(a) When an OCR provider discharges an individual from
OCR services upon completion of court-ordered participation in the
OCR program, the OCR provider must provide continuity of care services.
Discharge planning begins upon admission into the OCR program and
includes:
(1) a plan for maintaining housing and utilities for
three months or more after discharge;
(2) coordination of ongoing services through the LMHA
or LBHA in the individual's county of residence or the individual's
designated LIDDA as provided in section 5000 of the LIDDA handbook
available on HHSC's website;
(3) the provision of medication and documentation of
a scheduled psychiatric follow-up appointment after discharge;
(4) completion of all appropriate benefits applications
on behalf of any individual, including signing up for long-term subsidized
housing;
(5) confirmation that an assisted living facility to
which an individual is referred is licensed under Texas Health and
Safety Code Chapter 247 and Chapter 553 of this title (relating to
Licensing Standards for Assisted Living Facilities) by contacting
the HHSC Assisted Living Facility Licensing and Certification Unit,
if applicable;
(6) coordination of appropriate transfer to an inpatient
treatment facility, if applicable; and
(7) coordination of appropriate transfer if returned
to custody.
(b) For an unplanned discharge, an OCR provider must:
(1) notify the court of the unplanned discharge;
(2) make efforts to assist in facilitating service
coordination with the LMHA or LBHA in the individual's county of residence
or the individual's designated LIDDA to ensure the individual's continuity
of care; and
(3) document continuity of care efforts in the individual's
medical record.
(c) An OCR provider must document the reasons for the
individual's failure to complete the OCR program in the individual's
record, if applicable.
(d) Before an individual is discharged from an OCR
program, an OCR provider must collaborate with courts to encourage
timely resolution of legal issues.
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