{"data":{"id":"us-tx/tex.-government-code-540.0855","jurisdiction":"us-tx","citation":"Tex. Government Code § 540.0855","heading":"UTILIZATION REVIEW OF PRIOR AUTHORIZATIONS.","body":"At least once every two years, the commission shall conduct a utilization review on a sample of cases for children enrolled in the STAR Kids managed care program to ensure that all imposed clinical prior authorizations are based on publicly available clinical criteria and are not being used to negatively impact a recipient's access to care.\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 R. DELIVERY OF SERVICES: STAR KIDS MANAGED CARE PROGRAM"],"source_url":"https://statutes.capitol.texas.gov/Docs/GV/htm/GV.540.htm#540.0855","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:16Z","sha256":"8cc8099da77ffcc59918df9de2d754ec675095701a52c697027a70e322d02df1","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-government-code-540.0854","next":"us-tx/tex.-government-code-540.0901"},"notice":"GroundRules: Original legal text. Not legal advice."}