TITLE 25. HEALTH SERVICES
PART 1. DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 27. CASE MANAGEMENT FOR CHILDREN AND PREGNANT WOMEN
The executive commissioner of the Texas Health and Human Services Commission (HHSC) adopts the repeal of §27.1, concerning Purpose and Application, §27.3, concerning Definitions, §27.5, concerning Client Eligibility, §27.7, concerning Client Rights, §27.9, concerning Client Confidentiality, §27.11, concerning Components of Case Management for Children and Pregnant Women Services, §27.13, concerning Prior Authorization, §27.15, concerning Provider Qualifications, §27.17, concerning Provider Approval Process, §27.19, concerning Provider Responsibilities, §27.21, concerning Case Manager Qualifications, §27.23, concerning Case Manager Responsibilities, §27.25, concerning Utilization and Quality Assurance Reviews and Compliance, and §27.27, concerning Termination, Suspension, Probation, and Reprimand of Providers.
The repeal of §§27.1, 27.3, 27.5, 27.7, 27.9, 27.11, 27.13, 27.15, 27.17, 27.19, 27.21, 27.23, 27.25, and 27.27 are adopted without changes to the proposed text as published in the February 21, 2025, issue of the Texas Register (50 TexReg 906). These rules will not be republished.
BACKGROUND AND JUSTIFICATION
Case Management for Children and Pregnant Women (CPW) services, administered by HHSC, provides Medicaid case management to assist eligible Medicaid clients in accessing necessary medical, social, educational, and other services related to health conditions and health risks. To be eligible for services, a client must be either a child with a health condition or health risk or a pregnant woman with a high-risk condition. The client must also be Medicaid-eligible in Texas, need case management for CPW services, and choose such services.
HHSC is repealing Chapter 27, Case Management for Children and Pregnant Women, in Title 25, Part 1, Texas Administrative Code (TAC), and adopting new Chapter 257, Case Management for Children and Pregnant Women, in 26 TAC, Part 1. The purpose for moving the CPW chapter from Title 25 to Title 26, is to conform administrative rules to current HHSC practices based on Senate Bill (S.B.) 200, 84th Legislature, Regular Session, 2015. S.B. 200 consolidated functions in the Texas Health and Human Services delivery system and transferred programs, to include CPW, from the Department of State Health Services to HHSC.
The new CPW rules in 26 TAC Chapter 257 are adopted elsewhere in this issue of the Texas Register .
COMMENTS
The 31-day comment period ended March 24, 2025.
During this period, HHSC did not receive any comments regarding the proposed rules.
SUBCHAPTER
A.
STATUTORY AUTHORITY
The repeals are adopted under Texas Government Code §524.0151, which provides that the executive commissioner of HHSC shall adopt rules for the operation and provision of services by the health and human services system, and Texas Government Code §531.033, which authorizes the Executive Commissioner of HHSC to adopt rules as necessary to carry out the commission's duties; and Human Resources Code §32.021 and Texas Government Code §531.021(a), which authorize HHSC to administer the federal medical assistance (Medicaid) program.
The agency certifies that legal counsel has reviewed the adoption and found it to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on May 9, 2025.
TRD-202501589
Karen Ray
Chief Counsel
Department of State Health Services
Effective date: May 29, 2025
Proposal publication date: February 21, 2025
For further information, please call: (737) 395-1786
SUBCHAPTER
B.
The repeals are adopted under Texas Government Code §524.0151, which provides that the executive commissioner of HHSC shall adopt rules for the operation and provision of services by the health and human services system, and Texas Government Code §531.033, which authorizes the Executive Commissioner of HHSC to adopt rules as necessary to carry out the commission's duties; and Human Resources Code §32.021 and Texas Government Code §531.021(a), which authorize HHSC to administer the federal medical assistance (Medicaid) program.
The agency certifies that legal counsel has reviewed the adoption and found it to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on May 9, 2025.
TRD-202501590
Karen Ray
Chief Counsel
Department of State Health Services
Effective date: May 29, 2025
Proposal publication date: February 21, 2025
For further information, please call: (737) 395-1786
SUBCHAPTER
C.
The repeals are adopted under Texas Government Code §524.0151, which provides that the executive commissioner of HHSC shall adopt rules for the operation and provision of services by the health and human services system, and Texas Government Code §531.033, which authorizes the Executive Commissioner of HHSC to adopt rules as necessary to carry out the commission's duties; and Human Resources Code §32.021 and Texas Government Code §531.021(a), which authorize HHSC to administer the federal medical assistance (Medicaid) program.
The agency certifies that legal counsel has reviewed the adoption and found it to be a valid exercise of the agency's legal authority.
Filed with the Office of the Secretary of State on May 9, 2025.
TRD-202501591
Karen Ray
Chief Counsel
Department of State Health Services
Effective date: May 29, 2025
Proposal publication date: February 21, 2025
For further information, please call: (737) 395-1786