An applicant must meet the criteria in this section for certification.
(1) Staffing requirements.
(A) Staffing plans must reflect findings of the community
needs assessment.
(B) Staff members must have, and be currently active
with, all necessary state-required licenses and accreditations to
deliver required services.
(C) Staff members must be trained to serve the needs
of the clinic's patient population as identified through the community
needs assessment and in compliance with Section 223(a)(2)(A) of the
Protecting Access to Medicare Act of 2014.
(D) Staff must be trained in a person-centered and
family-centered approach.
(2) Availability and accessibility of services. The
applicant cannot deny or limit services based on a person's inability
to pay.
(3) Care coordination.
(A) The applicant must coordinate care across settings
and providers to ensure seamless transitions for the person across
the full spectrum of health services including acute, chronic, and
behavioral health.
(B) The T-CCBHC must have a health information technology
system that includes an electronic health record and must have a plan
in place focusing on ways to improve care coordination using health
information technology.
(4) Scope of services.
(A) The applicant must provide or, with HHSC approval,
arrange for the provision of the following services:
(i) crisis mental health services, including 24-hour
mobile crisis services, crisis intervention services, and safety monitoring;
(ii) screening, assessment, and diagnosis, including
risk assessment;
(iii) person-centered treatment planning or similar
processes, including risk assessment and crisis planning;
(iv) outpatient mental health and substance use services;
(v) outpatient clinic primary care screening and monitoring
of key health indicators and health risk;
(vi) mental health targeted case management as defined
in Texas Administrative Code, Title 1, Part 15, §353.1403 (relating
to Definitions);
(vii) psychiatric rehabilitation services;
(viii) peer specialist services and family partner
supports; and
(ix) intensive, community-based mental health care
for members of the armed forces and veterans.
(B) Crisis mental health services must be provided
regardless of a person's place of residence, homelessness, or lack
of a permanent address.
(5) Quality and other reporting.
(A) A T-CCBHC must report encounter data, clinical
outcomes data, quality data, and other data HHSC requests.
(B) A T-CCBHC must have health information technology
systems that allow reporting on data and quality measures.
(6) Organizational authority.
(A) The applicant must be a non-profit or governmental
entity; or an entity operated under the authority of the Indian Health
Service, an Indian tribe or tribal organization pursuant to a contract,
grant, cooperative agreement, or compact with the Indian Health Service
pursuant to the Indian Self-Determination Act (25 U.S.C. 450 et seq. ), or an urban Indian organization
pursuant to a grant or contract with the Indian Health Service under
title V of the Indian Health Care Improvement Act (25 U.S.C. 1601 et seq. ).
(B) The applicant must be operational as an entity
listed under subparagraph (A) of this paragraph for a minimum of two
years in Texas before applying for T-CCBHC certification.
(C) The applicant's T-CCBHC must have a governing board.
The governing board must:
(i) be comprised of at least 51 percent families, consumers,
and people in recovery from behavioral health conditions; or
(ii) establish an advisory committee that meets the
requirements of clause (i) of this subparagraph and provides meaningful
input to the governing board about the T-CCBHC's polices, processes,
and services.
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