Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 261 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM-CONTRACTING
Subchapter E - ELIGIBILITY, ENROLLMENT AND REVIEW
Section 261.242 - Supporting Documentation for Level of Need

Universal Citation: 26 TX Admin Code § 261.242

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

The following supporting documentation, at a minimum, must be submitted to the department when requesting an LON:

(1) if a request is made to increase an LON 1, LON 5, or LON 8 in accordance with § 261.241(b) of this chapter (relating to Level of Need Criteria), due to a person's dangerous behavior:

(A) the person's IPP;

(B) the person's ICAP assessment booklet;

(D) the person's behavior intervention plan; and

(E) written descriptions (e.g. incident reports or progress notes) of specific incidents of the dangerous behavior and the staff interventions;

(2) if a request is made for an LON 9 in accordance with § 261.241(c) of this chapter (relating to Level of Need Criteria), due to the person's extremely dangerous behavior:

(A) the person's IPP;

(B) the person's ICAP assessment booklet;

(D) the person's behavior intervention plan;

(E) written descriptions (e.g. incident reports or progress notes) of specific incidents of the extremely dangerous behavior and the staff interventions; and

(F) time sheets that verify the assignment of a staff member to exclusively and constantly supervise the person during the person's waking hours, which must be at least 16 hours per day;

(3) if a request is made to increase an LON 1, LON 5, or LON 8 in accordance with § 261.241(d) of this chapter (relating to Level of Need Criteria), due to a person's extraordinary medical needs:

(A) the person's IPP;

(B) the person's ICAP assessment booklet;

(D) description, frequency, and duration of each type of nursing treatment; and

(4) if a request is made to increase an individual's existing LON based on the results of an ICAP assessment:

(A) the individual's previous ICAP assessment booklet;

(B) the individual's latest ICAP reassessment;

(D) program progress notes; and

(E) the individual's PDP, if available.

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