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Waiver Renewal
... authority is subject to an enrollment cap. All Medicaid laws, regulations and policies apply to this expenditure authority except as ...

Section 7000, Complaint, Appeal and Fair Hearing Procedures
... with the requirements in applicable federal and state laws and regulations, including 42 Code of Federal Regulations (CFR) ... hearings officer's decision provided in the fair hearings rules must be initiated by the appellant (applicant/member). ...

Section 1000, Overview and Eligibility
... and in this handbook. The STAR Kids Handbook includes policies and procedures to be used by all Texas Health and ... correct information to TMHP. See Appendix I , MCO Business Rules for SK-SAI and SK-ISP, for detailed instructions ... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d). This CFR rule mandates that ...

Glossary
... assessed for the Medically Dependent Children Program (MDCP) or STAR+PLUS Home and Community Based Services (HCBS) ... — Any Medicaid-eligible recipient. Code of Federal Regulations (CFR) — The codified federal regulatory law ... and Support Services (CLASS) — A non-capitated 1915(c) waiver which provides home and community-based services to ...

Section 1000, STAR Kids Overview and Eligibility
... Support Unit (PSU) staff. The STAR Kids Handbook includes policies and procedures to be used by managed care ... See the STAR Kids Handbook , Appendix I , MCO Business Rules for SK-SAI and SK-ISP, for detailed instructions ... meet eligibility requirements stated in 42 Code of Federal Regulations (CFR) §441.510(d) . This CFR rule mandates that ...

Glossary
... — Any Medicaid-eligible recipient. Code of Federal Regulations (CFR) — The codified federal regulatory law ... members in the Medically Dependent Children Program (MDCP) and STAR+PLUS Home and Community Based Services (HCBS) ... Code (TAC) — A compilation of all the state rules in Texas that implement state programs and services. ...

Glossary
... that administers Medicare and Medicaid. Code of Federal Regulations (CFR) — The codified federal regulatory law ... Code (TAC) — A compilation of all the state rules in Texas. Termination —  Closure of an ongoing case ... Necessity and Level of Care (MN/LOC) Assessments for the waivers. Third-Party Resource (TPR)  — Any individual, ...

Section 4000, STAR Kids Community Services
... of the Social Security Act. CFC is authorized by federal regulations governing home and community based services. ... organizations (MCOs) must follow all federal and state laws and rules and the provisions of the Texas Medicaid ... 15, Chapter 363, Subchapter C. These rules and related policies, including rules and policy related to prior ...

Section 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care
... Unit (PSU) staff. The STAR+PLUS Handbook (SPH) includes policies and procedures to be used by MCOs, contractors and ... Effective November 5, 2019   Title 42 Code of Federal Regulations (CFR) §441.302(c) and Title 1 Texas ... are subject to modification based on federal and state laws and regulations and program policy updates.   1330 ...

Section 4000, STAR Kids Community Services
... §1915(k) of the Social Security Act. CFC is under federal regulations governing home and community based services. ... tasks without a nurse assessment, in accordance with state laws; Texas Government Code §531.051(e) ,  and Title 22 ... requirements, including the adoption and enforcement of policies and procedures for a member’s medical emergency. ...