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Code: 

Insurance Code

Title: 

Title 14. Utilization Review and Independent Review

Section: 

4201.053

Name: 

Medicaid and Other State Health or Mental Health Programs

Eff. Date: 

September 1, 2015

No Rule Reference

§4201.053
Medicaid and Other State Health or Mental Health Programs

<Text of section effective until April 1, 2025. See, also, § 4201.053 effective April 1, 2025.>

(a) Except as provided by Section 4201.057, this chapter does not apply to:

(1) the state Medicaid program;

(2) the services program for children with special health care needs under Chapter 35, Health and Safety Code;

(3) a program administered under Title 2, Human Resources Code;

(4) a program of the Department of State Health Services relating to mental health services;

(5) a program of the Department of Aging and Disability Services relating to intellectual disability services; or

(6) a program of the Texas Department of Criminal Justice.

(b) Sections 4201.303(c), 4201.304(b), 4201.357(a-1), and 4201.3601 do not apply to:

(1) the child health program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code;

(2) the Employees Retirement System of Texas or another entity issuing or administering a coverage plan under Chapter 1551;

(3) the Teacher Retirement System of Texas or another entity issuing or administering a plan under Chapter 1575 or 1579;

(4) The Texas A&M University System or The University of Texas System or another entity issuing or administering coverage under Chapter 1601; and

(5) a managed care organization providing a Medicaid managed care plan under Chapter 533, Government Code.

Added by Acts 2005, 79th Leg., ch. 727, § 4, eff. April 1, 2007. Amended by Acts 2015, 84th Leg., ch. 1037 (H.B. 1621), § 1, eff. Sept. 1, 2015.