Title XVIII of the Social Security Act creates the Medicare Program which is a health insurance program for the aged and disabled. Title XIX of the Social Security Act creates the Texas Medical Assistance Program, which is a state plan to provide care for the poor, the elderly, and the disabled. The Texas Department of Human Services, as the licensing agency for long-term care facilities, is required to determine whether facilities meet the requirements for participation in the Title XVIII and XIX programs.
26 Tex. Admin. Code § 552.3