Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 363 - TEXAS HEALTH STEPS COMPREHENSIVE CARE PROGRAM
Subchapter C - PRIVATE DUTY NURSING SERVICES
Section 363.305 - Provider Participation Requirements
Universal Citation: 1 TX Admin Code ยง 363.305
Current through Reg. 49, No. 38; September 20, 2024
(a) PDN services providers must be independently enrolled in the Texas Medicaid Program to be eligible to receive reimbursement for providing private duty nursing services through the Texas Health Steps Comprehensive Care Program.
(b) A PDN services provider must:
(1) be an RN, an LVN under the supervision of
an RN, or a licensed HCSSA;
(2) be
enrolled in the Texas Medicaid Program;
(3) comply with the terms of the Texas
Medical Assistance Provider Agreement;
(4) agree to provide services in compliance
with all applicable federal, state, and local laws and regulations, including
the Texas Nursing Practice Act;
(5)
comply with all applicable state and federal laws and regulations relating to
the Texas Medicaid Program;
(6)
comply with the requirements of the Texas Medicaid Provider Procedures
Manual, including all updates and revisions published bimonthly in the
Texas Medicaid Bulletin, and all handbooks, standards, and
guidelines published by HHSC;
(7)
comply with accepted professional standards and principles of nursing
practice;
(8) comply with Texas
Family Code Chapter 261 and Texas Human Resources Code Chapter 48, concerning
mandatory reporting of suspected abuse and neglect of children and adults with
disabilities; and
(9) maintain
written policies and procedures for obtaining consent for medical treatment for
clients in the absence of the responsible adult that meet the standards of
Texas Family Code §
RSA 32.001,
relating to Consent by Non-Parent.
(c) Provider Notification of Termination of Services.
(1) Independently enrolled RNs must
provide a recipient at least 30 days written notice of the intent to
voluntarily terminate services, except in situations of a potential threat to
the nurse's personal safety.
(2) An
HCSSA must provide a recipient at least five days written notice of its intent
to voluntarily terminate services, except as allowed by 40 TAC §RSA
97.295(relating to Client Transfer or
Discharge Notification Requirements).
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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