Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 306 - BEHAVIORAL HEALTH DELIVERY SYSTEM › Subchapter D - MENTAL HEALTH SERVICES-ADMISSION, CONTINUITY, AND DISCHARGE › Division 2 - SCREENING AND ASSESSMENT FOR CRISIS SERVICES AND ADMISSION INTO LOCAL MENTAL HEALTH AUTHORITY OR LOCAL BEHAVIORAL HEALTH AUTHORITY SERVICES-LOCAL MENTAL HEALTH AUTHORITY OR LOCAL BEHAVIORAL HEALTH AUTHORITY RESPONSIBILITIES › Section 306.163 - Most Appropriate and Available Treatment Options

Current through Reg. 49, No. 28; July 12, 2024
(a) Recommendation for treatment. The
					 designated LMHA or LBHA is responsible for recommending the most appropriate
					 and available treatment alternative for an individual in need of mental health
					 services.
(b) Inpatient services.
(1) Before an LMHA or LBHA refers an
					 individual for inpatient services, the LMHA or LBHA must screen and assess the
					 individual to determine if the individual requires inpatient
					 services.
(2) If the screening and
					 assessment indicates the individual requires inpatient services and inpatient
					 services are the least restrictive setting available, the LMHA or LBHA refers
					 the individual:
(A) to an SMHF or facility
					 with a CPB, if the LMHA or LBHA determines that the individual meets the
					 criteria for admission; or
(B) to
					 an LMHA or LBHA network provider of inpatient services.
(3) If the individual is identified in the
					 applicable HHSC automation system as having an ID, the LMHA or LBHA informs the
					 designated LIDDA that the individual has been referred for inpatient
					 services.
(4) If the LMHA, LBHA, or
					 LMHA or LBHA-network provider refers the individual for inpatient services, the
					 LMHA or LBHA must communicate necessary information to the contracted inpatient
					 provider before or at the time of admission, including the individual's:
(A) identifying information, including
					 address;
(B) legal status (e.g.,
					 regarding guardianship, charges pending, custody as applicable;
(C) pertinent medical and medication
					 information, including known disabilities;
(D) behavioral information, including
					 information regarding COPSD;
(E)
					 other pertinent treatment information;
(F) finances, third-party coverage, and other
					 benefits, if known; and
(G) advance
					 directive.
(5) If an LMHA
					 or LBHA, other than the individual's designated LMHA or LBHA, refers the
					 individual for inpatient services, the SMHF or facility with a CPB notifies the
					 individual's designated LMHA or LBHA of the referral for inpatient services by
					 the end of the next business day.
(6) The designated LMHA or LBHA assigns a
					 continuity of care worker to an individual admitted to an SMHF, a facility with
					 a CPB, or an LMHA or LBHA inpatient services network provider.
(7) If the individual has an ID or DD, the
					 designated LIDDA assigns a continuity of care worker to the
					 individual.
(8) The LMHA or LBHA
					 continuity of care worker, and LIDDA continuity of care worker as applicable,
					 are responsible for the facilitation of the individual's continuity of
					 services.