Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 277 - Contracting to Provide Primary Home Care
Subchapter D - SERVICE DELIVERY PLAN DEVELOPMENT
Section 277.43 - Referrals and Authorizations
Universal Citation: 26 TX Admin Code § 277.43
Current through Reg. 50, No. 13; March 28, 2025
(a) Referrals in the PHC Program and CAS Program. HHSC makes a referral to a provider to begin pre-initiation activities in the PHC Program and CAS Program.
(1) Methods of referral.
(A) If an individual's needs require that a
provider complete pre-initiation activities in less than 14 days after a
referral, the case worker makes an expedited referral by oral notice and on
HHSC's Authorization for Community Care Services form.
(B) If an individual's needs do not require
that a provider complete pre-initiation activities in less than 14 days after a
referral, the case worker makes a routine referral on HHSC's Authorization for
Community Care Services form.
(2) A provider must accept all referrals.
(3) After a provider receives a
referral, the provider must conduct the pre-initiation activities as described
in § 47.45 of this subchapter (relating to Pre-Initiation
Activities).
(b) Authorizations in the PHC Program and CAS Program. After a provider completes the pre-initiation activities, HHSC makes an authorization determination and notifies the provider that services are authorized by sending the provider an HHSC Authorization for Community Care Services form.
(c) Authorizations in the FC Program. HHSC does not make a referral to a provider before authorizing services in the FC Program.
(1) HHSC authorizes services for an
individual in the FC Program by sending a provider an HHSC Authorization for
Community Care Services form.
(2) A
provider must accept all authorizations.
(3) After a provider receives an
authorization, the provider must conduct the pre-initiation activities as
described in § 47.45 of this subchapter.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
