{"data":{"id":"us-tx/tex.-government-code-540.0302","jurisdiction":"us-tx","citation":"Tex. Government Code § 540.0302","heading":"PRIOR AUTHORIZATION PROCEDURES FOR HOSPITALIZED RECIPIENT.","body":"(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.\n(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:\n(1) within one business day after the organization receives the request, except as provided by Subdivisions (2) and (3);\n(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\n(3) within one hour after the organization receives the request if the request is related to poststabilization care or a life-threatening condition.\nAdded by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.","path":["GOVERNMENT CODE","TITLE 4. EXECUTIVE BRANCH","SUBTITLE I. HEALTH AND HUMAN SERVICES","CHAPTER 540. MEDICAID MANAGED CARE PROGRAM","SUBCHAPTER G. PRIOR AUTHORIZATION AND UTILIZATION REVIEW PROCEDURES"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm#540.0302","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"45c6d2ba40592dc969b30abfb107c86f6818d60e717c66f279b486a20dc1f307","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-540.0301","next":"us-tx/tex.-government-code-540.0303"},"notice":"GroundRules: Original legal text. Not legal advice."}