tx-August72026-101: 1 TAC §§354.4003, 354.4005, 354.4006, 354.4013 (Amendment) — Medicaid Health Services
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The executive commissioner of the Texas Health and Human Services Commission (HHSC) adopts amendments to §354.4003, concerning Definitions; §354.4005, concerning Personal Care Services that Require the Use of EVV; §354.4006, concerning Home Health Care Services that Require the Use of EVV; and §354.4013, concerning HHSC and MCO Compliance Reviews and Enforcement Actions. Sections 354.4003, 354.4005, 354.4006 and 354.4013 are adopted without changes to the proposed text as published in the April 3, 2026, issue of the Texas Register (51 TexReg 2166). These rules will not be republished. BACKGROUND AND JUSTIFICATION The amendments, in part, are necessary to comply with the Centers for Medicare & Medicaid Services (CMS) Contract Year 2023 Medicare Advantage and Part D Final Rule that required states to phase-out their Medicare-Medicaid Plan (MMP) Dual Demonstration Program. The amendments reflect that the STAR+PLUS MMP ended December 31, 2025. The amendments also reflect that electronic visit verification (EVV) was required for STAR+PLUS MMP personal care and home health services, if delivered before January 1, 2026. This clarification is necessary because though the MMP Dual...
The agency’s own summary, as published.
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