Figure: 25 TAC Part 2
Current Rules from
Title 25, Part 2
Texas Department of Mental Health and Mental Retardation
Transferred to
Title 40, Part 1
Department of Aging and Disability Services
Transferred to
Title 25, Part 1
Department of State Health Services
Chapter 401. System Administration Chapter 100. Miscellaneous Chapter 460. Miscellaneous
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C     TDMHMR Rulemaking G   TDMHMR Rulemaking   A   Texas Department of Mental Health and Mental Retardation  
  1 TDMHMR Rulemaking  
    §401.301 Purpose     Purpose §100.301     Purpose §460.1
    §401.302 Definitions     Definitions §100.302     Definitions §460.2
    §401.303 Coordination of the Rulemaking Process     Coordination of the Rulemaking Process §100.303     Coordination of the Rulemaking Process §460.3
    §401.304 Petitions for Rules or Changes to Rules     Petitions for Rules or Changes to Rules §100.304     Petitions for Rules or Changes to Rules §460.4
    §401.305 Public Comment on Rules     Public Comment on Rules §100.305     Public Comment on Rules §460.5
    §401.306 Emergency Rulemaking     Emergency Rulemaking §100.306     Emergency Rulemaking §460.6
    §401.307 Distribution     Distribution §100.307     Distribution §460.7
    §401.308 References     References §100.308     References §460.8
Chapter 401. System Administration Chapter 2. Mental Retardation Authority Responsibilities Chapter 401. Mental Health System Administration
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G     Community Mental Health and Mental Retardation Centers A   Mental Retardation Authority Notification and Appeal   G   Local Mental Health Authority Notification and Appeal  
    §401.464 Notification and Appeals Process     Notification and Appeals Process §2.46     Notification and Appeals Process §401.464
Chapter 404. Protection of Clients and Staff   Chapter 404. Protection of Clients and Staff--Mental Health Services
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E     Rights of Persons Receiving Mental Health Services         E   Rights of Persons Receiving Mental Health Services  
    §404.151 Purpose             Purpose §404.151
    §404.152 Application             Application §404.152
    §404.153 Definitions             Definitions §404.153
    §404.154 Rights of All Persons Receiving Mental Health Services             Rights of All Persons Receiving Mental Health Services §404.154
    §404.155 Rights of Persons Receiving Residential Mental Health Services             Rights of Persons Receiving Residential Mental Health Services §404.155
    §404.156 Additional Rights of Persons Receiving Residential Mental Health Services at Department Facilities             Additional Rights of Persons Receiving Residential Mental Health Services at Department Facilities §404.156
    §404.157 Rights of Persons Voluntarily Admitted to Inpatient Services             Rights of Persons Voluntarily Admitted to Inpatient Services §404.157
    §404.158 Rights of Persons Apprehended for Emergency Detention for Inpatient Mental Health Services (Other Than for Chemical Dependency)             Rights of Persons Apprehended for Emergency Detention for Inpatient Mental Health Services (Other Than for Chemical Dependency) §404.158
    §404.159 Rights of Persons Apprehended for Emergency Detention for Inpatient Chemical Dependency Services             Rights of Persons Apprehended for Emergency Detention for Inpatient Chemical Dependency Services §404.159
    §404.160 Special Rights of Minors Receiving Inpatient Mental Health Services             Special Rights of Minors Receiving Inpatient Mental Health Services §404.160
    §404.161 Rights Handbooks for Persons Receiving Mental Health Services at Department Facilities, Community Centers, and Psychiatric Hospitals Operated by Community Centers             Rights Handbooks for Persons Receiving Mental Health Services at Department Facilities, Community Centers, and Psychiatric Hospitals Operated by Community Centers §404.161
    §404.162 Patient's Bill of Rights, Teen's Bill of Rights, and Children's Bill of Rights for Individuals Receiving Mental Health Services at Psychiatric Hospitals Not Operated by a Community Center             Patient's Bill of Rights, Teen's Bill of Rights, and Children's Bill of Rights for Individuals Receiving Mental Health Services at Psychiatric Hospitals Not Operated by a Community Center §404.162
    §404.163 Communication of Rights to Individuals Receiving Mental Health Services             Communication of Rights to Individuals Receiving Mental Health Services §404.163
    §404.164 Rights Protection Officer at Department Facilities and Community Centers             Rights Protection Officer at Department Facilities and Community Centers §404.164
    §404.165 Staff Training in Rights of Persons Receiving Mental Health Services             Staff Training in Rights of Persons Receiving Mental Health Services §404.165
    §404.166 Restriction of Rights as Part of Non-Emergency Behavioral Interventions             Restriction of Rights as Part of Non-Emergency Behavioral Interventions §404.166
    §404.167 Restriction of Rights as Part of Emergency Behavioral Interventions: Restraint and Seclusion             Restriction of Rights as Part of Emergency Behavioral Interventions: Restraint and Seclusion §404.167
    §404.168 References             References §404.168
    §404.169 Distribution             Distribution §404.169
Chapter 405. Client (Patient) Care Chapter 8. Client Care--Mental Retardation Services Chapter 405. Patient Care--Mental Health Services
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C     Life-Sustaining Treatment C   Life-Sustaining Treatment   C   Life-Sustaining Treatment  
    §405.51 Purpose     Purpose §8.51     Purpose §405.51
    §405.52 Application     Application §8.52     Application §405.52
    §405.53 Definitions     Definitions §8.53     Definitions §405.53
    §405.54 Resuscitative Status Policy     Resuscitative Status Policy §8.54     Resuscitative Status Policy §405.54
    §405.55 Determination and Implementation of Resuscitative Status Order     Determination and Implementation of Resuscitative Status Order §8.55     Determination and Implementation of Resuscitative Status Order §405.55
    §405.56 General Provisions Relating to Withholding or Withdrawal of Life-Sustaining Treatment under the Natural Death Act     General Provisions Relating to Withholding or Withdrawal of Life-Sustaining Treatment under the Natural Death Act §8.56     General Provisions Relating to Withholding or Withdrawal of Life-Sustaining Treatment under the Natural Death Act §405.56
    §405.57 Legal Expression through Directive under the Natural Death Act     Legal Expression through Directive under the Natural Death Act §8.57     Legal Expression through Directive under the Natural Death Act §405.57
    §405.58 Legal Expression through Directive under a Durable Power of Attorney for Health Care     Legal Expression through Directive under a Durable Power of Attorney for Health Care §8.58     Legal Expression through Directive under a Durable Power of Attorney for Health Care §405.58
    §405.59 Decision-making under the Natural Death Act and Durable Power of Attorney for Health Care for Individuals Who Have Issued Directives     Decision-making under the Natural Death Act and Durable Power of Attorney for Health Care for Individuals Who Have Issued Directives §8.59     Decision-making under the Natural Death Act and Durable Power of Attorney for Health Care for Individuals Who Have Issued Directives §405.59
    §405.60 Ethics Committee     Ethics Committee §8.60     Ethics Committee §405.60
    §405.61 Exhibits     Exhibits §8.61     Exhibits §405.61
    §405.62 References     References §8.62     References §405.62
    §405.63 Distribution     Distribution §8.63     Distribution §405.63
E     Electroconvulsive Therapy (ECT)         E   Electroconvulsive Therapy (ECT)  
    §405.101 Purpose             Purpose §405.101
    §405.102 Application             Application §405.102
    §405.103 Definitions             Definitions §405.103
    §405.104 General Requirements             General Requirements §405.104
    §405.105 Indications and Contraindications for the Use of Electroconvulsive Therapy (ECT)             Indications and Contraindications for the Use of Electroconvulsive Therapy (ECT) §405.105
    §405.106 Medical Evaluation Required Prior to a Course of Electroconvulsive Therapy (ECT)             Medical Evaluation Required Prior to a Course of Electroconvulsive Therapy (ECT) §405.106
    §405.107 Consultation Required             Consultation Required §405.107
    §405.108 Informed Consent to ECT             Informed Consent to ECT §405.108
    §405.109 Limitations on Use: Number per Year and Number per Series of Treatments             Limitations on Use: Number per Year and Number per Series of Treatments §405.109
    §405.110 Personnel and Equipment Procedures             Personnel and Equipment Procedures §405.110
    §405.111 Prohibition of Induction of Seizure by Chemical or Gaseous Agent             Prohibition of Induction of Seizure by Chemical or Gaseous Agent §405.111
    §405.112 Report of ECT             Report of ECT §405.112
    §405.113 ECT on Outpatient Basis             ECT on Outpatient Basis §405.113
    §405.114 Registration of ECT Stimulus Apparatus             Registration of ECT Stimulus Apparatus §405.114
    §405.115 Enforcement and Penalties             Enforcement and Penalties §405.115
    §405.116 Distribution             Distribution §405.116
    §405.117 Exhibits             Exhibits §405.117
I     Consent to Treatment with Psychotropic Medication--Mental Retardation Facilities I   Consent to Treatment with Psychotropic Medication--Mental Retardation Facilities          
    §405.201 Purpose     Purpose §8.201        
    §405.202 Application     Application §8.202        
    §405.203 Definitions     Definitions §8.203        
    §405.204 General Information     General Information §8.204        
    §405.205 Informed Consent: Persons Admitted under the Voluntary or Order of Protective Custody (OPC) Provisions of the PMRA     Informed Consent: Persons Admitted under the Voluntary or Order of Protective Custody (OPC) Provisions of the PMRA §8.205        
    §405.206 Informed Consent: Persons Involuntarily Committed under the Provisions of the PMRA or Other Provisions (e.g., Code of Criminal Procedures, Family Code)     Informed Consent: Persons Involuntarily Committed under the Provisions of the PMRA or Other Provisions (e.g., Code of Criminal Procedures, Family Code) §8.206        
    §405.207 Documentation of Informed Consent     Documentation of Informed Consent §8.207        
    §405.208 Exhibits     Exhibits §8.208        
    §405.209 Distribution     Distribution §8.209        
J     Surrogate Decision-Making for Community-based ICF/MR and ICF/MR/RC Facilities J   Surrogate Decision-Making for Community-based ICF/MR and ICF/MR/RC Facilities          
    §405.231 Purpose     Purpose §8.231        
    §405.232 Exclusions     Exclusions §8.232        
    §405.233 Application     Application §8.233        
    §405.234 Definitions     Definitions §8.234        
    §405.235 Guiding Principles     Guiding Principles §8.235        
    §405.236 Assessment of Capacity To Consent to Treatment     Assessment of Capacity To Consent to Treatment §8.236        
    §405.237 Appointment and Qualifications of a Surrogate Decision-Maker     Appointment and Qualifications of a Surrogate Decision-Maker §8.237        
    §405.238 Surrogate Decision-Maker Rights and Responsibilities     Surrogate Decision-Maker Rights and Responsibilities §8.238        
    §405.239 Interdisciplinary Team (IDT) Rights and Responsibilities as a Decision-Maker     Interdisciplinary Team (IDT) Rights and Responsibilities as a Decision-Maker §8.239        
    §405.240 Appointment and Qualifications of a Surrogate Consent Committee     Appointment and Qualifications of a Surrogate Consent Committee §8.240        
    §405.241 Surrogate Consent Committee Responsibilities and Operating Guidelines     Surrogate Consent Committee Responsibilities and Operating Guidelines §8.241        
    §405.242 Review of an Application for a Treatment Decision     Review of an Application for a Treatment Decision §8.242        
    §405.243 Consent Committee Coordination     Consent Committee Coordination §8.243        
    §405.244 Pre-review of Application     Pre-review of Application §8.244        
    §405.245 Notice of Application Review Meeting     Notice of Application Review Meeting §8.245        
    §405.246 Surrogate Consent Committee Meeting Proceedings     Surrogate Consent Committee Meeting Proceedings §8.246        
    §405.247 Notice of Determination     Notice of Determination §8.247        
    §405.248 References     References §8.248        
    §405.249 Distribution     Distribution §8.249        
K     Deaths of Persons Served by TXMHMR Facilities or Community Mental Health and Mental Retardation Centers K   Deaths of Persons Served by TXMHMR Facilities or Community Mental Health and Mental Retardation Centers   K   Deaths of Persons Served by TXMHMR Facilities or Community Mental Health and Mental Retardation Centers  
    §405.261 Purpose     Purpose §8.261     Purpose §405.261
    §405.262 Application     Application §8.262     Application §405.262
    §405.263 Definitions     Definitions §8.263     Definitions §405.263
    §405.264 Facility Campus-Based Programs: Actions Taken upon the Death of Person Served     Facility Campus-Based Programs: Actions Taken upon the Death of Person Served §8.264     Facility Campus-Based Programs: Actions Taken upon the Death of Person Served §405.264
    §405.265 Facility Community-Based Services: Actions Taken upon the Death of Person Served     Facility Community-Based Services: Actions Taken upon the Death of Person Served §8.265     Facility Community-Based Services: Actions Taken upon the Death of Person Served §405.265
    §405.266 Community Centers: Actions Taken upon the Death of Person Served     Community Centers: Actions Taken upon the Death of Person Served §8.266     Community Centers: Actions Taken upon the Death of Person Served §405.266
    §405.267 Facility Campus-Based Programs: Statutory Requirements     Facility Campus-Based Programs: Statutory Requirements §8.267     Facility Campus-Based Programs: Statutory Requirements §405.267
    §405.268 Facility Community-Based Services and Community Centers: General Guidelines upon Death of a Person Served     Facility Community-Based Services and Community Centers: General Guidelines upon Death of a Person Served §8.268     Facility Community-Based Services and Community Centers: General Guidelines upon Death of a Person Served §405.268
    §405.269 Facility Campus-Based Programs, Facility Community-Based Services and Community Centers: Administrative Death Review Determination     Facility Campus-Based Programs, Facility Community-Based Services and Community Centers: Administrative Death Review Determination §8.269     Facility Campus-Based Programs, Facility Community-Based Services and Community Centers: Administrative Death Review Determination §405.269
    §405.270 Facility Campus-Based Programs and Facility Community-Based Services: Clinical Death Review Committee     Facility Campus-Based Programs and Facility Community-Based Services: Clinical Death Review Committee §8.270     Facility Campus-Based Programs and Facility Community-Based Services: Clinical Death Review Committee §405.270
    §405.271 Facility Campus-Based Programs: Clinical Death Review Determination     Facility Campus-Based Programs: Clinical Death Review Determination §8.271     Facility Campus-Based Programs: Clinical Death Review Determination §405.271
    §405.272 Facility Community-Based Services and Community Centers: Clinical Death Review Determination     Facility Community-Based Services and Community Centers: Clinical Death Review Determination §8.272     Facility Community-Based Services and Community Centers: Clinical Death Review Determination §405.272
    §405.273 Facility Campus-Based Programs and Facility Community-Based Services: Clinical Death Review     Facility Campus-Based Programs and Facility Community-Based Services: Clinical Death Review §8.273     Facility Campus-Based Programs and Facility Community-Based Services: Clinical Death Review §405.273
