Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 306 - BEHAVIORAL HEALTH DELIVERY SYSTEM
Subchapter E - MENTAL HEALTH CASE MANAGEMENT
Section 306.269 - Notification and Terminations
Universal Citation: 26 TX Admin Code ยง 306.269
Current through Reg. 49, No. 38; September 20, 2024
(a) Notification. The provider must notify the department or its designee if the provider has reason to believe that:
(1) the
individual no longer meets the eligibility criteria for MH case management
services as set forth in §
306.259 of this title (relating to
Eligibility for MH Case Management Services);
(2) the LAR of an individual has refused MH
case management services on behalf of the individual;
(3) the adult or LAR has refused MH case
management services;
(4) the
provider cannot locate the individual and the provider has documented multiple
attempts to locate the individual over a period of two consecutive
months;
(5) the individual has
died;
(6) the individual has
established or intends to establish residency outside of the provider's service
area; or
(7) if MH case management
services are terminated for any reason described in paragraphs (1) - (6) of
this subsection, the provider shall document the reason for terminating MH case
management services.
(b) Termination. The department or designee shall terminate MH case management services provided to an individual if:
(1)
the department or designee is notified of any of the circumstances described in
subsection (a) of this section;
(2)
it is determined that the individual no longer meets the eligibility criteria
for MH case management services as set forth in §
306.259 of this title;
or
(3) the individual is not
eligible for Medicaid and the department or its designee determines that there
are insufficient resources to continue to provide MH case management services
to the individual.
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