 531.076. Review of Prior Authorization and Utilization Review Processes.
Sec. 531.077. Recovery of Certain Assistance.
Sec. 531.078. Quality Assurance Fees On Certain Waiver Program Services.
Sec. 531.079. Waiver Program Quality Assurance Fee Account.
Sec. 531.080. Reimbursement of Waiver Programs.
Sec. 531.081. Invalidity; Federal Funds.
Sec. 531.082. Expiration of Quality Assurance Fee On Waiver Programs.
Sec. 531.083. Medicaid Long-term Care System.
Sec. 531.084. Medicaid Long-term Care Cost Containment Strategies.
Sec. 531.0841. Long-term Care Insurance Awareness and Education Campaign.
Sec. 531.0843. Durable Medical Equipment Reuse Program.
Sec. 531.085. Hospital Emergency Room Use Reduction Initiatives.
Sec. 531.0861. Physician Incentive Program to Reduce Hospital Emergency Room Use for Non-emergent Conditions.
Sec. 531.0862. Continued Implementation of Certain Interventions and Best Practices by Providers; Biannual Report.
Sec. 531.087. Distribution of Earned Income Tax Credit Information.
Sec. 531.088. Pooled Funding for Foster Care Preventive Services.
Sec. 531.089. Certain Medication for Sex Offenders Prohibited.
Sec. 531.090. Joint Purchasing of Prescription Drugs and Other Medications.
Sec. 531.091. Integrated Benefits Issuance.
Sec. 531.092. Transfer of Money for Community-based Services.
Sec. 531.0925. Veteran Suicide Prevention Action Plan.
Sec. 531.093. Services for Military Personnel.
Sec. 531.0931. Interest List Or Other Waiting List Rules for Certain Military Members and Their Dependents.
Sec. 531.0932. Instruction Guide for Family Members and Caregivers of Veterans Who Have Mental Health Disorders.
Sec. 531.0941. Medicaid Health Savings Account Pilot Program.
Sec. 531.097. Tailored Benefit Packages for Certain Categories of the Medicaid Population.
Sec. 531.0971. Tailored Benefit Packages for Non-medicaid Populations.
Sec. 531.0972. Pilot Program to Prevent the Spread of Certain Infectious Or Communicable Diseases.
Sec. 531.0973. Deaf-blind with Multiple Disabilities Waiver Program: Career Ladder for Interveners.
Sec. 531.0981. Wellness Screening Program.
Sec. 531.099. Alignment of Medicaid Diabetic Equipment and Supplies Written Order Procedures with Medicare Diabetic Equipment and Supplies Written Order Procedures.
Sec. 531.0991. Grant Program for Mental Health Services.
Sec. 531.09915. Innovation Matching Grant Program for Mental Health Early Intervention and Treatment.
Sec. 531.0992. Grant Program for Mental Health Services for Veterans and Their Families.
Sec. 531.0993. Grant Program to Reduce Recidivism, Arrest, and Incarceration Among Individuals with Mental Illness and to Reduce Wait Time for Forensic Commitment.
Sec. 531.09935. Grant Program to Reduce Recidivism, Arrest, and Incarceration Among Individuals with Mental Illness and to Reduce Wait Time for Forensic Commitment in Most Populous County.
Sec. 531.09936. Establishment Or Expansion of Regional Behavioral Health Centers Or Jail Diversion Centers.
Sec. 531.0994. Study; Annual Report.
Sec. 531.0995. Information for Certain Enrollees in the Healthy Texas Women Program.
Sec. 531.0998. Memorandum of Understanding Regarding Public Assistance Reporting Information System; Maximization of Benefits.
Sec. 531.0999. Peer Specialists.
Sec. 531.09991. Plan for the Transition of Care of Certain Individuals.