Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 276 - CONTRACTING TO PROVIDE ASSISTED LIVING AND RESIDENTIAL CARE SERVICES
Subchapter C - PROVIDER REQUIREMENTS
Section 276.49 - Institutional Leave
Current through Reg. 50, No. 13; March 28, 2025
(a) Institution. An institution is defined as a hospital, nursing facility, state school, state hospital, or intermediate care facility serving persons with mental retardation or a related condition.
(b) Institutional leave. Institutional leave is when clients are absent from the facility because they temporarily enter an institution.
(c) Bedhold. The facility must hold the client's bed:
(d) Bedhold charges. The facility must charge the client or the client's representative for bedhold during institutional leave.
(e) Refund of copayment. The facility must not charge the client or the client's representative more than the maximum amount allowed by DHS for bedhold. The facility must refund the client's copayment for the days the client uses institutional leave.
(f) Billing during institutional leave. The facility must charge the client or the client's representative only the bedhold amount for the date of admission to an institution. The facility must charge the client or the client's representative the full rate for date of return.
(g) Notification of institutional leave. The facility must notify the DHS case manager of any institutional leave as described in § 46.45 of this chapter (relating to Required Notifications).
