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
Universal Citation: 26 TX Admin Code ยง 275.203
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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