    §405.274 Community Centers: Clinical Death Review     Community Centers: Clinical Death Review §8.274     Community Centers: Clinical Death Review §405.274
    §405.275 Facility Campus-Based Programs, Facility Community-Based Services, and Community Centers: Administrative Death Review     Facility Campus-Based Programs, Facility Community-Based Services, and Community Centers: Administrative Death Review §8.275     Facility Campus-Based Programs, Facility Community-Based Services, and Community Centers: Administrative Death Review §405.275
    §405.276 Reporting of Systemic Issues Emerging from Death Reviews     Reporting of Systemic Issues Emerging from Death Reviews §8.276     Reporting of Systemic Issues Emerging from Death Reviews §405.276
    §405.277 Distribution     Distribution §8.277     Distribution §405.277
    §405.279 References     References §8.279     References §405.279
L     Human Immunodeficiency Virus (HIV) Prevention, Testing, and Treatment L   Human Immunodeficiency Virus (HIV) Prevention, Testing, and Treatment   L   Human Immunodeficiency Virus (HIV) Prevention, Testing, and Treatment  
    §405.281 Purpose     Purpose §8.281     Purpose §405.281
    §405.282 Application     Application §8.282     Application §405.282
    §405.283 Definitions     Definitions §8.283     Definitions §405.283
    §405.284 Policy Overview     Policy Overview §8.284     Policy Overview §405.284
    §405.285 Education     Education §8.285     Education §405.285
    §405.286 Screening for HIV Antibody     Screening for HIV Antibody §8.286     Screening for HIV Antibody §405.286
    §405.287 Counseling     Counseling §8.287     Counseling §405.287
    §405.288 Confidentiality of Test Results     Confidentiality of Test Results §8.288     Confidentiality of Test Results §405.288
    §405.289 Documentation of Test Results     Documentation of Test Results §8.289     Documentation of Test Results §405.289
    §405.290 Required Reporting of Test Results     Required Reporting of Test Results §8.290     Required Reporting of Test Results §405.290
    §405.291 Management of Exposure to Blood/Body Substances     Management of Exposure to Blood/Body Substances §8.291     Management of Exposure to Blood/Body Substances §405.291
    §405.292 Limitation of Client Activity     Limitation of Client Activity §8.292     Limitation of Client Activity §405.292
    §405.293 Personnel Issues     Personnel Issues §8.293     Personnel Issues §405.293
    §405.294 Responsibility and Resources     Responsibility and Resources §8.294     Responsibility and Resources §405.294
    §405.295 Exhibits     Exhibits §8.295     Exhibits §405.295
    §405.296 References     References §8.296     References §405.296
    §405.297 Distribution     Distribution §8.297     Distribution §405.297
Y     Rights of Mentally Retarded Persons Y   Rights of Mentally Retarded Persons          
    §405.621 Purpose     Purpose §8.621        
    §405.622 Application     Application §8.622        
    §405.623 Definitions     Definitions §8.623        
    §405.624 Rights of All Clients Receiving Mental Retardation Services     Rights of All Clients Receiving Mental Retardation Services §8.624        
    §405.625 Rights of Clients Receiving Residential Mental Retardation Services     Rights of Clients Receiving Residential Mental Retardation Services §8.625        
    §405.626 Rights Handbook for Clients Receiving Mental Retardation Services     Rights Handbook for Clients Receiving Mental Retardation Services §8.626        
    §405.627 Communication of Rights to Clients Receiving Mental Retardation Services     Communication of Rights to Clients Receiving Mental Retardation Services §8.627        
    §405.628 References     References §8.628        
    §405.629 Distribution     Distribution §8.629        
Chapter 406. ICF/MR Programs Chapter 6. ICF/MR Programs--Contracting  
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B     Contracting Requirements B   Contracting Requirements          
    §406.64 Causes for and Conditions of Debarment     Causes for and Conditions of Debarment §6.64        
    §406.65 Causes for and Conditions of Suspension     Causes for and Conditions of Suspension §6.65        
    §406.66 Proof Required for Debarment and Suspension     Proof Required for Debarment and Suspension §6.66        
    §406.67 Notice Requirements for Debarment and for Suspension     Notice Requirements for Debarment and for Suspension §6.67        
G     Additional Facility Responsiblities G   Additional Facility Responsiblities          
    §406.301 Agreements with Local School Districts     Agreements with Local School Districts §6.301        
    §406.310 Consent to Treatment by Surrogate Decision-Makers     Consent to Treatment by Surrogate Decision-Makers §6.310        
H     Dental Program H   Dental Program          
    §406.351 Program Basis     Program Basis §6.351        
    §406.352 Eligibility     Eligibility §6.352        
Chapter 406. ICF/MR Programs Chapter 100. Miscellaneous  
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H     Dental Program H   Dental Program          
    §406.353 Confidentiality of Records     Confidentiality of Records §100.353        
    §406.354 Freedom of Choice     Freedom of Choice §100.354        
    §406.355 Allowable Services and Limitations     Allowable Services and Limitations §100.355        
    §406.356 Dental Examination and Treatment     Dental Examination and Treatment §100.356        
Chapter 406. ICF/MR Programs Chapter 6. ICF/MR Programs--Contracting  
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H     Dental Program H   Dental Program          
    §406.357 Emergency Services     Emergency Services §6.357        
Chapter 406. ICF/MR Programs Chapter 100. Miscellaneous  
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H     Dental Program H   Dental Program          
    §406.358 Preventive Services     Preventive Services §100.358        
    §406.359 Therapeutic Services     Therapeutic Services §100.359        
    §406.360 Orthodontic Services     Orthodontic Services §100.360        
    §406.361 Eligibility for Orthodontic Services     Eligibility for Orthodontic Services §100.361        
    §406.362 Application for Participation     Application for Participation §100.362        
    §406.363 Requirements for Participation     Requirements for Participation §100.363        
    §406.364 Orthodontic Provider Participation     Orthodontic Provider Participation §100.364        
    §406.365 Post-payment Review     Post-payment Review §100.365        
    §406.366 Termination of a Provider Agreement     Termination of a Provider Agreement §100.366        
    §406.367 Maximum Payment     Maximum Payment §100.367        
    §406.368 Charges to ICF/MR     Charges to ICF/MR §100.368        
    §406.369 Payment of Claims     Payment of Claims §100.369        
Chapter 406. ICF/MR Programs Chapter 6. ICF/MR Programs--Contracting  
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    §406.370 Change to Another Provider     Change to Another Provider §6.370        
Chapter 406. ICF/MR Programs Chapter 100. Miscellaneous  
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H     Dental Program H   Dental Program          
    §406.371 Time Limits, Return, and Denial of Claims     Time Limits, Return, and Denial of Claims §100.371        
    §406.372 Dental Problems Discovered by the Utilization-review Dentist     Dental Problems Discovered by the Utilization-review Dentist §100.372        
    §406.373 Utilization of Peer Review or Grievance Committees     Utilization of Peer Review or Grievance Committees §100.373        
    §406.374 Utilization of Texas State Board of Dental Examiners     Utilization of Texas State Board of Dental Examiners §100.374        
    §406.375 Types of Reviews     Types of Reviews §100.375        
    §406.376 Notification to Provider about Utilization Review     Notification to Provider about Utilization Review §100.376        
    §406.377 Provider Cooperation     Provider Cooperation §100.377        
    §406.378 Report of Findings     Report of Findings §100.378        
    §406.379 Classification of Review Findings     Classification of Review Findings §100.379        
    §406.380 Restitution of Overpayments     Restitution of Overpayments §100.380        
    §406.381 Administrative Actions     Administrative Actions §100.381        
Chapter 409. Medicaid Programs Chapter 9. Mental Retardation Services--Medicaid State Operating Agency Responsibilities Chapter 409. Mental Health Services--Medicaid Programs
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B     Adverse Actions B   Adverse Actions   B   Adverse Actions  
    §409.31 Application     Application §9.31     Application §409.31
    §409.32 Definitions     Definitions §9.32     Definitions §409.32
    §409.33 Notice of Adverse Action     Notice of Adverse Action §9.33     Notice of Adverse Action §409.33
    §409.34 Request for an Administrative Hearing     Request for an Administrative Hearing §9.34     Request for an Administrative Hearing §409.34
    §409.35 Withholding Provider Agreement Payments     Withholding Provider Agreement Payments §9.35     Withholding Provider Agreement Payments §409.35
Chapter 409. Medicaid Programs Chapter 100. Miscellaneous Chapter 460. Miscellaneous
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C     Fraud and Abuse and Recovery of Benefits C   Fraud and Abuse and Recovery of Benefits   A   Texas Department of Mental Health and Mental Retardation  
  2 Fraud and Abuse and Recovery of Benefits  
    §409.51 Department Responsibility for Minimizing Fraud and Abuse     Department Responsibility for Minimizing Fraud and Abuse §100.151     Department Responsibility for Minimizing Fraud and Abuse §460.11
    §409.52 Confidentiality of Fraud or Abuse Investigation Records     Confidentiality of Fraud or Abuse Investigation Records §100.152     Confidentiality of Fraud or Abuse Investigation Records §460.12
    §409.53 Statutory Bases     Statutory Bases §100.153     Statutory Bases §460.13
    §409.54 Department Responsibilities in Relation to Provider Fraud and Abuse     Department Responsibilities in Relation to Provider Fraud and Abuse §100.154     Department Responsibilities in Relation to Provider Fraud and Abuse §460.14
    §409.55 Grounds for Fraud Referral and Administrative Sanction     Grounds for Fraud Referral and Administrative Sanction §100.155     Grounds for Fraud Referral and Administrative Sanction §460.15
    §409.56 Administrative Sanctions/Actions, Restitution, and Recoupment     Administrative Sanctions/Actions, Restitution, and Recoupment §100.156     Administrative Sanctions/Actions, Restitution, and Recoupment §460.16
    §409.57 Definitions     Definitions §100.157     Definitions §460.17
    §409.58 Administrative Sanctions and Actions     Administrative Sanctions and Actions §100.158     Administrative Sanctions and Actions §460.18
    §409.59 Scope of Sanction     Scope of Sanction §100.159     Scope of Sanction §460.19
    §409.60 Imposing a Sanction     Imposing a Sanction §100.160     Imposing a Sanction §460.20
    §409.61 Notice of Adverse Action     Notice of Adverse Action §100.161     Notice of Adverse Action §460.21
    §409.62 Informing Other Interested Parties     Informing Other Interested Parties §100.162     Informing Other Interested Parties §460.22
    §409.63 Provider Education     Provider Education §100.163     Provider Education §460.23
    §409.64 Request for Reinstatement     Request for Reinstatement §100.164     Request for Reinstatement §460.24
    §409.65 Obligation of Health Care Practitioners and Providers     Obligation of Health Care Practitioners and Providers §100.165     Obligation of Health Care Practitioners and Providers §460.25
    §409.66 Department Responsibility for Recovery of Funds     Department Responsibility for Recovery of Funds §100.166     Department Responsibility for Recovery of Funds §460.26
    §409.67 Recovery from Providers     Recovery from Providers §100.167     Recovery from Providers §460.27
    §409.68 Recovery When Fraud Is Involved     Recovery When Fraud Is Involved §100.168     Recovery When Fraud Is Involved §460.28
    §409.69 Provider Re-enrollment or Provider Contract or Agreement Modification     Provider Re-enrollment or Provider Contract or Agreement Modification §100.169     Provider Re-enrollment or Provider Contract or Agreement Modification §460.29
Chapter 411. State Authority Responsibilties Chapter 1. State Mental Retardation Authority Responsibilties Chapter 411. State Mental Health Authority Responsibilties
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A     Advisory Committees A   Advisory Committees   A   Advisory Committees  
    §411.1 Purpose     Purpose §1.1     Purpose §411.1
    §411.2 Application     Application §1.2     Application §411.2
    §411.3 Definitions     Definitions §1.3     Definitions §411.3
    §411.4 Advisory Committee Requirements     Advisory Committee Requirements §1.4     Advisory Committee Requirements §411.4
    §411.7 Mental Health Planning and Advisory Council             Mental Health Planning and Advisory Council §411.7
    §411.8 Mental Retardation Planning and Advisory Council     Mental Retardation Planning and Advisory Council §1.8        
    §411.12 Inpatient Mental Health Services Advisory Committee             Inpatient Mental Health Services Advisory Committee §411.12
    §411.20 References     References §1.20     References §411.20
    §411.21 Distribution     Distribution §1.21     Distribution §411.21
Chapter 411. State Authority Responsibilties Chapter 100. Miscellaneous Chapter 460. Miscellaneous
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B     Interagency Agreements B   Interagency Agreements   A   Texas Department of Mental Health and Mental Retardation  
  3 Interagency Agreements  
    §411.51 Purpose     Purpose §100.51     Purpose §460.31
    §411.52 Application     Application §100.52     Application §460.32
    §411.53 Definitions     Definitions §100.53     Definitions §460.33
    §411.54 Memorandum of Understanding: Provision, Regulation, and Funding of Services in Hospitals and Long-Term Care Facilities     Memorandum of Understanding: Provision, Regulation, and Funding of Services in Hospitals and Long-Term Care Facilities §100.54     Memorandum of Understanding: Provision, Regulation, and Funding of Services in Hospitals and Long-Term Care Facilities §460.34
    §411.55 Memorandum of Understanding: Coordination of Services to Disabled Persons     Memorandum of Understanding: Coordination of Services to Disabled Persons §100.55     Memorandum of Understanding: Coordination of Services to Disabled Persons §460.35
    §411.57 Memorandum of Understanding: Coordination of Delivery of Mental Health and Mental Retardation Services to Hearing-Impaired or Deaf Persons     Memorandum of Understanding: Coordination of Delivery of Mental Health and Mental Retardation Services to Hearing-Impaired or Deaf Persons §100.57     Memorandum of Understanding: Coordination of Delivery of Mental Health and Mental Retardation Services to Hearing-Impaired or Deaf Persons §460.37
    §411.58 Memorandum of Understanding: Coordination of Exchange and Distribution of Public Awareness Information     Memorandum of Understanding: Coordination of Exchange and Distribution of Public Awareness Information §100.58     Memorandum of Understanding: Coordination of Exchange and Distribution of Public Awareness Information §460.38
    §411.60 Training Requirements for Identifying Abuse, Neglect, and Unprofessional or Unethical Conduct in Health Care Facilities             Training Requirements for Identifying Abuse, Neglect, and Unprofessional or Unethical Conduct in Health Care Facilities §460.40
Chapter 411. State Authority Responsibilties Chapter 72. Memorandum of Understanding with Other State Agencies Chapter 411. State Mental Health Authority Responsibilties
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B     Interagency Agreements L   MOU--Capacity Assessment for Self Care and Financial Management   B   Interagency Agreements  
    §411.61 Memorandum of Understanding Concerning Capacity Assessment for Self Care and Financial Management     Memorandum of Understanding Concerning Capacity Assessment for Self Care and Financial Management §72.5001     Memorandum of Understanding Concerning Capacity Assessment for Self Care and Financial Management §411.61
        M   MOU--Continuity of Care System for Offenders with Mental Impairments          
