Updates Medicaid State Plan to Provide State Statutory Citation, Certification, and Description of Legal Authority Under Which the Single State Agency, the Texas Health and Human Services Commission (HHSC) Administers the Health Plan.

Medicaid Coverage of Lawfully Residing Children and Pregnant Women.

Prohibition of Payments to Institutions or Entities Located Outside of the United States.

Amends reimbursement methodology for State Plan Medicaid Rehabilitative Services.

Revises methodology for performance-based payments for inpatient hospital services.

Allows hospitals in the state to determine eligibility presumptively under the option. And the state to allow Medicaid coverage for individuals determined presumptively eligible under this provision.

Revises the alternative single streamlined paper application.

Public Assistance Reporting Information System PARIS.

Clarify provider types authorized to deliver medically necessary services via telemedicine.

Standards for coverage of organ transplant services by adding "Intestinal transplant" to the list of transplant procedures to reflect long-standing practice.