Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 211 - DAY ACTIVITY AND HEALTH SERVICES (DAHS) CONTRACTUAL REQUIREMENTS
Section 211.207 - Suspension of Day Activity and Health Services

Universal Citation: 26 TX Admin Code ยง 211.207

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

(a) The DAHS facility must suspend services before the end of the prior approval period if one or more of the circumstances specified in paragraphs (1) - (10) of this subsection occur:

(1) the client leaves the state or moves outside the geographic area served by the DAHS facility;

(2) the client dies;

(3) the client is admitted to a hospital, nursing home, state school, or state hospital;

(4) the client requests that services end;

(5) the physician requests that services end;

(6) the Health and Human Services Commission (HHSC) denies the client's Medicaid/Title XX eligibility;

(7) DADS enforces sanctions against the DAHS facility by terminating the contract;

(8) the client threatens the health and safety of himself or others;

(9) the client is absent from the DAHS facility for 15 consecutive days;

(10) the client becomes ineligible for Medicaid. Each month the DAHS facility must verify that a client has a current HHSC Medical Care Identification Card.

(b) No later than the first DADS workday after services are suspended, the DAHS facility must verbally notify the caseworker or staff in the caseworker's office about the reason the DAHS facility suspended services. Written notification on DADS' Case Information form must be sent to the caseworker within seven workdays after the incident that was reported verbally.

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