An official State of Texas website.
Revision 24-3; Effective July 1, 2024
If the regional director (RD) disagrees with the Utilization Review (UR) recommendation the RD refers the case by email and phone within five business days to the Community Care Services Eligibility (CCSE) unit manager at state office.
The state office CCSE unit manager then makes a final decision on whether to implement, revise, or reverse the UR recommendation. The decision is made within five business days of the referral. The state office CCSE unit manager will notify the RD, the state office CCSE Regional Support and Program Implementation unit manager, and the state office UR manager within one business day of the decision.
The region must implement the state office decision within 14 calendar days of the region being notified of the decision.