26 Tex. Admin. Code § 263.705 - Suspension of HCS Program Services and CFC Services
(a) HHSC suspends
an individual's HCS Program services and CFC services if the individual is
under a temporary admission to one of the following facilities:
(1) a hospital;
(2) an ICF/IID;
(3) a nursing facility;
(4) an ALF;
(5) a residential child care facility
licensed by HHSC unless it is an agency foster home;
(6) an inpatient chemical dependency
treatment facility;
(7) a mental
health facility;
(8) a residential
facility operated by the Texas Workforce Commission; or
(9) a residential facility operated by the
Texas Juvenile Justice Department, a jail, or a prison.
(b) If a service coordinator becomes aware
that an individual who is receiving a service from a program provider is under
a temporary admission, the service coordinator must, within one business day
after becoming aware of the temporary admission, notify the individual's
program provider of the temporary admission.
(c) If a program provider becomes aware that
an individual is under a temporary admission, the program provider must, within
one business day after becoming aware of the temporary admission, enter a
suspension of the individual's HCS Program services and CFC services in the
HHSC data system.
(d) If a program
provider enters a suspension of the individual's HCS Program services and CFC
services in the HHSC data system, the program provider must notify the
individual's service coordinator of the suspension within one business day
after the suspension is entered in the system.
(e) During a temporary admission, an
individual is not considered to be residing in the facility.
(f) If an individual's program services are
suspended, the service coordinator must, at least every 30 calendar days after
the effective date of the suspension, review the individual's circumstances and
document in the individual's record:
(1) the
reasons for continuing the suspension if the individual is likely to remain in
the facility;
(2) whether the
individual anticipates resuming participation in the HCS Program after the
suspension ends; and
(3) the
anticipated date the individual will be discharged from the facility, if the
individual is not likely to remain in the facility.
(g) If a service coordinator determines that
an individual's suspension should be extended, the service coordinator must
request that HHSC extend the suspension by completing and submitting the HHSC
Request to Continue Suspension of Waiver Program Services form to HHSC before:
(1) the end of the first 270 calendar days of
the temporary admission; or
(2) the
end of a 30 calendar-day extension previously granted by
HHSC.
(h) HHSC may extend
an individual's suspension for 30 calendar days based on a service
coordinator's request as described in subsection (g) of this section.
(i) A program provider must remove the entry
of a suspension of the individual's HCS Program services and CFC services from
the HHSC data system and resume the provision of services to the individual if
the program provider becomes aware that the individual is discharged from the
facility to which the individual has been under temporary admission.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.