Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 275 - CONSUMER MANAGED PERSONAL ATTENDANT SERVICES (CMPAS) PROGRAM
Subchapter E - ADDITIONAL PROGRAM REQUIREMENTS
Section 275.203 - Convening an IDT

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

(a) An IDT must include:

(1) the individual;

(2) a provider representative; and

(3) other persons as requested by the individual.

(b) A provider must convene an IDT meeting:

(1) within five working days after:
(A) an individual accepts the provider's offer for an informal dispute resolution process due to a service plan or co-payment disagreement, as described in §44.206 of this chapter (relating to Service Plan and Co-payment Disagreements);

(B) the provider determines it cannot provide services to an individual for any of the health and safety reasons described in §44.301(c)(2) - (4) of this chapter (relating to Initiation of Services); or

(C) the provider identifies the need to discuss with the individual a service delivery issue that prevents the provider from carrying out a provider responsibility described in this chapter;

(2) as described in §44.308(e) of this chapter (relating to Suspension of Services); or

(3) as described in §44.443 of this chapter (relating to Provider and Individual Responsibilities in the CDS Option Related to HHSC Investigations When an Alleged Perpetrator is an Attendant or Substitute Attendant) and §44.444 of this chapter (relating to Provider and Individual Responsibilities in the CDS Option Related to HHSC Investigations When an Alleged Perpetrator is a Staff Person or a Controlling Person of a Provider).

(c) If a provider is unable to convene an IDT meeting with all the members described in subsection (a) of this section, the provider must:

(1) convene the IDT meeting with the available members;

(2) send documentation of the IDT meeting to the individual; and

(3) document in the individual's record the provider's efforts to convene an IDT meeting with all the members described in subsection (a) of this section.

(d) The IDT must:

(1) meet by telephone conference call or in person;

(2) discuss the specific reason for conducting the IDT meeting;

(3) identify any possible solutions to resolve the specific reason for the meeting; and

(4) make recommendations to the provider and the individual.

(e) Within two working days after an IDT meeting, a provider must:

(1) document:
(A) the specific reason for calling the IDT meeting;

(B) the names of the IDT members attending the meeting;

(C) the recommendations of the IDT to the provider and the individual; and

(D) the actions to be taken or that have been taken by the provider or the individual;

(2) provide a written copy of the documentation to the individual; and

(3) notify the individual of the right to request a fair hearing, as provided by §44.503 of this subchapter (relating to Fair Hearing), if an action to be taken or that has been taken by the provider denies, reduces, or terminates the individual's services.

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