26 Tex. Admin. Code § 211.207 - Suspension of Day Activity and Health Services
(a) The DAHS facility must suspend services
before the end of the prior approval period if one or more of the circumstances
specified in paragraphs (1) - (10) of this subsection occur:
(1) the client leaves the state or moves
outside the geographic area served by the DAHS facility;
(2) the client dies;
(3) the client is admitted to a hospital,
nursing home, state school, or state hospital;
(4) the client requests that services
end;
(5) the physician requests
that services end;
(6) the Health
and Human Services Commission (HHSC) denies the client's Medicaid/Title XX
eligibility;
(7) DADS enforces
sanctions against the DAHS facility by terminating the contract;
(8) the client threatens the health and
safety of himself or others;
(9)
the client is absent from the DAHS facility for 15 consecutive days;
(10) the client becomes ineligible for
Medicaid. Each month the DAHS facility must verify that a client has a current
HHSC Medical Care Identification Card.
(b) No later than the first DADS workday
after services are suspended, the DAHS facility must verbally notify the
caseworker or staff in the caseworker's office about the reason the DAHS
facility suspended services. Written notification on DADS' Case Information
form must be sent to the caseworker within seven workdays after the incident
that was reported verbally.
Notes
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