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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 306BEHAVIORAL HEALTH DELIVERY SYSTEM
SUBCHAPTER CTEXAS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS
RULE §306.107Certification Eligibility

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.


Source Note: The provisions of this §306.107 adopted to be effective September 29, 2022, 47 TexReg 6198

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