Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 303 - PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR) › Subchapter C - RESPONSIBILITIES › Section 303.302 - LIDDA, LMHA, and LBHA Responsibilities Related to the PASRR Process

Current through Reg. 49, No. 28; July 12, 2024
(a) A LIDDA, LMHA, or LBHA, as applicable,
				  must:
(1) enter in the LTC online portal the
				  data from a PL1 completed by a referring entity in accordance with §
											303.201(a)(1) of
				  this chapter (relating to Preadmission Process) for an individual who is
				  suspected of having MI, ID, or DD and who is seeking admission to a NF through
				  the preadmission process;
(2)
				  complete a PE or resident review as follows:
(A) within 72 hours after receiving a copy of
				  the PL1 from the referring entity in accordance with §
												303.201(a)(1)(B)
				  of this chapter or notification from the LTC online portal in accordance with
				  §
												303.202 or §
												303.204(a) of
				  this chapter (relating to Expedited Admission Process and Resident Review
				  Process, respectively):
(i) call the referring
				  entity or NF to schedule the PE or resident review; and
(ii) meet in person, or in extenuating
				  circumstances meet via audio-visual communication, with the individual or
				  resident at the referring entity or NF to gather information to complete the PE
				  or resident review; and
(B) within seven days after receiving a copy
				  of the PL1 from the referring entity or notification from the LTC online
				  portal:
(i) complete the PE or resident review
				  by:
(I) reviewing the individual's or
				  resident's:
(-a-) medical records;
(-b-) relevant service records, including
				  those available in online databases, such as the Client Assignment and
				  Registration (CARE) system, Clinical Management for Behavioral Health Services
				  (CMBHS), and LTC online portal; and
(-c-) previous PEs, service plans, and
				  assessments from other LIDDAs, LMHAs, or LBHAs;
(II) meeting with the individual's LAR or
				  resident's LAR in person, via audio-visual communication, or via audio-only
				  communication according to the LAR's preference;
(III) communicating with a collateral contact
				  as necessary;
(IV) providing
				  information to the individual seeking admission or resident and the
				  individual's LAR or resident's LAR, if any, about community services, supports,
				  and programs for which the individual or resident may be eligible;
				  and
(V) obtaining additional
				  information as needed; and
(ii) enter the data from the PE or resident
				  review in the LTC online portal; and
(3) within three business days after entering
				  the data from the PE or resident review in the LTC online portal:
(A) if the PE or resident review is positive
				  for MI, ID, or DD, provide the individual seeking admission or resident or the
				  individual's LAR or resident's LAR with a summary of the results of the PE or
				  resident review, using HHSC forms; or
(B) if the PE or resident review is negative
				  for MI, ID, or DD, provide the individual seeking admission or resident or the
				  individual's LAR or resident's LAR notice of the right to a fair hearing, using
				  HHSC forms.