Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 557 - MEDICATION AIDES-PROGRAM REQUIREMENTS
Section 557.128 - Home Health Medication Aides

(a) A home heath medication aide must be permitted as a medication aide in accordance with this chapter.

(b) A HCSSA that provides licensed and certified home health services, licensed home health services, hospice services, or personal assistance services may use a home health medication aide. If there is a direct conflict between the requirements of this chapter and federal regulations, the requirements that are more stringent apply to the licensed and certified HCSSA.

(c) If a HCSSA provides home health medication aide services, the HCSSA must employ a home health medication aide to provide the home health medication aide services. The HCSSA must employ or contract with an RN to perform the initial health assessment, prepare the client care plan, establish the medication list, medication administration record, and medication aide assignment sheet, and supervise the home health medication aide. The RN must be available to supervise the home health medication aide when home health medication aide services are provided.

(d) The clinical records of a client using a home health medication aide must include a statement signed by the client or family acknowledging receipt of the list of permitted and prohibited acts of a home health medication aide.

(e) The RN must be knowledgeable of HHSC rules governing home health medication aides and must ensure that the home health medication aide complies with the Texas Health and Safety Code, Chapter 142, Subchapter B and this chapter.

(f) A home health medication aide must:

(g) The RN must make a supervisory visit while the medication aide is in the client's residence in accordance with § 558.298 of this title (relating to Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel and Tasks Not Requiring Delegation).