Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 87 - OMBUDSMAN SERVICES
Subchapter A - PURPOSE, DEFINITIONS, AND ESTABLISHMENT OF OMBUDSMAN PROGRAMS
Section 87.111 - Referrals to Other HHS Offices or Other Entities
Current through Reg. 50, No. 13; March 28, 2025
OO staff inform the consumer, the consumer's LAR, or a health care provider of any referral made to other HHS offices or other entities regarding their contact with OO and document the referral in the HEART system. Referrals include:
(1) Department of Family and Protective Services, for a contact that includes information that makes OO staff suspect abuse, neglect, or exploitation;
(2) HHSC Civil Rights Office, for a contact alleging a violation of civil rights or discrimination regarding the delivery of HHS programs or services, including those concerning lack of access to benefits and services due to language or disability;
(3) Office of Inspector General, for a contact that includes allegations of fraud, waste, or abuse regarding HHS programs or services;
(4) HHSC Appeals Division staff, for a request for a fair hearing;
(5) Medicaid managed care organization, for a request to appeal a decision by a Medicaid managed care organization;
(6) HHSC Regulatory Services Division, for a contact related to an entity regulated by HHSC; and
(7) LBHA or LMHA closest to the consumer or local law enforcement, for a contact that includes threats of violence to a consumer or others.
