Texas Administrative Code
|TITLE 26||HEALTH AND HUMAN SERVICES|
|PART 1||HEALTH AND HUMAN SERVICES COMMISSION|
|CHAPTER 554||NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION|
|SUBCHAPTER Y||MEDICAL NECESSITY DETERMINATIONS|
|RULE §554.2401||General Qualifications for Medical Necessity Determinations|
Medical necessity is the prerequisite for participation in the Medicaid (Title XIX) Long-term Care program. This section contains the general qualifications for a medical necessity determination. To verify that medical necessity exists, an individual must meet the conditions described in paragraphs (1) and (2) of this section.
|Source Note: The provisions of this §554.2401 adopted to be effective September 1, 2008, 33 TexReg 7264; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871|