Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter M - MENTAL HEALTH TARGETED CASE MANAGEMENT AND MENTAL HEALTH REHABILITATION
Division 3 - MENTAL HEALTH REHABILITATION
Section 354.2703 - Continued Eligibility

Universal Citation: 1 TX Admin Code § 354.2703

Current through Reg. 49, No. 38; September 20, 2024

(a) A QMHP-CS conducts an assessment, as described in § 354.2607 of this subchapter (relating to Assessment and Service Authorization), to determine the individual's continued eligibility for mental health rehabilitative services, based on the eligibility requirements described in §354.2701 of this division (relating to Eligible Individuals).

(b) An adult is automatically eligible for continued services, regardless of whether his or her level of functioning has improved and regardless of requirements described in this section, if the individual has a diagnosis of:

(1) schizophrenia;

(2) bipolar disorder; or

(3) major depressive disorder with a level of functioning that qualified the individual initially.

(c) Unless automatically eligible under subsection (b) of this section, an adult is reassessed for continued eligibility for mental health rehabilitation:

(1) at least every 180 days; or

(2) more frequently if clinically indicated.

(d) A child or youth is reassessed for continued eligibility for mental health rehabilitation:

(1) at least every 90 days; or

(2) more frequently if clinically indicated.

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