    §411.62 Memorandum of Understanding concerning Continuity of Care System for Offenders with Mental Impairments     Memorandum of Understanding concerning Continuity of Care System for Offenders with Mental Impairments §72.5002     Memorandum of Understanding concerning Continuity of Care System for Offenders with Mental Impairments §411.62
        N   MOU--Coordination of Special Education Services to Students with Disabilities in Residential Facilities          
    §411.63 Interagency Coordination of Special Education Services to Students with Disabilities in Residential Facilities     Interagency Coordination of Special Education Services to Students with Disabilities in Residential Facilities §72.5003     Interagency Coordination of Special Education Services to Students with Disabilities in Residential Facilities §411.63
Chapter 411. State Authority Responsibilties Chapter 100. Miscellaneous Chapter 411. State Mental Health Authority Responsibilties
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B     Interagency Agreements B   Interagency Agreements   B   Interagency Agreements  
    §411.64 Memorandum of Understanding (MOU) on Relocation Pilot Program     Memorandum of Understanding (MOU) on Relocation Pilot Program §100.64     Memorandum of Understanding (MOU) on Relocation Pilot Program §411.64
Chapter 411. State Authority Responsibilties Chapter 100. Miscellaneous Chapter 460. Miscellaneous
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B     Interagency Agreements B   Interagency Agreements   A   Texas Department of Mental Health and Mental Retardation  
  3 Interagency Agreements  
    §411.75 Distribution     Distribution §100.75     Distribution §460.45
Chapter 411. State Authority Responsibilties Chapter 1. State Mental Retardation Authority Responsibilties Chapter 411. State Mental Health Authority Responsibilties
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D     Administrative Hearings of the Department in Contested Cases D   Administrative Hearings of the Department in Contested Cases   D   Administrative Hearings of the Department in Contested Cases  
    §411.151 Purpose     Purpose §1.151     Purpose §411.151
    §411.152 Applicability and Scope of Rules     Applicability and Scope of Rules §1.152     Applicability and Scope of Rules §411.152
    §411.153 Definitions     Definitions §1.153     Definitions §411.153
    §411.154 Administrative Law Judge     Administrative Law Judge §1.154     Administrative Law Judge §411.154
    §411.155 Hearing Guidelines     Hearing Guidelines §1.155     Hearing Guidelines §411.155
    §411.156 Conduct of Hearings--General Requirements     Conduct of Hearings--General Requirements §1.156     Conduct of Hearings--General Requirements §411.156
    §411.157 Prehearing Procedure     Prehearing Procedure §1.157     Prehearing Procedure §411.157
    §411.158 Evidence and Depositions     Evidence and Depositions §1.158     Evidence and Depositions §411.158
    §411.159 Deliberation     Deliberation §1.159     Deliberation §411.159
    §411.160 Decisions     Decisions §1.160     Decisions §411.160
    §411.162 References     References §1.162     References §411.162
    §411.163 Distribution     Distribution §1.163     Distribution §411.163
Chapter 411. State Authority Responsibilties Chapter 100. Miscellaneous Chapter 460. Miscellaneous
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F     Internal Audits and Investigations F   Internal Audits and Investigations   A   Texas Department of Mental Health and Mental Retardation  
  4 Internal Audits and Investigations  
    §411.251 Purpose     Purpose §100.251     Purpose §460.51
    §411.252 Application     Application §100.252     Application §460.52
    §411.253 Definitions     Definitions §100.253     Definitions §460.53
    §411.254 Office of Internal Audit Authority and Function     Office of Internal Audit Authority and Function §100.254     Office of Internal Audit Authority and Function §460.54
    §411.255 Responsibilities of the Audit Committee Chairman and the TDMHMR Board     Responsibilities of the Audit Committee Chairman and the TDMHMR Board §100.255     Responsibilities of the Audit Committee Chairman and the TDMHMR Board §460.55
    §411.256 Responsibilities of the Director     Responsibilities of the Director §100.256     Responsibilities of the Director §460.56
    §411.257 Access to Records     Access to Records §100.257     Access to Records §460.57
    §411.258 Standards of Conduct     Standards of Conduct §100.258     Standards of Conduct §460.58
    §411.259 Standards for Conducting Audits and Investigations     Standards for Conducting Audits and Investigations §100.259     Standards for Conducting Audits and Investigations §460.59
    §411.260 Scope of Audit Work     Scope of Audit Work §100.260     Scope of Audit Work §460.60
    §411.261 Exit Conference Procedures for Audits     Exit Conference Procedures for Audits §100.261     Exit Conference Procedures for Audits §460.61
    §411.262 Responses to Audit Findings     Responses to Audit Findings §100.262     Responses to Audit Findings §460.62
    §411.263 Final Audit Report Distribution     Final Audit Report Distribution §100.263     Final Audit Report Distribution §460.63
    §411.264 Implementing Audit Recommendations     Implementing Audit Recommendations §100.264     Implementing Audit Recommendations §460.64
    §411.265 Investigating Alleged Fraud, Misconduct, or Other Wrongdoing     Investigating Alleged Fraud, Misconduct, or Other Wrongdoing §100.265     Investigating Alleged Fraud, Misconduct, or Other Wrongdoing §460.65
    §411.266 References     References §100.266     References §460.66
    §411.267 Distribution     Distribution §100.267     Distribution §460.67
Chapter 411. State Authority Responsibilties Chapter 1. State Mental Retardation Authority Responsibilties Chapter 411. State Mental Health Authority Responsibilties
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G     Community MHMR Centers G   Community MHMR Centers   G   Community MHMR Centers  
    §411.301 Purpose     Purpose §1.301     Purpose §411.301
    §411.302 Application     Application §1.302     Application §411.302
    §411.303 Definitions     Definitions §1.303     Definitions §411.303
    §411.304 Philosophy     Philosophy §1.304     Philosophy §411.304
    §411.305 Process to Establish a New Community Center     Process to Establish a New Community Center §1.305     Process to Establish a New Community Center §411.305
    §411.306 Updating a Community Center's Current Plan     Updating a Community Center's Current Plan §1.306     Updating a Community Center's Current Plan §411.306
    §411.307 Modifying a Community Center's Current Plan     Modifying a Community Center's Current Plan §1.307     Modifying a Community Center's Current Plan §411.307
    §411.308 Dissolution or Merger of Community Centers     Dissolution or Merger of Community Centers §1.308     Dissolution or Merger of Community Centers §411.308
    §411.309 Appointment of Manager or Management Team     Appointment of Manager or Management Team §1.309     Appointment of Manager or Management Team §411.309
    §411.310 Standards of Administration for Boards of Trustees     Standards of Administration for Boards of Trustees §1.310     Standards of Administration for Boards of Trustees §411.310
    §411.311 Civil Rights     Civil Rights §1.311     Civil Rights §411.311
    §411.312 Fiscal Controls     Fiscal Controls §1.312     Fiscal Controls §411.312
    §411.313 Determination of Salaries of Community Center Employees     Determination of Salaries of Community Center Employees §1.313     Determination of Salaries of Community Center Employees §411.313
    §411.314 Exhibits     Exhibits §1.314     Exhibits §411.314
    §411.315 References     References §1.315     References §411.315
    §411.316 Distribution     Distribution §1.316     Distribution §411.316
I     TDMHMR In-Home and Family Support Program I   TDMHMR In-Home and Family Support Program   I   TDMHMR In-Home and Family Support Program  
    §411.401 Purpose     Purpose §1.401     Purpose §411.401
    §411.402 Application     Application §1.402     Application §411.402
    §411.403 Definitions     Definitions §1.403     Definitions §411.403
    §411.404 TDMHMR In-Home and Family Support Program--Criteria, Purpose, and Limitations     TDMHMR In-Home and Family Support Program--Criteria, Purpose, and Limitations §1.404     TDMHMR In-Home and Family Support Program--Criteria, Purpose, and Limitations §411.404
    §411.405 Allowable Costs     Allowable Costs §1.405     Allowable Costs §411.405
    §411.406 Unallowable Costs     Unallowable Costs §1.406     Unallowable Costs §411.406
    §411.407 Eligibility Determination     Eligibility Determination §1.407     Eligibility Determination §411.407
    §411.408 Applying for Assistance and Processing Applications     Applying for Assistance and Processing Applications §1.408     Applying for Assistance and Processing Applications §411.408
    §411.409 Written Plan and Disbursing Assistance     Written Plan and Disbursing Assistance §1.409     Written Plan and Disbursing Assistance §411.409
    §411.410 Administrative Implementation     Administrative Implementation §1.410     Administrative Implementation §411.410
    §411.411 Appeal     Appeal §1.411     Appeal §411.411
    §411.412 Exhibits     Exhibits §1.412     Exhibits §411.412
    §411.413 References     References §1.413     References §411.413
    §411.414 Distribution     Distribution §1.414     Distribution §411.414
J     Standards of Care and Treatment in Psychiatric Hospitals         J   Standards of Care and Treatment in Psychiatric Hospitals  
  1   General Requirements           1 General Requirements  
    §411.451 Purpose             Purpose §411.451
    §411.452 Application             Application §411.452
    §411.453 Definitions             Definitions §411.453
    §411.454 General Provisions             General Provisions §411.454
    §411.455 Individuals with a Sole Diagnosis of a Substance Use Disorder             Individuals with a Sole Diagnosis of a Substance Use Disorder §411.455
  2   Admission           2 Admission  
    §411.459 Admission Criteria             Admission Criteria §411.459
    §411.461 Voluntary Admission             Voluntary Admission §411.461
    §411.462 Emergency Detention             Emergency Detention §411.462
    §411.463 Admission of an Individual under Protective Custody Order, for Court-ordered Inpatient Mental Health Services, or Under Order for Commitment or Order for Placement             Admission of an Individual under Protective Custody Order, for Court-ordered Inpatient Mental Health Services, or Under Order for Commitment or Order for Placement §411.463
    §411.464 Monitoring Upon Admission             Monitoring Upon Admission §411.464
    §411.465 Voluntary Treatment Following Involuntary Admission             Voluntary Treatment Following Involuntary Admission §411.465
  3   Emergency Treatment           3 Emergency Treatment  
    §411.468 Responding to an Emergency Medical Condition of a Patient, Prospective Patient, or Individual Who Arrives on Hospital Property Requesting Examination or Treatment             Responding to an Emergency Medical Condition of a Patient, Prospective Patient, or Individual Who Arrives on Hospital Property Requesting Examination or Treatment §411.468
  4   Service Requirements           4 Service Requirements  
    §411.471 Inpatient Mental Health Treatment and Treatment Planning             Inpatient Mental Health Treatment and Treatment Planning §411.471
    §411.472 Medical Services             Medical Services §411.472
    §411.473 Nursing Services             Nursing Services §411.473
    §411.474 Social Services             Social Services §411.474
    §411.475 Therapeutic Activities             Therapeutic Activities §411.475
    §411.476 Psychological Services             Psychological Services §411.476
    §411.477 Protection of a Patient             Protection of a Patient §411.477
  5   Discharge           5 Discharge  
    §411.482 Discharge Planning             Discharge Planning §411.482
    §411.483 Discharge Notices and Release of Minors             Discharge Notices and Release of Minors §411.483
    §411.484 Discharge of a Voluntary Patient Requesting Discharge             Discharge of a Voluntary Patient Requesting Discharge §411.484
    §411.485 Discharge of an Involuntary Patient             Discharge of an Involuntary Patient §411.485
  6   Documentation           6 Documentation  
    §411.488 Content of Medical Record             Content of Medical Record §411.488
  7   Staff Development           7 Staff Development  
    §411.490 Staff Member Training             Staff Member Training §411.490
  8   Performance Improvement           8 Performance Improvement  
    §411.493 Quality Assessment and Performance Improvement Program             Quality Assessment and Performance Improvement Program §411.493
    §411.494 Reporting and Investigating Sentinel Events             Reporting and Investigating Sentinel Events §411.494
    §411.495 Response to External Reviews             Response to External Reviews §411.495
    §411.496 Advisory Committee for Nurse Staffing             Advisory Committee for Nurse Staffing §411.496
    References and Distribution           9 References and Distribution  
    §411.499 References             References §411.499
    §411.500 Distribution             Distribution §411.500
M     Standards of Care and Treatment in Crisis Stabilization Units         M   Standards of Care and Treatment in Crisis Stabilization Units  
  1   General Requirements           1 General Requirements  
    §411.601 Purpose             Purpose §411.601
    §411.602 Application             Application §411.602
    §411.603 Definitions             Definitions §411.603
    §411.604 General Provisions             General Provisions §411.604
  2   Admission           2 Admission  
    §411.608 Admission Criteria             Admission Criteria §411.608
    §411.609 Voluntary Admission             Voluntary Admission §411.609
    §411.610 Emergency Detention             Emergency Detention §411.610
    §411.611 Admission Under Protective Custody Order             Admission Under Protective Custody Order §411.611
    §411.612 Monitoring Upon Admission             Monitoring Upon Admission §411.612
    §411.613 Voluntary Treatment Following Involuntary Admission             Voluntary Treatment Following Involuntary Admission §411.613
  3   Emergency Treatment           3 Emergency Treatment  
    §411.617 Responding to an Emergency Medical Condition of a Prospective Patient or a Patient             Responding to an Emergency Medical Condition of a Prospective Patient or a Patient §411.617
  4   Service Requirements           4 Service Requirements  
    §411.621 Crisis Stabilization Services and Treatment Planning             Crisis Stabilization Services and Treatment Planning §411.621
    §411.622 Medical Services             Medical Services §411.622
    §411.623 Nursing Services             Nursing Services §411.623
    §411.624 Protection of a Patient             Protection of a Patient §411.624
  5   Discharge           5 Discharge  
    §411.628 Discharge Planning             Discharge Planning §411.628
    §411.629 Discharge Notices             Discharge Notices §411.629
    §411.630 Transfer Because of Dangerous Behavior, Restraint or Seclusion, Commitment Orders, or Medical Condition             Transfer Because of Dangerous Behavior, Restraint or Seclusion, Commitment Orders, or Medical Condition §411.630
    §411.631 Discharge of a Voluntary Patient             Discharge of a Voluntary Patient §411.631
    §411.632 Maximum Length of Stay for a Voluntary Patient             Maximum Length of Stay for a Voluntary Patient §411.632
    §411.633 Discharge of an Involuntary Patient             Discharge of an Involuntary Patient §411.633
  6   Documentation           6 Documentation  
    §411.637 Content of Medical Record             Content of Medical Record §411.637
  7   Staff Development           7 Staff Development  
    §411.641 Staff Member Training             Staff Member Training §411.641
  8   Sentinel Events and External Reviews           8 Sentinel Events and External Reviews  
    §411.645 Reporting and Investigating Sentinel Events             Reporting and Investigating Sentinel Events §411.645
    §411.646 Response to External Reviews             Response to External Reviews §411.646
