Texas § 540.0302 PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT.

Texas Statutes

§ 540.0302 — PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT.

Texas § 540.0302

Code GVGovernment Code

This text of Texas § 540.0302 (PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Government Code Code Ann. § 540.0302 (2026).

Text

Sec. 540.0302. PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT.

(a)This section applies only to a prior authorization request submitted with respect to a recipient who is hospitalized at the time of the request.

(b)In addition to the requirements of Subchapter F, a contract between a Medicaid managed care organization and the commission to which that subchapter applies must require that, notwithstanding any other law, the organization review and issue a determination on a prior authorization request to which this section applies according to the following time frames:

(1)within one business day after the organization receives the request, except as provided by Subdivisions (2) and (3);

(2)within 72 hours after the organization receives the request if a provider of acute care

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Sec. 540.0302. PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT. (a) This section applies only to a prior authorization request submitted with respect to a recipient who is hospitalized at the time of the request.
(b) In addition to the requirements of Subchapter F, a contract between a Medicaid managed care organization and the commission to which that subchapter applies must require that, notwithstanding any other law, the organization review and issue a determination on a prior authorization request to which this section applies according to the following time frames:
(1) within one business day after the organization receives the request, except as provided by Subdivisions (2) and (3);
(2) within 72 hours after the organization receives the request if a provider of acute care inpatient services submits the request and the request is for services or equipment necessary to discharge the recipient from an inpatient facility; or
(3) within one hour after the organization receives the request if the request is related to poststabilization care or a life-threatening condition.