26 Tex. Admin. Code § 281.33 - Suspension of Services
(a) For Title XIX
and Title XX services, a provider agency must suspend an individual's services
if:
(1) the individual leaves the state or
moves out of the provider agency's geographic service area;
(2) the individual dies;
(3) the individual is admitted to a hospital,
nursing facility, or institution;
(4) the individual or someone in the
individual's home threatens the health or safety of a person delivering
meals;
(5) the individual requests
that services be suspended; or
(6)
the individual's case manager directs the provider agency to suspend the
individual's services.
(b) If a provider agency suspends Title XIX
or Title XX services for a reason listed in subsection (a) of this section, the
provider agency must notify the individual's case manager within one working
day after the suspension of services.
(1) The
provider agency must notify the individual's case manager orally or by fax of
the reason for the service suspension.
(2) If the provider agency notifies the case
manager orally, the provider agency must send written notification to the case
manager within five working days after the date of the oral
notification.
(c) For
Title XIX services, a provider agency may recommend to DADS that an
individual's services be suspended and for Title XX services, a provider agency
may suspend an individual's services if:
(1)
the individual or someone in the individual's home racially discriminates
against the person delivering meals to the individual's home;
(2) the individual or someone in the
individual's home sexually harasses the person delivering meals to the
individual's home; or
(3) the
individual or responsible party is not home to accept delivery of a meal for
two consecutive service days or for three nonconsecutive service days in a
calendar month.
(d) If a
provider agency recommends a suspension of Title XIX services for a reason
listed in subsection (c) of this section, the provider agency must notify an
individual's case manager as described in subsection (b)(1) and (2) of this
section. DADS suspends services in accordance with Chapter 48, Subchapter J of
this title (relating to Community-Based Alternatives (CBA) Program).
(e) If a provider agency suspends Title XX
services for a reason listed in subsection (c) of this section, the provider
agency must notify an individual's case manager as described in subsection
(b)(1) and (2) of this section.
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.