  9   References and Distribution           9 References and Distribution  
    §411.649 References             References §411.649
    §411.650 Distribution             Distribution §411.650
N     Standards for Services to Individuals with Co-occurring Psychiatric and Substance Use Disorders (COPSD)         N   Standards for Services to Individuals with Co-occurring Psychiatric and Substance Use Disorders (COPSD)  
  1   General Provisions           1 General Provisions  
    §411.651 Purpose             Purpose §411.651
    §411.652 Application             Application §411.652
    §411.653 Definitions             Definitions §411.653
    §411.654 Services to Individuals             Services to Individuals §411.654
    §411.655 Responsibility for Compliance             Responsibility for Compliance §411.655
    §411.656 TDMHMR Central Office Responsibilities             TDMHMR Central Office Responsibilities §411.656
  2   Organizational Standards           2 Organizational Standards  
    §411.657 Access to Services             Access to Services §411.657
    §411.658 Specialty Competencies of Staff Providing Services to Individuals with COPSD             Specialty Competencies of Staff Providing Services to Individuals with COPSD §411.658
    §411.659 Quality Management             Quality Management §411.659
  3   Standards of Care           3 Standards of Care  
    §411.660 Screening, Assessment, and Treatment Planning             Screening, Assessment, and Treatment Planning §411.660
  4   References and Distribution           4 References and Distribution  
    §411.661 References             References §411.661
    §411.662 Distribution             Distribution §411.662
Chapter 412. Local Authority Responsibilties Chapter 2. Mental Retardation Authority Responsibilties Chapter 412. Local Mental Health Authority Responsibilties
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B     Contracts Management for Local Authorities frB   Contracts Management for Local Authorities   B   Contracts Management for Local Authorities  
    §412.51 Purpose     Purpose §2.51     Purpose §412.51
    §412.52 Application     Application §2.52     Application §412.52
    §412.53 Definitions     Definitions §2.53     Definitions §412.53
    §412.54 Accountability     Accountability §2.54     Accountability §412.54
    §412.55 Procurement     Procurement §2.55     Procurement §412.55
    §412.56 Community Services Contracting Requirements     Community Services Contracting Requirements §2.56     Community Services Contracting Requirements §412.56
    §412.57 Provisions for Community Services Contracts     Provisions for Community Services Contracts §2.57     Provisions for Community Services Contracts §412.57
    §412.58 Competitive Procurement Methods for Community Services     Competitive Procurement Methods for Community Services §2.58     Competitive Procurement Methods for Community Services §412.58
    §412.59 Non-competitive Procurement of Community Services     Non-competitive Procurement of Community Services §2.59     Non-competitive Procurement of Community Services §412.59
    §412.60 Open Enrollment     Open Enrollment §2.60     Open Enrollment §412.60
    §412.61 Consumer Access to Participating Community Services Contractors in Provider Network     Consumer Access to Participating Community Services Contractors in Provider Network §2.61     Consumer Access to Participating Community Services Contractors in Provider Network §412.61
    §412.62 Monitoring and Enforcing Community Services Contracts     Monitoring and Enforcing Community Services Contracts §2.62     Monitoring and Enforcing Community Services Contracts §412.62
    §412.63 References     References §2.63     References §412.63
    §412.64 Distribution     Distribution §2.64     Distribution §412.64
C     Charges for Community Services C   Charges for Community Services   C   Charges for Community Services  
    §412.101 Purpose     Purpose §2.101     Purpose §412.101
    §412.102 Application     Application §2.102     Application §412.102
    §412.103 Definitions     Definitions §2.103     Definitions §412.103
    §412.104 Principles     Principles §2.104     Principles §412.104
    §412.105 Accountability     Accountability §2.105     Accountability §412.105
    §412.106 Determination of Ability to Pay     Determination of Ability to Pay §2.106     Determination of Ability to Pay §412.106
    §412.107 Standard Charges     Standard Charges §2.107     Standard Charges §412.107
    §412.108 Billing Procedures     Billing Procedures §2.108     Billing Procedures §412.108
    §412.109 Payments, Collections, and Non-payment     Payments, Collections, and Non-payment §2.109     Payments, Collections, and Non-payment §412.109
    §412.110 Monthly Ability-to-Pay Fee Schedule     Monthly Ability-to-Pay Fee Schedule §2.110     Monthly Ability-to-Pay Fee Schedule §412.110
    §412.111 Training     Training §2.111     Training §412.111
    §412.112 Brochure for Persons (and Parents)     Brochure for Persons (and Parents) §2.112     Brochure for Persons (and Parents) §412.112
    §412.113 Exhibit     Exhibit §2.113     Exhibit §412.113
    §412.114 References     References §2.114     References §412.114
    §412.115 Distribution     Distribution §2.115     Distribution §412.115
D     Mental Health Services--Admission, Continuity, and Discharge D   Mental Health Services--Admission, Continuity, and Discharge   D   Mental Health Services--Admission, Continuity, and Discharge  
  1   General Provisions           1 General Provisions  
    §412.151 Purpose             Purpose §412.151
    §412.152 Application             Application §412.152
    §412.153 Definitions             Definitions §412.153
    §412.154 Utilization Management Agreement Between SMHF and LMHA             Utilization Management Agreement Between SMHF and LMHA §412.154
  2   Screening and Assessment for Crisis Services and Admission into LMHA Services--LMHA Responsibilities           2 Screening and Assessment for Crisis Services and Admission into LMHA Services--LMHA Responsibilities  
    §412.161 Screening and Assessment             Screening and Assessment §412.161
    §412.162 Determining County of Residence             Determining County of Residence §412.162
    §412.163 Most Appropriate and Available Treatment Alternative     Most Appropriate and Available Treatment Alternative §2.151     Most Appropriate and Available Treatment Alternative §412.163
  3   Admission to SMHFs--SMHF Responsibilities           3 Admission to SMHFs--SMHF Responsibilities  
    §412.171 General Admission Criteria             General Admission Criteria §412.171
    §412.172 Admission Criteria for Maximum Security Unit at North Texas State Hospital--Vernon Campus             Admission Criteria for Maximum Security Unit at North Texas State Hospital--Vernon Campus §412.172
    §412.173 Admission Criteria For Adolescent Forensic Unit at North Texas State Hospital--Vernon Campus             Admission Criteria For Adolescent Forensic Unit at North Texas State Hospital--Vernon Campus §412.173
    §412.174 Admission Criteria for Waco Center for Youth             Admission Criteria for Waco Center for Youth §412.174
    §412.175 Voluntary Admission             Voluntary Admission §412.175
    §412.176 Emergency Detention             Emergency Detention §412.176
    §412.177 Admission Under Order of Protective Custody or Court-ordered Inpatient Mental Health Services             Admission Under Order of Protective Custody or Court-ordered Inpatient Mental Health Services §412.177
    §412.178 Admission Procedures             Admission Procedures §412.178
    §412.179 Voluntary Treatment Following Involuntary Admission             Voluntary Treatment Following Involuntary Admission §412.179
  4   Transfers and Changing LMHAs           4 Transfers and Changing LMHAs  
    §412.191 Transfers Between SMHFs             Transfers Between SMHFs §412.191
    §412.192 Transfers Between a SMHF and a SMRF             Transfers Between a SMHF and a SMRF §412.192
    §412.193 Transfers Between a SMHF and an Out-of-State Institution             Transfers Between a SMHF and an Out-of-State Institution §412.193
    §412.194 Transfers Between a SMHF and Another Institution in Texas             Transfers Between a SMHF and Another Institution in Texas §412.194
    §412.195 Changing LMHAs             Changing LMHAs §412.195
  5   Discharge and ATP from SMHF           5 Discharge and ATP from SMHF  
    §412.201 Discharge Planning             Discharge Planning §412.201
    §412.202 Special Considerations     Special Considerations §2.152     Special Considerations §412.202
    §412.203 Discharge of Voluntary Patients             Discharge of Voluntary Patients §412.203
    §412.204 Discharge of Involuntary Patients             Discharge of Involuntary Patients §412.204
    §412.205 Absences From a SMHF             Absences From a SMHF §412.205
    §412.206 Absence for Trial Placement (ATP)             Absence for Trial Placement (ATP) §412.206
    §412.207 Procedures Upon Discharge or ATP             Procedures Upon Discharge or ATP §412.207
    §412.208 Post Discharge/ATP: Contact and Implementation of Continuing Care Plan             Post Discharge/ATP: Contact and Implementation of Continuing Care Plan §412.208
  6   Discharge from LMHA Services           6 Discharge from LMHA Services  
    §412.221 Discharge From LMHA Services             Discharge From LMHA Services §412.221
  7   Training, References, and Distribution           7 Training, References, and Distribution  
    §412.231 Assessment and Intake Training Requirements at a SMHF             Assessment and Intake Training Requirements at a SMHF §412.231
    §412.232 References             References §412.232
    §412.233 Distribution             Distribution §412.233
F     Continuity of Services--State Mental Retardation Facilities F   Continuity of Services--State Mental Retardation Facilities   F   Continuity of Services--State Mental Retardation Facilities  
  1   General Provisions   1 General Provisions          
    §412.251 Purpose     Purpose §2.251        
    §412.252 Application     Application §2.252        
    §412.253 Definitions     Definitions §2.253        
    §412.254 Department's Philosophy Concerning Continuum of Care     Department's Philosophy Concerning Continuum of Care §2.254        
  2   Admission and Commitment   2 Admission and Commitment          
    §412.255 Criteria for Commitment and Regular Voluntary Admission of an Adult to a State MR Facility Under the PMRA     Criteria for Commitment and Regular Voluntary Admission of an Adult to a State MR Facility Under the PMRA §2.255        
    §412.256 Criteria for Commitment of an Adult under the Texas Code of Criminal Procedure     Criteria for Commitment of an Adult under the Texas Code of Criminal Procedure §2.256        
    §412.257 Criteria for Commitment of a Minor to a State MR Facility Under the PMRA     Criteria for Commitment of a Minor to a State MR Facility Under the PMRA §2.257        
    §412.258 Criteria for Placement of a Minor in a State MR Facility for Assessment Under the Texas Family Code     Criteria for Placement of a Minor in a State MR Facility for Assessment Under the Texas Family Code §2.258        
    §412.259 Criteria for Commitment of a Minor to a State MR Facility Under the Texas Family Code     Criteria for Commitment of a Minor to a State MR Facility Under the Texas Family Code §2.259        
    §412.260 Criteria for Regular Voluntary Admission of a Minor to a State MR Facility under the PMRA     Criteria for Regular Voluntary Admission of a Minor to a State MR Facility under the PMRA §2.260        
    §412.261 Criteria for Emergency Admission of an Adult or a Minor to a State MR Facility Under the PMRA     Criteria for Emergency Admission of an Adult or a Minor to a State MR Facility Under the PMRA §2.261        
    §412.262 Criteria for Admission of an Adult or a Minor to a State MR Facility for Respite Care Under the PMRA     Criteria for Admission of an Adult or a Minor to a State MR Facility for Respite Care Under the PMRA §2.262        
    §412.263 Criteria for an Order of Protective Custody     Criteria for an Order of Protective Custody §2.263        
    §412.264 MRA IDT Recommendation Concerning the Commitment of an Adult or a Minor or the Regular Voluntary Admission of an Adult to a State MR Facility Under the PMRA     MRA IDT Recommendation Concerning the Commitment of an Adult or a Minor or the Regular Voluntary Admission of an Adult to a State MR Facility Under the PMRA §2.264        
    §412.265 MRA Referral of an Applicant to a State MR Facility     MRA Referral of an Applicant to a State MR Facility §2.265        
    §412.266 Process for Admission of an Adult or a Minor Who Has Been Committed to a State MR Facility Under the PMRA     Process for Admission of an Adult or a Minor Who Has Been Committed to a State MR Facility Under the PMRA §2.266        
    §412.267 Process for the Regular Voluntary Admission of an Adult to a State MR Facility Under the PMRA     Process for the Regular Voluntary Admission of an Adult to a State MR Facility Under the PMRA §2.267        
    §412.268 Process for Placement of Minor under the Texas Family Code in a State MR Facility     Process for Placement of Minor under the Texas Family Code in a State MR Facility §2.268        
    §412.269 Process for the Emergency Admission of an Adult or a Minor to a State MR Facility Under the PMRA     Process for the Emergency Admission of an Adult or a Minor to a State MR Facility Under the PMRA §2.269        
    §412.270 Process for Admission of an Adult or a Minor to a State MR Facility for Respite Care Under the PMRA     Process for Admission of an Adult or a Minor to a State MR Facility for Respite Care Under the PMRA §2.270        
  3   Transfers   3 Transfers          
    §412.271 Transfer of an Individual Between State MR Facilities     Transfer of an Individual Between State MR Facilities §2.271        
    §412.272 Transfer of an Individual from a State MR Facility to a State MH Facility     Transfer of an Individual from a State MR Facility to a State MH Facility §2.272     Transfer of an Individual from a State MR Facility to a State MH Facility §412.272
    §412.273 Transfer of an Individual from a State MH Facility to a State MR Facility     Transfer of an Individual from a State MH Facility to a State MR Facility §2.273        
  4   Moving from a State MR Facility to an Alternative Living Arrangement   4 Moving from a State MR Facility to an Alternative Living Arrangement          
    §412.274 Consideration of Living Options for Individuals Residing in State MR Facilities     Consideration of Living Options for Individuals Residing in State MR Facilities §2.274        
    §412.275 Accessing Alternative Living Arrangements for an Individual Residing in a State MR Facility Who Has the Ability to Provide Legally Adequate Consent or Has a Legally Authorized Representative (LAR)     Accessing Alternative Living Arrangements for an Individual Residing in a State MR Facility Who Has the Ability to Provide Legally Adequate Consent or Has a Legally Authorized Representative (LAR) §2.275        
    §412.276 Accessing Alternative Living Arrangements for an Individual Residing in a State MR Facility Who Does Not Have the Ability to Give Legally Adequate Consent and Who Does Not Have a Legally Authorized Representative (LAR)     Accessing Alternative Living Arrangements for an Individual Residing in a State MR Facility Who Does Not Have the Ability to Give Legally Adequate Consent and Who Does Not Have a Legally Authorized Representative (LAR) §2.276        
    §412.277 Arrangements for the Move to an Alternative Living Arrangement of an Individual Residing in a State MR Facility     Arrangements for the Move to an Alternative Living Arrangement of an Individual Residing in a State MR Facility §2.277        
    §412.278 Community Living/Discharge Plan for Alternative Living Arrangements     Community Living/Discharge Plan for Alternative Living Arrangements §2.278        
  5   Discharge   5 Discharge          
    §412.279 Discharge from a State MR Facility of an Individual Who Moves to an Alternative Living Arrangement     Discharge from a State MR Facility of an Individual Who Moves to an Alternative Living Arrangement §2.279        
    §412.280 Administrative Discharges Initiated by a State MR Facility     Administrative Discharges Initiated by a State MR Facility §2.280        
