(a) Requirements related to an individual currently
receiving LMHA or LBHA services who intends to move his or her permanent
residence to a county within the local service area of another LMHA
or LBHA and seek services from the new LMHA or LBHA.
(1) The originating LMHA or LBHA must:
(A) initiate transition planning with the receiving
LMHA or LBHA;
(B) educate the individual on the provisions of this
subchapter regarding the individual's transfer, consisting of:
(i) information regarding walk-in intake services,
if applicable, where no appointment is scheduled for the individual's
initial intake to determine eligibility;
(ii) the individual's rights as eligible for services;
and
(iii) the receiving LMHA or LBHA is notified of the
individual's intent to move the individual's permanent residence;
(C) assist in facilitating and scheduling the intake
appointment at the new LMHA or LBHA once the relocation has been confirmed;
(D) submit to the receiving LMHA or LBHA treatment
information pertinent to the individual's continuity of care with
submission after the individual's transfer request;
(E) ensure the individual has sufficient medication
for up to 90 days or to last until the medication management appointment
date at the receiving LMHA or LBHA;
(F) maintain the individual's case in open status in
the applicable HHSC automation system for 90 days or until notified
that the individual has been admitted to services at the receiving
LMHA or LBHA, whichever occurs first;
(G) conduct an intake assessment in accordance with §301.353(a)
of this title (relating to Provider Responsibilities for Treatment
Planning and Service Authorization) and determine whether the LMHA
or LBHA has the capacity to serve the individual immediately or place
the individual on a waiting list for services; and
(H) authorize an initial 180 days of services for an
adult and 90 days for a child or an adolescent for transitioning and
ongoing care, including the provision of medications, if the individual
is eligible and not on the waiting list.
(2) If the individual seeks services from the new LMHA
or LBHA without prior knowledge of the originating LMHA or LBHA:
(A) the receiving LMHA or LBHA must:
(i) initiate transition planning with the originating
LMHA or LBHA;
(ii) promptly request records pertinent to the individual's
treatment, with the individual's consent, if applicable;
(iii) conduct an intake assessment in accordance with §301.353(a)
of this title and determine whether the individual should receive
services immediately or be placed on a waiting list for services;
and
(iv) if the individual is eligible and the individual
is not on the waitlist, authorize an initial 180 days of services
for an adult and 90 days for a child or an adolescent for transitioning
and ongoing care, including the provision of medications; and
(B) the originating LMHA or LBHA must:
(i) submit requested information to the new LMHA or
LBHA within seven days after the request; and
(ii) maintain the individual's case in open status
in the applicable HHSC automation system for 90 days or until notified
that the individual has been admitted to services at the new LMHA
or LBHA, whichever occurs first.
(3) If the new LMHA or LBHA denies services to the
individual during the transition period, or reduces or terminates
services at the conclusion of the authorized period, the new LMHA
or LBHA must notify the individual or LAR in writing within ten business
days of the proposed action and the right to appeal the proposed action
in accordance with §306.154 of this subchapter (relating to Notification
and Appeals Process for Local Mental Health Authority or Local Behavioral
Health Authority Services).
(b) Requirements related to an individual receiving
inpatient services at an SMHF or facility with a CPB. If an individual
at an SMHF or facility with a CPB informs the SMHF or facility with
a CPB that the individual intends to move the individual's permanent
residence to a county within the local service area of another LMHA
or LBHA and seek services from the new LMHA or LBHA:
(1) the SMHF or facility with a CPB notifies the following
of the individual's intent to move the individual's permanent residence
upon discharge:
(A) the originating LMHA or LBHA, if the individual
was receiving LMHA or LBHA services from the originating LMHA or LBHA
before admission to the SMHF or facility with a CPB; and
(B) the new LMHA or LBHA;
(2) the following participate in the individual's discharge
planning in accordance with §306.201 of this subchapter (relating
to Discharge Planning):
(A) the SMHF or facility with a CPB;
(B) the new LMHA or LBHA; and
(C) the originating LMHA or LBHA, if the individual
was receiving LMHA or LBHA services from the originating LMHA or LBHA
before admission to the SMHF or facility with a CPB; and
(3) if the individual was receiving LMHA or LBHA services
from the originating LMHA or LBHA before admission to the SMHF or
facility with a CPB, the originating LMHA or LBHA maintains the individual's
case in open status in the applicable HHSC automation system for 90
days or until notified that the individual is admitted to services
at the new LMHA or LBHA, whichever occurs first.
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