The purpose of this amendment is to acknowledge that as of September 1, 2025, HHSC will no longer have a Superior Waiver in place under 42 CFR Part 456, subpart H, that waivers the requirements of Subpart C for all hospitals, and all mental hospitals for a state that sufficiently demonstrates utilization review procedures superior to the federal requirements. This amendment includes pages for Subpart C and Subpart D.