    §412.281 Administrative Discharges from a Voluntary Admission Initiated by an Individual or LAR     Administrative Discharges from a Voluntary Admission Initiated by an Individual or LAR §2.281        
  6   Special Considerations for Individuals Who Moved from a State MR Facility to an Alternative Living Arrangement Prior to September 1, 1997   6 Special Considerations for Individuals Who Moved from a State MR Facility to an Alternative Living Arrangement Prior to September 1, 1997          
    §412.282 Review by Local MRA of Individual in a Community Living Arrangement     Review by Local MRA of Individual in a Community Living Arrangement §2.282        
  7   References and Distribution   7 References and Distribution          
    §412.283 References     References §2.283        
    §412.284 Distribution     Distribution §2.284        
G     Mental Health Community Services Standards         G   Mental Health Community Services Standards  
  1   General Provisions           1 General Provisions  
    §412.301 Purpose             Purpose §412.301
    §412.302 Application             Application §412.302
    §412.303 Definitions             Definitions §412.303
    §412.304 Responsibility for Compliance             Responsibility for Compliance §412.304
    §412.305 TDMHMR Responsibilities             TDMHMR Responsibilities §412.305
    §412.306 Outcomes for Mental Health Community Services             Outcomes for Mental Health Community Services §412.306
  2   Organizational Standards           2 Organizational Standards  
    §412.307 Leadership             Leadership §412.307
    §412.308 Environment of Care and Safety             Environment of Care and Safety §412.308
    §412.309 Rights and Protection             Rights and Protection §412.309
    §412.310 Access to Mental Health Community Services             Access to Mental Health Community Services §412.310
    §412.311 Medical Records System             Medical Records System §412.311
    §412.312 Competency and Credentialing             Competency and Credentialing §412.312
    §412.313 Quality Management             Quality Management §412.313
  3   Standard of Care           3 Standard of Care  
    §412.314 Crisis Services             Crisis Services §412.314
    §412.315 Assessment and Treatment Planning             Assessment and Treatment Planning §412.315
    §412.316 Additional Standards of Care Specific to Mental Health Community Services for Children and Adolescents             Additional Standards of Care Specific to Mental Health Community Services for Children and Adolescents §412.316
  4   Service Standards           4 Service Standards  
    §412.317 Rehabilitative Services             Rehabilitative Services §412.317
    §412.318 Supported Employment             Supported Employment §412.318
    §412.319 Supported Housing             Supported Housing §412.319
    §412.320 Assertive Community Treatment (ACT)             Assertive Community Treatment (ACT) §412.320
  5   References and Distribution           5 References and Distribution  
    §412.321 References             References §412.321
    §412.322 Distribution             Distribution §412.322
H     Standards and Quality Assurance for Mental Retardation Community Services and Supports H   Standards and Quality Assurance for Mental Retardation Community Services and Supports          
    §412.351 Purpose     Purpose §2.351        
    §412.352 Application     Application §2.352        
    §412.353 Definitions     Definitions §2.353        
    §412.354 Responsibilities of Local MRAs and Designated Providers     Responsibilities of Local MRAs and Designated Providers §2.354        
    §412.355 Self-assessment by Local MRAs and Designated Providers     Self-assessment by Local MRAs and Designated Providers §2.355        
    §412.356 Outcome Measures for People     Outcome Measures for People §2.356        
    §412.357 Outcome Measures for Organizations     Outcome Measures for Organizations §2.357        
    §412.358 Quality Improvement Plan     Quality Improvement Plan §2.358        
    §412.359 External Validation     External Validation §2.359        
    §412.360 Encouraging Full Expression of Legal and Civil Rights     Encouraging Full Expression of Legal and Civil Rights §2.360        
    §412.361 Human Resources     Human Resources §2.361        
    §412.362 Medication Practice and Health Related Services     Medication Practice and Health Related Services §2.362        
    §412.363 Infection Control     Infection Control §2.363        
    §412.364 Behavior Management     Behavior Management §2.364        
    §412.365 Psychoactive Medications     Psychoactive Medications §2.365        
    §412.366 Consumer Records     Consumer Records §2.366        
    §412.367 Environmental Requirements     Environmental Requirements §2.367        
    §412.368 Respite Services     Respite Services §2.368        
    §412.369 Additional Requirements     Additional Requirements §2.369        
    §412.370 Exhibits     Exhibits §2.370        
    §412.371 Training     Training §2.371        
    §412.372 References     References §2.372        
    §412.373 Distribution     Distribution §2.373        
I     Mental Health Case Management Services         I   Mental Health Case Management Services  
    §412.401 Purpose             Purpose §412.401
    §412.402 Application             Application §412.402
    §412.403 Definitions             Definitions §412.403
    §412.404 Provider Requirements             Provider Requirements §412.404
    §412.405 Eligibility for MH Case Management Services             Eligibility for MH Case Management Services §412.405
    §412.406 Establishing Type, Amount, and Duration of MH Case Management Services             Establishing Type, Amount, and Duration of MH Case Management Services §412.406
    §412.407 MH Case Management Services             MH Case Management Services §412.407
    §412.408 Service Limitations             Service Limitations §412.408
    §412.409 Notification and Terminations             Notification and Terminations §412.409
    §412.410 Staff Qualifications             Staff Qualifications §412.410
    §412.411 Staff Training             Staff Training §412.411
    §412.412 Documentation of MH Case Management Services             Documentation of MH Case Management Services §412.412
    §412.413 Medicaid Reimbursement             Medicaid Reimbursement §412.413
    §412.414 Fair Hearings             Fair Hearings §412.414
    §412.415 Exhibits             Exhibits §412.415
    §412.416 References             References §412.416
    §412.417 Distribution             Distribution §412.417
L     Service Coordination for Individuals with Mental Retardation L   Service Coordination for Individuals with Mental Retardation          
    §412.551 Purpose     Purpose §2.551        
    §412.552 Application     Application §2.552        
    §412.553 Definitions     Definitions §2.553        
    §412.554 Eligibility     Eligibility §2.554        
    §412.555 Assessing an Individual's Need for Service Coordination     Assessing an Individual's Need for Service Coordination §2.555        
    §412.556 MRA's Responsibilities     MRA's Responsibilities §2.556        
    §412.557 Caseloads     Caseloads §2.557        
    §412.558 Termination of Service Coordination     Termination of Service Coordination §2.558        
    §412.559 Minimum Qualifications     Minimum Qualifications §2.559        
    §412.560 Staff Training     Staff Training §2.560        
    §412.561 Documentation of Service Coordination     Documentation of Service Coordination §2.561        
    §412.562 Review Process     Review Process §2.562        
    §412.563 Subchapter Supercedes Chapter 412, Subchapter J     Subchapter Supercedes Chapter 412, Subchapter J §2.563        
    §412.564 References     References §2.564        
    §412.565 Distribution     Distribution §2.565        
Z     Jail Diversion Pilot Program         Z   Jail Diversion Pilot Program  
    §412.951 Purpose             Purpose §412.951
    §412.952 Application             Application §412.952
    §412.953 Definitions             Definitions §412.953
    §412.954 Mental Health Evaluation             Mental Health Evaluation §412.954
    §412.955 Eligibility for Jail Diversion             Eligibility for Jail Diversion §412.955
    §412.956 Obtaining Informed Consent for the Evaluation             Obtaining Informed Consent for the Evaluation §412.956
    §412.957 Recommendations and Documentation             Recommendations and Documentation §412.957
    §412.958 Audiovisual Telecommunication Equipment             Audiovisual Telecommunication Equipment §412.958
    §412.959 References             References §412.959
    §412.960 Distribution             Distribution §412.960
Chapter 414. Protection of Consumers and Consumer Rights Chapter 4. Rights and Protection of Individuals Receiving Mental Retardation Services Chapter 414. Rights and Protection of Persons Receiving Mental Health Services
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A     Protected Health Information A   Protected Health Information   A   Protected Health Information  
    §414.1 Purpose     Purpose §4.1     Purpose §414.1
    §414.2 Application     Application §4.2     Application §414.2
    §414.3 Definitions     Definitions §4.3     Definitions§ §414.3
    §414.4 Requirements     Requirements §4.4     Requirements §414.4
    §414.5 Regulations and Statutes Governing Confidentiality of Protected Health Information     Regulations and Statutes Governing Confidentiality of Protected Health Information §4.5     Regulations and Statutes Governing Confidentiality of Protected Health Information §414.5
    §414.6 Exhibit     Exhibit §4.6     Exhibit §414.6
    §414.7 References     References §4.7     References §414.7
    §414.8 Distribution     Distribution §4.8     Distribution §414.8
D     Administrative Hearings Under the PMRA D   Administrative Hearings Under the PMRA          
    §414.151 Purpose     Purpose §4.151        
    §414.152 Application     Application §4.152        
    §414.153 Definitions     Definitions §4.153        
    §414.154 General Principles     General Principles §4.154        
    §414.155 Notice     Notice §4.155        
    §414.156 Request for an Administrative Hearing     Request for an Administrative Hearing §4.156        
    §414.157 Preliminary Matters     Preliminary Matters §4.157        
    §414.158 Burden of Proof     Burden of Proof §4.158        
    §414.159 The Administrative Hearing     The Administrative Hearing §4.159        
    §414.160 Hearing Officer's Decision     Hearing Officer's Decision §4.160        
    §414.161 References     References §4.161        
    §414.162 Distribution     Distribution §4.162        
I     Consent to Treatment with Psychoactive Medication--Mental Health Services         I   Consent to Treatment with Psychoactive Medication--Mental Health Services  
    §414.401 Purpose             Purpose §414.401
    §414.402 Application             Application §414.402
    §414.403 Definitions             Definitions §414.403
    §414.404 Information Required To Be Given             Information Required To Be Given §414.404
    §414.405 Documentation of Informed Consent             Documentation of Informed Consent §414.405
    §414.406 Patients Admitted under Texas Statutes             Patients Admitted under Texas Statutes §414.406
    §414.407 Patients Committed to Mental Health Facilities under Provisions of the Texas Health and Safety Code             Patients Committed to Mental Health Facilities under Provisions of the Texas Health and Safety Code §414.407
    §414.408 Patients Committed to Mental Health Facilities under Provisions Other than Those Found in the Texas Health and Safety Code (i.e., Code of Criminal Procedure, Family Code)             Patients Committed to Mental Health Facilities under Provisions Other than Those Found in the Texas Health and Safety Code (i.e., Code of Criminal Procedure, Family Code) §414.408
    §414.409 Involuntary Administration of Medication to Patients Committed to Mental Health Facilities under the Texas Health and Safety Code or by Court Order             Involuntary Administration of Medication to Patients Committed to Mental Health Facilities under the Texas Health and Safety Code or by Court Order §414.409
    §414.410 Psychiatric Emergencies             Psychiatric Emergencies §414.410
    §414.411 Order Authorizing Administration of Psychoactive Medication             Order Authorizing Administration of Psychoactive Medication §414.411
    §414.412 Designation of Medication Classes             Designation of Medication Classes §414.412
    §414.413 Monitoring Compliance with Policies and Procedures             Monitoring Compliance with Policies and Procedures §414.413
    §414.414 References             References §414.414
    §414.415 Distribution             Distribution §414.415
K     Criminal History and Registry Clearances K   Criminal History and Registry Clearances   K   Criminal History and Registry Clearances  
    §414.501 Purpose     Purpose §4.501     Purpose §414.501
    §414.502 Application     Application §4.502     Application §414.502
    §414.503 Definitions     Definitions §4.503     Definitions §414.503
    §414.504 Pre-employment and Pre-assignment Clearance     Pre-employment and Pre-assignment Clearance §4.504     Pre-employment and Pre-assignment Clearance §414.504
    §414.505 Obtaining or Requesting Criminal History Record Information and Checking Registry     Obtaining or Requesting Criminal History Record Information and Checking Registry §4.505     Obtaining or Requesting Criminal History Record Information and Checking Registry §414.505
    §414.506 Criminal History Record Information and Registry Information     Criminal History Record Information and Registry Information §4.506     Criminal History Record Information and Registry Information §414.506
    §414.507 Self-Reporting and Subsequent Criminal History and Registry Checks     Self-Reporting and Subsequent Criminal History and Registry Checks §4.507     Self-Reporting and Subsequent Criminal History and Registry Checks §414.507
    §414.508 References     References §4.508     References §414.508
    §414.509 Distribution     Distribution §4.509     Distribution §414.509
L     Abuse, Neglect, and Exploitation in Local Authorities and Community Centers L   Abuse, Neglect, and Exploitation in Local Authorities and Community Centers   L   Abuse, Neglect, and Exploitation in Local Authorities and Community Centers  
    §414.551 Purpose     Purpose §4.551     Purpose §414.551
    §414.552 Application     Application §4.552     Application §414.552
    §414.553 Definitions     Definitions §4.553     Definitions §414.553
    §414.554 Responsibilities of Local Authorities, Community Centers, and Contractors     Responsibilities of Local Authorities, Community Centers, and Contractors §4.554     Responsibilities of Local Authorities, Community Centers, and Contractors §414.554
    §414.555 Information To Be Provided to Victim or Alleged Victim and Others     Information To Be Provided to Victim or Alleged Victim and Others §4.555     Information To Be Provided to Victim or Alleged Victim and Others §414.555
    §414.556 Investigations Conducted by the Texas Department of Protective and Regulatory Services (TDPRS)     Investigations Conducted by the Texas Department of Protective and Regulatory Services (TDPRS) §4.556     Investigations Conducted by the Texas Department of Protective and Regulatory Services (TDPRS) §414.556
    §414.557 Disciplinary and Other Action     Disciplinary and Other Action §4.557     Disciplinary and Other Action §414.557
    §414.558 Data Reporting Responsibilities     Data Reporting Responsibilities §4.558     Data Reporting Responsibilities §414.558
    §414.559 Confidentiality of Investigative Process and Report     Confidentiality of Investigative Process and Report §4.559     Confidentiality of Investigative Process and Report §414.559
    §414.560 Competency of Employees and Agents     Competency of Employees and Agents §4.560     Competency of Employees and Agents §414.560
    §414.561 TDMHMR Oversight Responsibilities     TDMHMR Oversight Responsibilities §4.561     TDMHMR Oversight Responsibilities §414.561
    §414.562 Exhibits     Exhibits §4.562     Exhibits §414.562
    §414.563 References     References §4.563     References §414.563
