SECTION 96.4. The Texas Department of Human Services' General Responsibilities under the Title XVIII Medicare Program and the Title XIX Medical Assistance Program  


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  • (a) The Texas Department of Human Services (department) will certify to the Health Care Financing Administration (HCFA) or to the state Medicaid agency by means of a survey report and related documentation the level of compliance of each facility with federal and state standards required for the facility classification (skilled nursing facility, nursing facility, intermediate care facility for the mentally retarded, or any other terminology additions or deletions in the Title XVIII Medicare or the Title XIX Medical Assistance Programs).

    (b) The department also will perform any and all other certification responsibilities as required by standards and the contract between the department and HCFA or the state Medicaid agency for the implementation of the state certification program.

    (c) The department will perform inspections, surveys, and on-site visits pursuant to the Texas Utilization Review/Quality Assurance Program.

Source Note: The provisions of this §96.4 adopted to be effective August 31, 1993, 18 TexReg 2725; transferred effective September 1, 1993, as published in the Texas Register September 3, 1993, 18 TexReg 5885.