# 26 Tex. Admin. Code § 306.261: 26 TAC § 306.261. Authorization for MH Case Management Services > Texas · Regulations · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_261 ## Section - **Citation:** 26 Tex. Admin. Code § 306.261 - **Heading:** 26 TAC § 306.261. Authorization for MH Case Management Services - **Jurisdiction:** Texas - **Kind:** Regulations - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** Texas Administrative Code / Title 26 HEALTH AND HUMAN SERVICES / Part 1 HEALTH AND HUMAN SERVICES COMMISSION / Chapter 306 BEHAVIORAL HEALTH DELIVERY SYSTEM / 26 TAC § 306.261 ## Text (a) A provider must: (1) ensure that a QMHP-CS administers the uniform assessment to the individual at intervals specified by the department and obtain a recommended LOC for the individual; (2) evaluate the clinical needs of the individual to determine if the amount of MH case management services associated with the recommended LOC described in the utilization management guidelines is sufficient to meet those needs; and (3) ensure that an LPHA reviews the recommended LOC and verifies whether the services are medically necessary. (b) If the provider determines that the type of MH case management services associated with the recommended LOC is sufficient to meet the individual's needs, the provider must submit to the department or its designee a request for service authorization according to the recommended LOC. (c) If the provider determines that the type of MH case management services associated with the recommended LOC is not sufficient to meet the individual's needs, the provider must submit to the department or its designee: (1) a request for an authorization of an LOC that is sufficient to meet the individual's need or a request for authorization of additional units of service; and (2) the clinical justification for the request. (d) The department or its designee makes the initial determination of an individual's LOC using the uniform assessment which is referenced in §412.416 of this title (relating to Guidelines) and the utilization management guidelines, which are referenced in §412.416 of this title. If the LOC includes MH case management services, the department or its designee will authorize the individual to receive either routine or intensive case management services. (e) Upon receipt of a request submitted according to subsection (c) or (d) of this section, the department or its designee will: (1) review the documentation submitted by the provider; (2) based on the review of documentation and an evaluation of available resources, authorize or deny an LOC for the individual, and if authorized, it authorizes the individual to receive either routine or intensive MH case management services; and (3) communicate to the individual or LAR, no longer than seven business days after the determination has been made, whether the service has been authorized or denied. ## Nearby sections - [26 Tex. Admin. Code § 306.251 26 TAC § 306.251. Purpose](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_251.md) - [26 Tex. Admin. Code § 306.253 26 TAC § 306.253. Application](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_253.md) - [26 Tex. Admin. Code § 306.255 26 TAC § 306.255. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_255.md) - [26 Tex. Admin. Code § 306.257 26 TAC § 306.257. Provider Requirements](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_257.md) - [26 Tex. Admin. Code § 306.259 26 TAC § 306.259. Eligibility for MH Case Management Services](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_259.md) - [26 Tex. Admin. Code § 306.261 26 TAC § 306.261. Authorization for MH Case Management Services](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_261.md) - [26 Tex. Admin. Code § 306.263 26 TAC § 306.263. MH Case Management Services Standards](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_263.md) - [26 Tex. Admin. Code § 306.265 26 TAC § 306.265. Making a Complaint](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_265.md) - [26 Tex. Admin. Code § 306.267 26 TAC § 306.267. Service Limitations](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_267.md) - [26 Tex. Admin. Code § 306.269 26 TAC § 306.269. Notification and Terminations](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_269.md) - [26 Tex. Admin. Code § 306.271 26 TAC § 306.271. MH Case Management Employee Qualifications](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_271.md) - [26 Tex. Admin. Code § 306.273 26 TAC § 306.273. MH Case Management Employee Competencies](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_273.md) - [26 Tex. Admin. Code § 306.275 26 TAC § 306.275. Documenting MH Case Management Services](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_275.md) - [26 Tex. Admin. Code § 306.277 26 TAC § 306.277. Medicaid Reimbursement](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_277.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T26_P1_C306_S306_261. Check the current official text before relying on it. Not legal advice.