    §414.564 Distribution     Distribution §4.564     Distribution §414.564
P     Research in TDMHMR Facilities P   Research in TDMHMR Facilities   P   Research in TDMHMR Facilities  
    §414.751 Purpose     Purpose §4.751     Purpose §414.751
    §414.752 Application     Application §4.752     Application §414.752
    §414.753 Definitions     Definitions §4.753     Definitions §414.753
    §414.754 General Principles     General Principles §4.754     General Principles §414.754
    §414.755 Designate Institutional Review Board (IRB)     Designate Institutional Review Board (IRB) §4.755     Designate Institutional Review Board (IRB) §414.755
    §414.756 IRB Functions and Operations     IRB Functions and Operations §4.756     IRB Functions and Operations §414.756
    §414.757 Review and Approval of Proposed Research     Review and Approval of Proposed Research §4.757     Review and Approval of Proposed Research §414.757
    §414.758 Informed Consent     Informed Consent §4.758     Informed Consent §414.758
    §414.759 Research Involving Offenders as Human Subjects     Research Involving Offenders as Human Subjects §4.759     Research Involving Offenders as Human Subjects §414.759
    §414.760 Using and Disclosing Protected Health Information (PHI) in Research     Using and Disclosing Protected Health Information (PHI) in Research §4.760     Using and Disclosing Protected Health Information (PHI) in Research §414.760
    §414.761 Investigation of Allegations of Misconduct in Science     Investigation of Allegations of Misconduct in Science §4.761     Investigation of Allegations of Misconduct in Science §414.761
    §414.762 Responsibilities of the Office of Research Administration (ORA)     Responsibilities of the Office of Research Administration (ORA) §4.762     Responsibilities of the Office of Research Administration (ORA) §414.762
    §414.763 Exhibits     Exhibits §4.763     Exhibits §414.763
    §414.764 References     References §4.764     References §414.764
    §414.765 Distribution     Distribution §4.765     Distribution §414.765
Chapter 415. Provider Clinical Responsibilities Chapter 5. Provider Clinical Responsibilities--Mental Retardation Services Chapter 415. Provider Clinical Responsibilities--Mental Health Services
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Heading Section
A     Prescribing of Psychoactive Medication A   Prescribing of Psychoactive Medication   A   Prescribing of Psychoactive Medication  
    §415.1 Purpose     Purpose §5.1     Purpose §415.1
    §415.2 Application     Application §5.2     Application §415.2
    §415.3 Definitions     Definitions §5.3     Definitions §415.3
    §415.4 Philosophy     Philosophy §5.4     Philosophy §415.4
    §415.5 General Principles     General Principles §5.5     General Principles §415.5
    §415.6 Evaluation and Diagnosis     Evaluation and Diagnosis §5.6     Evaluation and Diagnosis §415.6
    §415.7 Prescribing Parameters     Prescribing Parameters §5.7     Prescribing Parameters §415.7
    §415.8 Emergency Use of Psychoactive Medication     Emergency Use of Psychoactive Medication §5.8     Emergency Use of Psychoactive Medication §415.8
    §415.9 Consent and Patient Education     Consent and Patient Education §5.9     Consent and Patient Education §415.9
    §415.10 Medication Monitoring     Medication Monitoring §5.10     Medication Monitoring §415.10
    §415.11 Special Populations     Special Populations §5.11     Special Populations §415.11
    §415.12 Quality Improvement     Quality Improvement §5.12     Quality Improvement §415.12
    §415.13 References     References §5.13     References §415.13
    §415.14 Distribution     Distribution §5.14     Distribution §415.14
C     Use and Maintenance of TDMHMR Drug Formulary C   Use and Maintenance of TDMHMR Drug Formulary   C   Use and Maintenance of TDMHMR Drug Formulary  
    §415.101 Purpose     Purpose §5.101     Purpose §415.101
    §415.102 Application     Application §5.102     Application §415.102
    §415.103 Definitions     Definitions §5.103     Definitions §415.103
    §415.104 General Requirements     General Requirements §5.104     General Requirements §415.104
    §415.105 Organization of TDMHMR Drug Formulary     Organization of TDMHMR Drug Formulary §5.105     Organization of TDMHMR Drug Formulary §415.105
    §415.106 Executive Formulary Committee     Executive Formulary Committee §5.106     Executive Formulary Committee §415.106
    §415.107 Responsibilities of the Executive Formulary Committee     Responsibilities of the Executive Formulary Committee §5.107     Responsibilities of the Executive Formulary Committee §415.107
    §415.108 Applying to Have a Drug Added to the Formulary     Applying to Have a Drug Added to the Formulary §5.108     Applying to Have a Drug Added to the Formulary §415.108
    §415.109 Changing the TDMHMR Drug Formulary     Changing the TDMHMR Drug Formulary §5.109     Changing the TDMHMR Drug Formulary §415.109
    §415.110 Prescribing Non-formulary Drugs     Prescribing Non-formulary Drugs §5.110     Prescribing Non-formulary Drugs §415.110
    §415.111 Adverse Drug Reactions     Adverse Drug Reactions §5.111     Adverse Drug Reactions §415.111
    §415.112 Exhibit     Exhibit §5.112     Exhibit §415.112
    §415.113 References     References §5.113     References §415.113
    §415.114 Distribution     Distribution §5.114     Distribution §415.114
D     Diagnostic Eligibility for Services and Supports--Mental Retardation Priority Population and Related Conditions D   Diagnostic Eligibility for Services and Supports--Mental Retardation Priority Population and Related Conditions          
    §415.151 Purpose     Purpose §5.151        
    §415.152 Application     Application §5.152        
    §415.153 Definitions     Definitions §5.153        
    §415.154 General Provisions     General Provisions §5.154        
    §415.155 Determination of Mental Retardation (DMR)     Determination of Mental Retardation (DMR) §5.155        
    §415.156 Review and Endorsement of a DMR     Review and Endorsement of a DMR §5.156        
    §415.157 Pervasive Developmental Disorder (PDD)     Pervasive Developmental Disorder (PDD) §5.157        
    §415.158 Related Condition (RC)     Related Condition (RC) §5.158        
    §415.159 Assessment of Individual's Need for Services and Supports     Assessment of Individual's Need for Services and Supports §5.159        
    §415.160 IDT Assessment of Whether Individual Can Be Served Most Appropriately in a State Mental Retardation Facility     IDT Assessment of Whether Individual Can Be Served Most Appropriately in a State Mental Retardation Facility §5.160        
    §415.161 TDMHMR-Certified Psychologist     TDMHMR-Certified Psychologist §5.161        
    §415.162 References     References §5.162        
    §415.163 Distribution     Distribution §5.163        
F     Interventions in Mental Health Programs         F   Interventions in Mental Health Programs  
  1   General Provisions           1 General Provisions  
    §415.251 Purpose             Purpose §415.251
    §415.252 Application             Application §415.252
    §415.253 Definitions             Definitions §415.253
    §415.254 Prohibited Practices             Prohibited Practices §415.254
    §415.255 Actions To Be Taken in an Emergency While an Individual is in Restraint or Seclusion             Actions To Be Taken in an Emergency While an Individual is in Restraint or Seclusion §415.255
    §415.256 Mechanical Restraint Devices             Mechanical Restraint Devices §415.256
    §415.257 Staff Training             Staff Training §415.257
  2   Restraint or Seclusion Initiated in Response to a Behavioral Emergency           2 Restraint or Seclusion Initiated in Response to a Behavioral Emergency  
    §415.261 General Principles for the Use of Restraint or Seclusion Initiated in Response to a Behavioral Emergency             General Principles for the Use of Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.261
    §415.262 Initiating Restraint or Seclusion in a Behavioral Emergency             Initiating Restraint or Seclusion in a Behavioral Emergency §415.262
    §415.263 Time Limitation on an Order for Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Time Limitation on an Order for Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.263
    §415.264 Family Notification             Family Notification §415.264
    §415.265 Disposition of Personal Possessions During Mechanical Restraint or Seclusion             Disposition of Personal Possessions During Mechanical Restraint or Seclusion §415.265
    §415.266 Restraint in Response to a Behavioral Emergency Occurring Off Facility Premises or During Transportation             Restraint in Response to a Behavioral Emergency Occurring Off Facility Premises or During Transportation §415.266
    §415.267 Communicating Criteria for Release and Releasing the Individual from Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Communicating Criteria for Release and Releasing the Individual from Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.267
    §415.268 Observation, Monitoring, and Care of the Individual in Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Observation, Monitoring, and Care of the Individual in Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.268
    §415.269 Safe and Appropriate Techniques for Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Safe and Appropriate Techniques for Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.269
    §415.270 Actions To Be Taken When an Individual Falls Asleep in Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Actions To Be Taken When an Individual Falls Asleep in Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.270
    §415.271 Transfer of Primary Responsibility for Patient in Restraint or Seclusion             Transfer of Primary Responsibility for Patient in Restraint or Seclusion §415.271
    §415.272 Release of an Individual from Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Release of an Individual from Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.272
    §415.273 Actions To Be Taken Following Release of an Individual from Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Actions To Be Taken Following Release of an Individual from Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.273
    §415.274 Documenting and Reporting Restraint or Seclusion Initiated in Response to a Behavioral Emergency             Documenting and Reporting Restraint or Seclusion Initiated in Response to a Behavioral Emergency §415.274
  3   Restraint During Certain Procedures           3 Restraint During Certain Procedures  
    §415.285 Restraint as Part of Medical, Dental, Diagnostic, or Surgical Procedures             Restraint as Part of Medical, Dental, Diagnostic, or Surgical Procedures §415.285
  4   Procedures That are Not Restraint or Seclusion           4 Procedures That are Not Restraint or Seclusion  
    §415.290 Permitted Practices             Permitted Practices §415.290
    §415.291 Clinical Timeout and Quiet Time             Clinical Timeout and Quiet Time §415.291
    §415.292 Protective and Supportive Devices             Protective and Supportive Devices §415.292
  5   References and Distribution           5 References and Distribution  
    §415.299 References             References §415.299
    §415.300 Distribution             Distribution §415.300
G     Determination of Manifest Dangerousness         G   Determination of Manifest Dangerousness  
    §415.301 Purpose             Purpose §415.301
    §415.302 Application             Application §415.302
    §415.303 Definitions             Definitions §415.303
    §415.304 Persons Who May and May Not Be Subject to a Hearing to Determine Manifest Dangerousness             Persons Who May and May Not Be Subject to a Hearing to Determine Manifest Dangerousness §415.304
    §415.305 Procedures and Requirements for All Review Boards             Procedures and Requirements for All Review Boards §415.305
    §415.306 Rights of the Individual             Rights of the Individual §415.306
    §415.307 Procedures and Requirements Specific to a Facility Review Board             Procedures and Requirements Specific to a Facility Review Board §415.307
    §415.308 Transferring an Individual to the MSU/SAU             Transferring an Individual to the MSU/SAU §415.308
    §415.309 Appeal of a Facility Review Board's Determination of Manifest Dangerousness             Appeal of a Facility Review Board's Determination of Manifest Dangerousness §415.309
    §415.310 Procedures and Requirements Specific to the TDMHMR Review Board             Procedures and Requirements Specific to the TDMHMR Review Board §415.310
    §415.311 Disagreement with TDMHMR Review Board Determination and Referral to Commissioner             Disagreement with TDMHMR Review Board Determination and Referral to Commissioner §415.311
    §415.312 Transferring an Individual from the MSU/SAU             Transferring an Individual from the MSU/SAU §415.312
    §415.313 Competency of Review Board Members             Competency of Review Board Members §415.313
    §415.314 Exhibits             Exhibits §415.314
    §415.315 References             References §415.315
    §415.316 Distribution             Distribution §415.316
H     Use of Restraint in State Mental Retardation Facilities H   Use of Restraint in State Mental Retardation Facilities          
    §415.351 Purpose     Purpose §5.351        
    §415.352 Application     Application §5.352        
    §415.353 Definitions     Definitions §5.353        
    §415.354 General Provisions     General Provisions §5.354        
    §415.355 General Principles for the Use of Restraint     General Principles for the Use of Restraint §5.355        
    §415.356 Use of Restraint in a Behavioral Emergency     Use of Restraint in a Behavioral Emergency §5.356        
    §415.357 Use of Restraint in a Behavior Therapy Program     Use of Restraint in a Behavior Therapy Program §5.357        
    §415.358 Use of Restraint During Medical or Dental Procedures and To Promote Healing     Use of Restraint During Medical or Dental Procedures and To Promote Healing §5.358        
    §415.359 Use of Restraint with a Mechanical Device to Prevent Involuntary Self-injury     Use of Restraint with a Mechanical Device to Prevent Involuntary Self-injury §5.359        
    §415.360 Use of Restraint with a Mechanical Device to Provide Postural Support     Use of Restraint with a Mechanical Device to Provide Postural Support §5.360        
    §415.361 Mechanical Devices for Use in Restraint     Mechanical Devices for Use in Restraint §5.361        
    §415.362 Additional Reporting and Documentation Requirements     Additional Reporting and Documentation Requirements §5.362        
    §415.363 Staff Training in the Use of Restraint     Staff Training in the Use of Restraint §5.363        
    §415.364 Enforcement     Enforcement §5.364        
    §415.365 References     References §5.365        
    §415.366 Distribution     Distribution §5.366        
I     Behavior Therapy in State Mental Retardation Facilities I   Behavior Therapy in State Mental Retardation Facilities          
    §415.401 Purpose     Purpose §5.401        
    §415.402 Application     Application §5.402        
    §415.403 Definitions     Definitions §5.403        
    §415.404 General Provisions     General Provisions §5.404        
    §415.405 General Principles for Behavior Therapy Programs     General Principles for Behavior Therapy Programs §5.405        
    §415.406 Development, Implementation, and Monitoring of Effectiveness of Behavior Therapy Programs     Development, Implementation, and Monitoring of Effectiveness of Behavior Therapy Programs §5.406        
    §415.407 Requirement to Obtain Legally Adequate Consent, Consent, or Authorization     Requirement to Obtain Legally Adequate Consent, Consent, or Authorization §5.407        
    §415.408 Use of Restraint     Use of Restraint §5.408        
    §415.409 Documenting and Reporting Behavior Therapy Programs That Use Highly Restrictive Procedures     Documenting and Reporting Behavior Therapy Programs That Use Highly Restrictive Procedures §5.409        
    §415.410 Staff Training in Behavior Therapy     Staff Training in Behavior Therapy §5.410        
    §415.411 References     References §5.411        
    §415.412 Distribution     Distribution §5.412        
