Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 554 - NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
Subchapter BB - NURSING FACILITY RESPONSIBILITIES RELATED TO PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR)
Division 3 - NURSING FACILITY SPECIALIZED SERVICES FOR DESIGNATED RESIDENTS
Section 554.2751 - Requesting Authorization to Provide Therapy Services
Universal Citation: 26 TX Admin Code ยง 554.2751
Current through Reg. 49, No. 38; September 20, 2024
(a) Before requesting authorization to provide a therapy service to a designated resident, a nursing facility must ensure that:
(1) the therapy service is
required by the designated resident's comprehensive care plan;
(2) the designated resident has a diagnosis
relevant to the need for the therapy service;
(3) the therapy service is ordered by the
designated resident's attending physician; and
(4) a therapy provider who meets the
qualifications in §554.2752 of this division (relating to Qualifications
of a Provider of Therapy Services) completes an assessment within 30 days
before the nursing facility request for authorization to provide the therapy
service.
(b) After a nursing facility submits a request for authorization to provide a therapy service to a designated resident:
(1) the
nursing facility receives a written approval or denial of its request through
the LTC Online Portal; and
(2)
HHSC notifies the designated resident or the designated resident's LAR that the
request has been approved or denied.
(c) If HHSC denies a request for authorization to provide therapy services to a designated resident, the designated resident may request a fair hearing in accordance with 1 TAC Chapter 357, Subchapter A (relating to Uniform Fair Hearing Rules), to appeal the denial.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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