26 Tex. Admin. Code § 554.2603 - Therapeutic Home Visits Away from the Facility
(a) The facility must have written policies
and procedures governing recipient therapeutic home visits away from the
facility for the purpose of visiting with relatives and friends.
(b) The following conditions must be met for
the facility to receive vendor payment:
(1)
the recipient's plan of care provides for physician-authorized therapeutic
visits;
(2) the facility must
provide equipment and supplies necessary to meet the needs of the recipient,
including, but not limited to, medication and oxygen and supplies for its
administration;
(3) if a visit
exceeds three days, the facility submits a discharge form effective the first
day. Days are defined as 24-hour periods extending from midnight to midnight.
In determining days of absence from a facility, the first day is the first
24-hour period beginning at midnight after the recipient's departure.
Situations that require a discharge form effective the first day include:
(A) alternate care living arrangements,
including at home;
(B) transfer or
discharge to other medical care or living arrangements covered under Title XIX;
and
(C) therapeutic visits that are
over three days (one night must be spent in the facility between therapeutic
home visits if vendor payment is to be made);
(4) the facility must maintain a record of
each therapeutic visit away from the facility. Verification that therapeutic
visits took place and were documented is a part of the audit procedures during
the DHS audit of the facility. DHS does not pay for therapeutic visits which
were not documented.
(c)
Before a resident goes on therapeutic leave, the facility must provide written
notification to the recipient, and, if known, a responsible party, or family or
legal representative, regarding the three-day time limit for a home visit, as
specified in subsection (b)(3) of this section.
Notes
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