J     Preadmission Screening and Resident Review (PASARR) J   Preadmission Screening and Resident Review (PASARR)--Mental Retardation Services   J   Preadmission Screening and Resident Review (PASARR)--Mental Health Services  
    §415.451 Purpose     Purpose §5.451     Purpose §415.451
    §415.452 Application     Application §5.452     Application §415.452
    §415.453 Definitions     Definitions §5.453     Definitions §415.453
    §415.454 PASARR Determination Process     PASARR Determination Process §5.454     PASARR Determination Process §415.454
    §415.455 Provision of Specialized Services and Alternate Placement Services     Provision of Specialized Services and Alternate Placement Services §5.455     Provision of Specialized Services and Alternate Placement Services §415.455
    §415.456 Assistance for Applicants Denied Nursing Facility Admission     Assistance for Applicants Denied Nursing Facility Admission §5.456     Assistance for Applicants Denied Nursing Facility Admission §415.456
    §415.457 References     References §5.457     References §415.457
    §415.458 Distribution     Distribution §5.458     Distribution §415.458
Chapter 417. Agency and Facility Responsibilities Chapter 7. TDMHMR and Facility Responsibilities Chapter 417. TDMHMR and Facility Responsibilities
Subch. and
Division
Section Heading Subch. and
Division
Heading Section Subch. and
Division
Heading Section
A     Standard Operating Procedures A   Standard Operating Procedures   A   Standard Operating Procedures  
    §417.1 Purpose     Purpose §7.1     Purpose §417.1
    §417.2 Application     Application §7.2     Application §417.2
    §417.3 Compliance with Nondiscrimination Laws     Compliance with Nondiscrimination Laws §7.3     Compliance with Nondiscrimination Laws §417.3
    §417.4 Definitions     Definitions §7.4     Definitions §417.4
    §417.6 Assignment and Use of Pooled Vehicles     Assignment and Use of Pooled Vehicles §7.6     Assignment and Use of Pooled Vehicles §417.6
    §417.7 Inscription on State Vehicles     Inscription on State Vehicles §7.7     Inscription on State Vehicles §417.7
    §417.9 Material Safety Data Sheets     Material Safety Data Sheets §7.9     Material Safety Data Sheets §417.9
    §417.14 Non-Commercial Groups     Non-Commercial Groups §7.14     Non-Commercial Groups §417.14
    §417.15 Family Members and Guests of an Individual Receiving Services     Family Members and Guests of an Individual Receiving Services §7.15     Family Members and Guests of an Individual Receiving Services §417.15
    §417.23 Unauthorized Departures That May Have Unusual Consequences     Unauthorized Departures That May Have Unusual Consequences §7.23     Unauthorized Departures That May Have Unusual Consequences §417.23
    §417.27 Depositing Department Funds     Depositing Department Funds §7.27     Depositing Department Funds §417.27
    §417.28 Investing Department Funds     Investing Department Funds §7.28     Investing Department Funds §417.28
    §417.29 Benefit Funds: Use and Control     Benefit Funds: Use and Control §7.29     Benefit Funds: Use and Control §417.29
    §417.33 Mail for Staff Residing On Campus     Mail for Staff Residing On Campus §7.33     Mail for Staff Residing On Campus §417.33
    §417.34 Commercial Solicitation on Grounds     Commercial Solicitation on Grounds §7.34     Commercial Solicitation on Grounds §417.34
    §417.38 Individual's Personal Property     Individual's Personal Property §7.38     Individual's Personal Property §417.38
    §417.39 Protecting an Individual's Personal Funds             Protecting an Individual's Personal Funds §417.39
    §417.40 Notice Regarding Personal Funds             Notice Regarding Personal Funds §417.40
    §417.41 Determining Management of Personal Funds             Determining Management of Personal Funds §417.41
    §417.42 SMHF-Managed Personal Funds             SMHF-Managed Personal Funds §417.42
    §417.43 Requests for Personal Funds from Trust Fund Accounts             Requests for Personal Funds from Trust Fund Accounts §417.43
    §417.44 Returning Individual's Personal Funds on Discharge             Returning Individual's Personal Funds on Discharge §417.44
    §417.45 Unclaimed Personal Funds and Property             Unclaimed Personal Funds and Property §417.45
    §417.46 Contributions             Contributions §417.46
    §417.49 References             References §417.49
    §417.50 Distribution             Distribution §417.50
B     Contracts Management for TDMHMR Facilities and Central Office B   Contracts Management for TDMHMR Facilities and Central Office   B   Contracts Management for TDMHMR Facilities and Central Office  
    §417.51 Purpose     Purpose §7.51     Purpose §417.51
    §417.52 Application     Application §7.52     Application §417.52
    §417.53 Definitions     Definitions §7.53     Definitions §417.53
    §417.54 Procurement     Procurement §7.54     Procurement §417.54
    §417.55 Accountability     Accountability §7.55     Accountability §417.55
    §417.56 Provisions for All Contracts     Provisions for All Contracts §7.56     Provisions for All Contracts §417.56
    §417.57 Additional Requirements for Specific Contracts     Additional Requirements for Specific Contracts §7.57     Additional Requirements for Specific Contracts §417.57
    §417.58 Contract Extension or Renewal     Contract Extension or Renewal §7.58     Contract Extension or Renewal §417.58
    §417.59 Award of Construction Contracts     Award of Construction Contracts §7.59     Award of Construction Contracts §417.59
    §417.60 Protest and Appeal Procedures     Protest and Appeal Procedures §7.60     Protest and Appeal Procedures §417.60
    §417.61 Contract Monitoring     Contract Monitoring §7.61     Contract Monitoring §417.61
    §417.62 Remedies and Sanctions for All Contracts Except Construction Contracts     Remedies and Sanctions for All Contracts Except Construction Contracts §7.62     Remedies and Sanctions for All Contracts Except Construction Contracts §417.62
    §417.63 Negotiation and Mediation     Negotiation and Mediation §7.63     Negotiation and Mediation §417.63
    §417.64 References     References §7.64     References §417.64
    §417.65 Distribution     Distribution §7.65     Distribution §417.65
C     Charges for Services in TDMHMR Facilities C   Charges for Services in TDMHMR Facilities   C   Charges for Services in TDMHMR Facilities  
    §417.101 Purpose     Purpose §7.101     Purpose §417.101
    §417.102 Application     Application §7.102     Application §417.102
    §417.103 Definitions     Definitions §7.103     Definitions §417.103
    §417.104 Fee Assessment and Notification of Charges     Fee Assessment and Notification of Charges §7.104     Fee Assessment and Notification of Charges §417.104
    §417.105 Accruing Charges     Accruing Charges §7.105     Accruing Charges §417.105
    §417.106 Appeal Process     Appeal Process §7.106     Appeal Process §417.106
    §417.107 Filing Notice of Lien     Filing Notice of Lien §7.107     Filing Notice of Lien §417.107
    §417.108 Exhibits     Exhibits §7.108     Exhibits §417.108
    §417.109 References     References §7.109     References §417.109
    §417.110 Distribution     Distribution §7.110     Distribution §417.110
D     Permanent Improvements Donated by Individuals or Community Groups D   Permanent Improvements Donated by Individuals or Community Groups   D   Permanent Improvements Donated by Individuals or Community Groups  
    §417.151 Purpose     Purpose §7.151     Purpose §417.151
    §417.152 Application     Application §7.152     Application §417.152
    §417.153 Definitions     Definitions §7.153     Definitions §417.153
    §417.154 Permanent Improvement Process     Permanent Improvement Process §7.154     Permanent Improvement Process §417.154
    §417.155 Permanent Improvement Approval     Permanent Improvement Approval §7.155     Permanent Improvement Approval §417.155
    §417.156 Responsibilities of the VSC Board, VSC Chair, and PI Committee     Responsibilities of the VSC Board, VSC Chair, and PI Committee §7.156     Responsibilities of the VSC Board, VSC Chair, and PI Committee §417.156
    §417.157 Dedicated Construction Account Requirements     Dedicated Construction Account Requirements §7.157     Dedicated Construction Account Requirements §417.157
    §417.158 Accepting an Improvement     Accepting an Improvement §7.158     Accepting an Improvement §417.158
    §417.159 References     References §7.159     References §417.159
    §417.160 Distribution     Distribution §7.160     Distribution §417.160
G     Community Relations G   Community Relations   G   Community Relations  
    §417.301 Purpose     Purpose §7.301     Purpose §417.301
    §417.302 Application     Application §7.302     Application §417.302
    §417.303 Definitions     Definitions §7.303     Definitions §417.303
    §417.304 Volunteer Programs     Volunteer Programs §7.304     Volunteer Programs §417.304
    §417.305 Volunteer Program Procedures     Volunteer Program Procedures §7.305     Volunteer Program Procedures §417.305
    §417.306 TDMHMR Awards and Recognition of Volunteers and Visiting Group     TDMHMR Awards and Recognition of Volunteers and Visiting Group §7.306     TDMHMR Awards and Recognition of Volunteers and Visiting Group §417.306
    §417.307 Volunteer Services Council (VSC)     Volunteer Services Council (VSC) §7.307     Volunteer Services Council (VSC) §417.307
    §417.308 Fundraising and Solicitation     Fundraising and Solicitation §7.308     Fundraising and Solicitation §417.308
    §417.309 Donations     Donations §7.309     Donations §417.309
    §417.310 Naming of Donations     Naming of Donations §7.310     Naming of Donations §417.310
    §417.311 Volunteer Services State Council (VSSC)     Volunteer Services State Council (VSSC) §7.311     Volunteer Services State Council (VSSC) §417.311
    §417.313 Auditing and Reporting Guidelines     Auditing and Reporting Guidelines §7.313     Auditing and Reporting Guidelines §417.313
    §417.314 Exhibits     Exhibits §7.314     Exhibits §417.314
    §417.315 References     References §7.315     References §417.315
    §417.316 Distribution     Distribution §7.316     Distribution §417.316
K     Abuse, Neglect, and Exploitation in TDMHMR Facilities K   Abuse, Neglect, and Exploitation in TDMHMR Facilities   K   Abuse, Neglect, and Exploitation in TDMHMR Facilities  
    §417.501 Purpose     Purpose §7.501     Purpose §417.501
    §417.502 Application     Application §7.502     Application §417.502
    §417.503 Definitions     Definitions §7.503     Definitions §417.503
    §417.504 Prohibition and Definitions of Abuse, Neglect, and Exploitation     Prohibition and Definitions of Abuse, Neglect, and Exploitation §7.504     Prohibition and Definitions of Abuse, Neglect, and Exploitation §417.504
    §417.505 Reporting Responsibilities of All TDMHMR Employees, Agents, and Contractors: Reports to Texas Department of Protective and Regulatory Services (TDPRS)     Reporting Responsibilities of All TDMHMR Employees, Agents, and Contractors: Reports to Texas Department of Protective and Regulatory Services (TDPRS) §7.505     Reporting Responsibilities of All TDMHMR Employees, Agents, and Contractors: Reports to Texas Department of Protective and Regulatory Services (TDPRS) §417.505
    §417.507 Prohibition Against Retaliatory Action     Prohibition Against Retaliatory Action §7.507     Prohibition Against Retaliatory Action §417.507
    §417.508 Responsibilities of the Head of the Facility     Responsibilities of the Head of the Facility §7.508     Responsibilities of the Head of the Facility §417.508
    §417.509 Peer Review     Peer Review §7.509     Peer Review §417.509
    §417.510 Completion of the Investigation     Completion of the Investigation §7.510     Completion of the Investigation §417.510
    §417.511 Confidentiality of Investigative Process and Report     Confidentiality of Investigative Process and Report §7.511     Confidentiality of Investigative Process and Report §417.511
    §417.512 Classifications and Disciplinary Actions     Classifications and Disciplinary Actions §7.512     Classifications and Disciplinary Actions §417.512
    §417.513 Contractors     Contractors §7.513     Contractors §417.513
    §417.514 TDMHMR Administrative Responsibilities     TDMHMR Administrative Responsibilities §7.514     TDMHMR Administrative Responsibilities §417.514
    §417.515 Staff Training in Identifying, Reporting, and Preventing Abuse, Neglect, and Exploitation     Staff Training in Identifying, Reporting, and Preventing Abuse, Neglect, and Exploitation §7.515     Staff Training in Identifying, Reporting, and Preventing Abuse, Neglect, and Exploitation §417.515
    §417.516 Exhibits     Exhibits §7.516     Exhibits §417.516
    §417.517 References     References §7.517     References §417.517
    §417.518 Distribution     Distribution §7.518     Distribution §417.518
S     Negotiation and Mediation of Certain Contract Claims Against TDMHMR S   Negotiation and Mediation of Certain Contract Claims Against TDMHMR   S   Negotiation and Mediation of Certain Contract Claims Against TDMHMR  
  1   General   1 General     1 General  
    §417.901 Purpose     Purpose §7.901     Purpose §417.901
    §417.902 Applicability     Applicability §7.902     Applicability §417.902
    §417.903 Definitions     Definitions §7.903     Definitions §417.903
    §417.904 Prerequisites to Suit     Prerequisites to Suit §7.904     Prerequisites to Suit §417.904
    §417.905 Sovereign Immunity     Sovereign Immunity §7.905     Sovereign Immunity §417.905
  2   Negotiation   2 Negotiation     2 Negotiation  
    §417.906 Notice of Claim of Breach of Contract     Notice of Claim of Breach of Contract §7.906     Notice of Claim of Breach of Contract §417.906
    §417.907 Agency Counterclaim     Agency Counterclaim §7.907     Agency Counterclaim §417.907
    §417.908 Request for Voluntary Disclosure of Additional Information     Request for Voluntary Disclosure of Additional Information §7.908     Request for Voluntary Disclosure of Additional Information §417.908
    §417.909 Duty to Negotiate     Duty to Negotiate §7.909     Duty to Negotiate §417.909
    §417.910 Timetable     Timetable §7.910     Timetable §417.910
    §417.911 Conduct of Negotiation     Conduct of Negotiation §7.911     Conduct of Negotiation §417.911
    §417.912 Settlement Approval Procedures     Settlement Approval Procedures §7.912     Settlement Approval Procedures §417.912
    §417.913 Settlement Agreement     Settlement Agreement §7.913     Settlement Agreement §417.913
    §417.914 Costs of Negotiation     Costs of Negotiation §7.914     Costs of Negotiation §417.914
    §417.915 Request for Contested Case Hearing     Request for Contested Case Hearing §7.915     Request for Contested Case Hearing §417.915
  3   Mediation   3 Mediation     3 Mediation  
    §417.916 Mediation Timetable     Mediation Timetable §7.916     Mediation Timetable §417.916
    §417.917 Conduct of Mediation     Conduct of Mediation §7.917     Conduct of Mediation §417.917
    §417.918 Agreement to Mediate     Agreement to Mediate §7.918     Agreement to Mediate §417.918
    §417.919 Qualifications and Immunity of the Mediator     Qualifications and Immunity of the Mediator §7.919     Qualifications and Immunity of the Mediator §417.919
    §417.920 Confidentiality of Mediation and Final Settlement Agreement     Confidentiality of Mediation and Final Settlement Agreement §7.920     Confidentiality of Mediation and Final Settlement Agreement §417.920
    §417.921 Costs of Mediation     Costs of Mediation §7.921     Costs of Mediation §417.921
    §417.922 Settlement Approval Procedures     Settlement Approval Procedures §7.922     Settlement Approval Procedures §417.922
    §417.923 Initial Settlement Agreement     Initial Settlement Agreement §7.923     Initial Settlement Agreement §417.923
    §417.924 Final Settlement Agreement     Final Settlement Agreement §7.924     Final Settlement Agreement §417.924
    §417.925 Referral to the State Office of Administrative Hearings     Referral to the State Office of Administrative Hearings §7.925     Referral to the State Office of Administrative Hearings §417.925
Chapter 419. Medicaid State Operating Agency Responsibilities Chapter 9. Mental Retardation Services--Medicaid State Operating Agency Responsibilities Chapter 419. Mental Health Services--
Medicaid State Operating Agency Responsibilities
Subch. and
Division
Section Heading Subch. and
Division
Heading Section Subch. and
Division
Heading Section
