Text of subsection effective until April 01, 2025

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

Text of subsection effective on April 01, 2025

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