Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter M - MENTAL HEALTH TARGETED CASE MANAGEMENT AND MENTAL HEALTH REHABILITATION
Division 3 - MENTAL HEALTH REHABILITATION
Section 354.2701 - Eligible Individuals

(1) is a resident of the State of Texas;

(2) is a recipient of the Texas Medicaid Program; and

(3) has a diagnosis or diagnoses of mental illness or serious emotional disturbance as defined in the latest edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, not including a single diagnosis of an intellectual or developmental disability or a substance use disorder and who:

(1) is a resident of the State of Texas;

(2) is a recipient of the Texas Medicaid Program;

(3) has a diagnosis or diagnoses of mental illness as defined in the latest edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, not including a single diagnosis of an intellectual or developmental disability, dementia, or a substance use disorder; and

(4) who has been determined via an assessment process based on § 354.2607 of this subchapter to have serious functional impairments and is in need of mental health rehabilitation services.

(1) is an inmate of a public institution, as defined in RSA 435.1009;

(2) is a resident of an intermediate care facility for individuals with an intellectual disability or related conditions as described in RSA 440.150;

(3) is a resident of an IMD;

(4) is a patient of a general medical hospital; or

(5) is a resident of a nursing facility who has not been identified through the Preadmission Screening and Resident Review (PASSR) process as needing specialized mental health services.