| (94) STAR+PLUS Home and Community-Based Services Program--The
program that provides person-centered care services that are delivered
in the home or in a community setting, as authorized through a federal
waiver under §1115 of the Social Security Act, to qualified Medicaid-eligible
clients who are age 21 or older, as cost-effective alternatives to
institutional care in nursing facilities.
(95) State plan--The agreement between the CMS and
HHSC regarding the operation of the Texas Medicaid program, in accordance
with the requirements of Title XIX of the Social Security Act.
(96) Supplemental Security Income (SSI)--The federal
cash assistance program of direct financial payments to people who
are 65 years of age or older, are blind, or have a disability administered
by the Social Security Administration (SSA) under Title XVI of the
Social Security Act. All persons who are certified as eligible for
SSI in Texas are eligible for Medicaid. Local SSA claims representatives
make SSI eligibility determinations. The transactions are forwarded
to the SSA in Baltimore, which then notifies the states through the
State Data Exchange (SDX).
(97) Texas Health Steps (THSteps)--The name adopted
by the State of Texas for the federally mandated Early and Periodic
Screening, Diagnosis, and Treatment (EPSDT) services, described at
42 U.S.C. §1396d(r) and 42 CFR §440.40 and §§441.40
- 441.62.
(98) Value-added service--A service provided by an
MCO that is not "medical assistance," as defined by §32.003 of
the Texas Human Resources Code.
|
| Source Note: The provisions of this §353.2 adopted to be effective February 28, 1997, 22 TexReg 1799; amended to be effective August 10, 2005, 30 TexReg 4466; amended to be effective September 1, 2006, 31 TexReg 6629; amended to be effective July 1, 2007, 32 TexReg 2135; amended to be effective September 1, 2007, 32 TexReg 5333; amended to be effective March 1, 2012, 37 TexReg 1283; amended to be effective July 8, 2012, 37 TexReg 4851; amended to be effective September 1, 2014, 39 TexReg 5873; amended to be effective November 1, 2016, 41 TexReg 8265; amended to be effective September 1, 2017, 42 TexReg 4273; amended to be effective April 24, 2019, 44 TexReg 1980; amended tobe effective August 12, 2021, 46 TexReg 4843 |