D     Home and Community-based Services (HCS) Program D   Home and Community-based Services (HCS) Program          
    §419.151 Purpose     Purpose §9.151        
    §419.152 Application     Application §9.152        
    §419.153 Definitions     Definitions §9.153        
    §419.154 Description of the Home and Community-Based Services (HCS) Program     Description of the Home and Community-Based Services (HCS) Program §9.154        
    §419.155 Eligibility Criteria     Eligibility Criteria §9.155        
    §419.156 Calculation of Co-payment     Calculation of Co-payment §9.156        
    §419.157 Individual Plan of Care     Individual Plan of Care §9.157        
    §419.158 Department Review of Individual Plan of Care (IPC)     Department Review of Individual Plan of Care (IPC) §9.158        
    §419.159 Level of Care (LOC) Determination     Level of Care (LOC) Determination §9.159        
    §419.160 Lapsed Level of Care (LOC)     Lapsed Level of Care (LOC) §9.160        
    §419.161 Level of Need Assignment     Level of Need Assignment §9.161        
    §419.162 Department Review of Level of Need (LON)     Department Review of Level of Need (LON) §9.162        
    §419.163 Reconsideration of Level of Need Assignment     Reconsideration of Level of Need Assignment §9.163        
    §419.164 Process for Enrollment of Applicants     Process for Enrollment of Applicants §9.164        
    §419.165 Maintenance of HCS Program Waiting List     Maintenance of HCS Program Waiting List §9.165        
    §419.166 Revisions and Renewals of Individual Plans of Care (IPCs), Levels of Care (LOCs) and Levels of Need (LONs) for Enrolled Individuals     Revisions and Renewals of Individual Plans of Care (IPCs), Levels of Care (LOCs) and Levels of Need (LONs) for Enrolled Individuals §9.166        
    §419.169 Fair Hearing     Fair Hearing §9.169        
    §419.170 Provider Reimbursement     Provider Reimbursement §9.170        
    §419.171 Program Provider Certification and Review     Program Provider Certification and Review §9.171        
    §419.172 Certification Principles: Mission, Development, and Philosophy of Program Operations     Certification Principles: Mission, Development, and Philosophy of Program Operations §9.172        
    §419.173 Certification Principles: Rights of Individuals     Certification Principles: Rights of Individuals §9.173        
    §419.174 Certification Principles: Service Delivery     Certification Principles: Service Delivery §9.174        
    §419.175 Certification Principles: Interdisciplinary Team Operations     Certification Principles: Interdisciplinary Team Operations §9.175        
    419.176 Certification Principles: Discharge from Services     Certification Principles: Discharge from Services §9.176        
    §419.177 Certification Principles: Personnel Operations     Certification Principles: Personnel Operations §9.177        
    §419.178 Certification Principles: Quality Assurance     Certification Principles: Quality Assurance §9.178        
    §419.179 Corrective Action and Program Provider Sanctions     Corrective Action and Program Provider Sanctions §9.179        
    §419.180 Program Provider's Right to Administrative Hearing     Program Provider's Right to Administrative Hearing §9.180        
    §419.181 Other Provider Responsibilities     Other Provider Responsibilities §9.181        
    §419.182 Department Approval of Residences     Department Approval of Residences §9.182        
E     ICF/MR Programs E   ICF/MR Programs--Contracting          
  1   General Requirements   1 General Requirements          
    §419.201 Purpose     Purpose §9.201        
    §419.202 Application     Application §9.202        
    §419.203 Definitions     Definitions §9.203        
  2   Provider Enrollment   2 Provider Enrollment          
    §419.206 Application Process     Application Process §9.206        
    §419.207 Certification and Licensure     Certification and Licensure §9.207        
    §419.208 Provider Agreement     Provider Agreement §9.208        
  3   Provider Administrative Requirements   3 Provider Administrative Requirements          
    §419.211 Compliance with State and Federal Laws     Compliance with State and Federal Laws §9.211        
    §419.212 Non-licensed Providers Meeting Licensure Standards     Non-licensed Providers Meeting Licensure Standards §9.212        
    §419.213 Records     Records §9.213        
    §419.214 Certified Capacity of a Facility     Certified Capacity of a Facility §9.214        
    §419.215 Relocation of Facility     Relocation of Facility §9.215        
    §419.216 Renewal of Provider Agreement     Renewal of Provider Agreement §9.216        
    §419.217 Assignment of Provider Agreement     Assignment of Provider Agreement §9.217        
    §419.218 Licensure Action and Facility Closure     Licensure Action and Facility Closure §9.218        
    §419.219 Provider Reimbursement     Provider Reimbursement §9.219        
  4   Provider Service Requirements   4 Provider Service Requirements          
    §419.221 Durable Medical Equipment     Durable Medical Equipment §9.221        
    §419.222 Permanency Planning for Children     Permanency Planning for Children §9.222        
    §419.223 Review of Living Options     Review of Living Options §9.223        
    §419.224 Capacity Assessment     Capacity Assessment §9.224        
    §419.225 Reporting Abuse, Neglect, and Injuries of Unknown Source     Reporting Abuse, Neglect, and Injuries of Unknown Source §9.225        
    §419.226 Leaves     Leaves §9.226        
    §419.227 Discharge From a Facility     Discharge From a Facility §9.227        
  5   Eligibility, Enrollment and Review   5 Eligibility, Enrollment and Review          
    §419.236 Eligibility Criteria     Eligibility Criteria §9.236        
    §419.237 Level of Care     Level of Care §9.237        
    §419.238 Level of Care I Criteria     Level of Care I Criteria §9.238        
    §419.239 ICF/MR Level of Care VIII Criteria     ICF/MR Level of Care VIII Criteria §9.239        
    §419.240 Level of Need     Level of Need §9.240        
    §419.241 Level of Need Criteria     Level of Need Criteria §9.241        
    §419.242 Supporting Documentation for Level of Need     Supporting Documentation for Level of Need §9.242        
    §419.243 Reconsideration of Level of Need     Reconsideration of Level of Need §9.243        
    §419.244 Applicant Enrollment     Applicant Enrollment §9.244        
    §419.245 Renewal of Level of Care     Renewal of Level of Care §9.245        
    §419.246 Renewal and Revision of Level of Need     Renewal and Revision of Level of Need §9.246        
    §419.247 Re-administration of the ICAP     Re-administration of the ICAP §9.247        
    §419.248 Lapsed Level of Care     Lapsed Level of Care §9.248        
    §419.249 Fair Hearing     Fair Hearing §9.249        
  6   Personal Funds   6 Personal Funds          
    §419.251 Protecting Individuals' Personal Funds     Protecting Individuals' Personal Funds §9.251        
    §419.252 Notice Regarding Personal Funds     Notice Regarding Personal Funds §9.252        
    §419.253 Determining Management of Personal Funds     Determining Management of Personal Funds §9.253        
    §419.254 Items and Services Provided by the Program Provider     Items and Services Provided by the Program Provider §9.254        
    §419.255 Items and Services Purchased with Personal Funds     Items and Services Purchased with Personal Funds §9.255        
    §419.256 Program Provider-Managed Personal Funds     Program Provider-Managed Personal Funds §9.256        
    §419.257 Requests for Personal Funds from Trust Fund Accounts     Requests for Personal Funds from Trust Fund Accounts §9.257        
    §419.258 Closing Trust Fund Accounts     Closing Trust Fund Accounts §9.258        
    §419.259 Refunds     Refunds §9.259        
    §419.260 Applied Income     Applied Income §9.260        
    §419.261 Contributions     Contributions §9.261        
  7   Provider Agreement Sanctions   7 Provider Agreement Sanctions          
    §419.266 Department Review of State Survey Agency Findings     Department Review of State Survey Agency Findings §9.266        
    §419.267 Directed Plan of Correction and Vendor Hold Based on State Survey Agency Findings     Directed Plan of Correction and Vendor Hold Based on State Survey Agency Findings §9.267        
    §419.268 Termination of Provider Agreement     Termination of Provider Agreement §9.268        
    §419.269 Audits     Audits §9.269        
  8   Administrative Hearings   8 Administrative Hearings          
    §419.273 Administrative Hearings     Administrative Hearings §9.273        
  9   Hospice Services   9 Hospice Services          
    §419.274 Hospice Services     Hospice Services §9.274        
  11   References and Distribution   11 References and Distribution          
    §419.299 References     References §9.299        
    §419.300 Distribution     Distribution §9.300        
G     Medicaid Fair Hearings G   Medicaid Fair Hearings   G   Medicaid Fair Hearings  
    §419.301 Medicaid Fair Hearings     Medicaid Fair Hearings §9.301     Medicaid Fair Hearings §419.301
J     Institutions for Mental Diseases         J   Institutions for Mental Diseases  
    §419.371 Purpose             Purpose §419.371
    §419.372 Application             Application §419.372
    §419.373 Definitions             Definitions §419.373
    §419.374 Eligible Population             Eligible Population §419.374
    §419.375 IMD Provider Eligibility for Reimbursement             IMD Provider Eligibility for Reimbursement §419.375
    §419.376 IMD Provider Reimbursement             IMD Provider Reimbursement §419.376
    §419.377 Discharge Criteria             Discharge Criteria §419.377
    §419.378 References             References §419.378
    §419.379 Distribution             Distribution §419.379
L     Medicaid Mental Health Rehabilitative Services         L   Medicaid Mental Health Rehabilitative Services  
    §419.451 Purpose             Purpose §419.451
    §419.452 Application             Application §419.452
    §419.453 Definitions             Definitions §419.453
    §419.454 General Requirements for Providers of Medicaid MH Rehabilitative Services             General Requirements for Providers of Medicaid MH Rehabilitative Services §419.454
    §419.455 Eligibility             Eligibility §419.455
    §419.456 Service Authorization and Treatment Plan             Service Authorization and Treatment Plan §419.456
    §419.457 Crisis Intervention Services             Crisis Intervention Services §419.457
    §419.458 Medication Training and Support Services             Medication Training and Support Services §419.458
    §419.459 Psychosocial Rehabilitation Services             Psychosocial Rehabilitation Services §419.459
    §419.460 Rehabilitative Counseling and Psychotherapy             Rehabilitative Counseling and Psychotherapy §419.460
    §419.461 Skills Training and Development Services             Skills Training and Development Services §419.461
    §419.462 Day Programs for Acute Needs             Day Programs for Acute Needs §419.462
    §419.463 Documentation Requirements             Documentation Requirements §419.463
    §419.464 Staff Member Training             Staff Member Training §419.464
    §419.465 Medicaid Reimbursement             Medicaid Reimbursement §419.465
    §419.466 Medicaid Provider Participation Requirements             Medicaid Provider Participation Requirements §419.466
    §419.467 Fair Hearings             Fair Hearings §419.467
    §419.468 Exhibits             Exhibits §419.468
    §419.469 References             References §419.469
    §419.470 Distribution             Distribution §419.470
N     Texas Home Living (TxHmL) Program N   Texas Home Living (TxHmL) Program          
    §419.551 Purpose     Purpose §9.551        
    §419.552 Application     Application §9.552        
    §419.553 Definitions     Definitions §9.553        
    §419.554 Description of the Texas Home Living (TxHmL) Program     Description of the Texas Home Living (TxHmL) Program §9.554        
    §419.555 Definitions of TxHmL Program Service Components     Definitions of TxHmL Program Service Components §9.555        
    §419.556 Eligibility Criteria     Eligibility Criteria §9.556        
    §419.557 Calculation of Co-payment     Calculation of Co-payment §9.557        
    §419.558 Individual Plan of Care (IPC)     Individual Plan of Care (IPC) §9.558        
    §419.559 Request to Increase Service Category Limits     Request to Increase Service Category Limits §9.559        
    §419.560 Level of Care (LOC) Determination     Level of Care (LOC) Determination §9.560        
    §419.561 Lapsed Level of Care (LOC)     Lapsed Level of Care (LOC) §9.561        
    §419.562 Level of Need (LON) Assignment     Level of Need (LON) Assignment §9.562        
    §419.563 Department Review of Level of Need (LON)     Department Review of Level of Need (LON) §9.563        
    §419.565 Notification of Applicants Receiving General Revenue Funded Services     Notification of Applicants Receiving General Revenue Funded Services §9.565        
    §419.566 Notification of Applicants Registered on Waiver Program Waiting Lists     Notification of Applicants Registered on Waiver Program Waiting Lists §9.566        
    §419.567 Process for Enrollment     Process for Enrollment §9.567        
    §419.568 Revisions and Renewals of Individual Plans of Care (IPCs), Levels of Care (LOCs), and Levels of Need (LONs) for Enrolled Individuals     Revisions and Renewals of Individual Plans of Care (IPCs), Levels of Care (LOCs), and Levels of Need (LONs) for Enrolled Individuals §9.568        
    §419.569 Coordination of Transfers     Coordination of Transfers §9.569        
    §419.570 Permanent Discharge from the TxHmL Program     Permanent Discharge from the TxHmL Program §9.570        
    §419.571 Fair Hearings     Fair Hearings §9.571        
    §419.572 Other Program Provider Requirements     Other Program Provider Requirements §9.572        
    §419.573 Provider Reimbursement     Provider Reimbursement §9.573        
    §419.574 Record Retention     Record Retention §9.574        
    §419.575 Provider's Right to Administrative Hearing     Provider's Right to Administrative Hearing §9.575        
    §419.576 Program Provider Certification and Review     Program Provider Certification and Review §9.576        
    §419.577 Corrective Action and Program Provider Sanctions     Corrective Action and Program Provider Sanctions §9.577        
    §419.578 Program Provider Certification Principles: Service Delivery     Program Provider Certification Principles: Service Delivery §9.578        
    §419.579 Certification Principles: Qualified Personnel     Certification Principles: Qualified Personnel §9.579        
    §419.580 Certification Principles: Quality Assurance     Certification Principles: Quality Assurance §9.580        
    §419.582 Compliance with TxHmL Program Principles for Mental Retardation Authorities (MRAs)     Compliance with TxHmL Program Principles for Mental Retardation Authorities (MRAs) §9.582        
    §419.583 TxHmL Program Principles for Mental Retardation Authorities     TxHmL Program Principles for Mental Retardation Authorities §9.583        
    §419.584 References     References §9.584        
    §419.585 Distribution     Distribution §9.585        
Q     Enrollment of Medicaid Waiver Program Providers Q   Enrollment of Medicaid Waiver Program Providers          
    §419.701 Purpose     Purpose §9.701        
    §419.702 Application     Application §9.702        
    §419.703 Definitions     Definitions §9.703        
    §419.704 Pre-application Orientation     Pre-application Orientation §9.704        
    §419.705 Application Process     Application Process §9.705        
    §419.706 Provisional Certification     Provisional Certification §9.706        
    §419.707 Waiver Program Provider Agreement     Waiver Program Provider Agreement §9.707        
    §419.708 Provider Certification     Provider Certification §9.708        
    §419.709 Additional Provider Certification     Additional Provider Certification §9.709        
    §419.710 Waiver Program Provider Agreement Assignment     Waiver Program Provider Agreement Assignment §9.710        
    §419.711 References     References §9.711        
    §419.712 Distribution     Distribution §9.712