26 Tex. Admin. Code § 257.19 - Case Manager Qualifications

A provider that is an agency or an individual approved by HHSC to provide case management services must ensure a case manager meets at least one of the following qualifications:

(1) an advanced practice registered nurse who holds a license, other than a provisional or temporary license, under Texas Occupations Code Chapter 301;
(2) a registered nurse who holds a license, other than a provisional or temporary license, under Texas Occupations Code Chapter 301 and:
(A) has a baccalaureate degree in nursing; or
(B) has an associate degree in nursing and has:
(i) at least two years of cumulative paid full-time work experience; or
(ii) at least two years of cumulative, supervised full-time educational internship or practicum experience obtained in the last 10 years that included assessing the psychosocial and health needs of and making community referrals for:
(I) children up to age 21; or
(II) pregnant women;
(3) a social worker who holds a license, other than a provisional or temporary license, under Texas Occupations Code Chapter 505, appropriate for the individual's practice, including the independent practice of social work;
(4) a community health worker, as defined by Texas Health and Safety Code § 48.001, that is certified as a community health worker by the Department of State Health Services; or
(5) a doula who is certified in alignment with nationally recognized standards, as determined by HHSC, unless the doula qualifies as a certified community health worker under paragraph (4) of this subsection.

Notes

26 Tex. Admin. Code § 257.19
Adopted by Texas Register, Volume 50, Number 21, May 23, 2025, TexReg 3130, eff. 5/29/2025

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