Texas Administrative Code

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 I	MI SPECIALIZED SERVICES
RULE §303.910	Suspension and Termination of MI Specialized Services

(a) The LMHA or LBHA must suspend MI specialized services for a resident with MI when:

(1) the resident with MI is admitted to an acute care hospital for fewer than 30 days and is returning to the same NF; or

(2) the resident with MI loses Medicaid eligibility.

(b) The LMHA or LBHA may terminate one or more MI specialized services of a resident with MI if:

(1) the resident with MI loses Medicaid eligibility for more than 90 days;

(2) the resident with MI or LAR requests the MI specialized services be terminated; or

(3) the MI specialized services team, which includes the resident with MI and LAR, agrees the resident with MI no longer benefits from the MI specialized services.

Source Note: The provisions of this §303.910 adopted to be effective September 1, 2021, 46 TexReg 5419; amended to be effective April 15, 2024, 49 TexReg 2287