Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 301 - LOCAL AUTHORITY RESPONSIBILITIES
Subchapter F - PROVIDER NETWORK DEVELOPMENT
Section 301.265 - Content of the Plan
Universal Citation: 26 TX Admin Code § 301.265
Current through Reg. 50, No. 13; March 28, 2025
(a) Plan preparation. An LMHA must use the results of its network development evaluation described in § 301.263 of this title (relating to Network Development Evaluation) to create its draft plan.
(b) Plan content applicable to all LMHAs. All plans must include the following components.
(1) The LMHA's projected service capacity for
each level of care based on service data from the previous fiscal year for
services provided under the performance contract and any information about
changes that will impact the service capacity.
(2) Baseline data specified by the department
showing the type and quantity of services provided by the LMHA and by external
providers.
(3) A description of
the process the LMHA used to evaluate the potential for network development and
the results of that evaluation, including any information relating to specific
services or populations.
(4) A
list of the LMHA's external providers, including all current contractors and
any other providers with whom the LMHA had a contract or agreement in effect
during any part of the current or previous fiscal year. The list shall include
the number of contracts and agreements with individual peer support providers,
but not the names of individual peer support providers without their written
consent.
(c) Plan content for LMHAs with potential for network development. If an LMHA identifies the potential for network development, the plan must also include the following elements.
(1) A description of the LMHA's
plans for procurement, including:
(A) the
adult and children's services to be procured;
(B) the capacity to be procured for each
service;
(C) the geographic
area(s) in which services would be procured;
(D) the procurement method(s) to be used; and
(E) the timeline(s) for conducting
the procurement.
(2)
The rationale for any provision that would limit individual choice or prevent
procurement of all available capacity offered by external provider
organizations.
(A) The rationale must address
any proposed restrictions on:
(i) the type of
service to be procured;
(ii) the
volume of services to be procured;
(iii) the geographic area in which services
would be procured; or
(iv) the
number of providers to be accepted.
(B) The rationale for limiting procurement
must be based on one or more of the conditions identified in §
301.259 of this title (relating to
Conditions Permitting LMHA Service Delivery).
(C) The rationale must provide a basis for
the proposed level of restriction, including the volume of services to be
provided by the LMHA. An LMHA may be required to submit additional data to
support its rationale.
(3) A description of the strategies the LMHA
would use to maximize funds available to provide services, as required in
§
301.257(c) of
this title (relating to Local Network Development).
(4) A summary of procurement activities from
past network and development planning cycles and the results of those efforts.
(5) If an LMHA is not procuring
all available capacity offered by external provider organizations, the
timeframe and steps for achieving full procurement of the external provider
capacity identified in its network development evaluation, not to exceed the
LMHA's capacity.
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