26 Tex. Admin. Code § 211.203 - Written Referrals for Services
(a)
DAHS facilities receive written referrals from caseworkers based on the
following priorities:
(1) client's
choice;
(2) physician's choice, if
stated; and
(3) rotation of
eligible providers.
(b)
When a DAHS facility receives a referral from the caseworker, the DAHS facility
nurse must make every effort to request prior approval for the client within 14
days after the referral date on DADS' authorization for community care services
form.
(c) If the DAHS facility
cannot request prior approval within 14 days, the DAHS facility must notify the
caseworker about the reason for delay. This notification must be sent on DADS'
Case Information form within 14 days after the referral date.
(d) Within the same 14 days after receipt of
DADS' authorization for community care services form from the caseworker and
before requesting prior approval, the nurse must conduct a health
assessment/plan of care with the client, using DADS' Client Health
Assessment/Plan of Care form. If the client is unable to participate due to
cognitive impairment, the client's responsible party should
participate.
(e) If the nurse
cannot conduct the health assessment within 14 days after the referral date,
the DAHS facility must notify the caseworker about the reason for delay on
DADS' Case Information form within the 14-day period.
(f) Within the same 14 days after receipt of
DADS' authorization for community care services form from the caseworker, the
nurse must obtain a physician's order for the client by sending DADS'
Physician's Order for Day Activity and Health Services form to the client's
physician. The nurse sends a copy of DADS' Client Health Assessment/Plan of
Care form to the physician.
(g) If
the DAHS facility cannot obtain physician's orders within 14 days after the
referral date, the DAHS facility must notify the caseworker about the reason
for delay. The notification must be sent on DADS' Case Information form within
the 14-day period. DADS' Case Information form must include the date of the
health assessment/plan of care and must be dated after the health
assessment/plan of care date, if one has been conducted.
(h) If the physician fails to date DADS'
Physician's Order for Day Activity and Health Services form or if the signature
date is illegible, the DAHS facility stamp-in date will be considered the date
of the physician's order. The date stamp must include the day, month, year, and
the name of the DAHS facility. An abbreviated name or initials are
acceptable.
Notes
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