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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 550LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS
SUBCHAPTER CGENERAL PROVISIONS
DIVISION 5ADMISSION CRITERIA, CONFERENCE, ASSESSMENT, INTERDISCIPLINARY PLAN OF CARE, AND DISCHARGE OR TRANSFER
RULE §550.608Discharge or Transfer Notification

(a) A center intending to transfer or discharge a minor must provide both oral and written notification to a minor's parent and adult minor no later than 15 days before the date the minor will be transferred or discharged, if the notification is provided in person.

(b) If the center does not provide the notice of transfer or discharge in person, the center must provide oral notification to a minor's parent and adult minor by telephone no later than 15 days before the date of transfer or discharge and mail the written notification no later than 15 days before the date of transfer or discharge.

(c) A center that intends to transfer or discharge a minor must also notify the minor's prescribing physician no later than 15 days before the date the minor will be transferred or discharged.

(d) A center may transfer or discharge a minor without providing the oral and written notification described in subsections (a) and (b) of this section:

  (1) if the minor's parent or adult minor requests the transfer or discharge;

  (2) if the minor's medical needs require transfer, including a medical emergency;

  (3) if the minor's health and safety is at risk due to an emergency and a transfer is made in accordance with §15.209 of this subchapter (relating to Emergency Preparedness Planning and Implementation);

  (4) for the protection of staff or a minor attending the center after the center makes a documented, reasonable effort to notify the minor's parent, the minor's prescribing physician, and appropriate state or local authorities of the center's concerns for the safety of staff or the minor, and in accordance with center policy;

  (5) according to the minor's prescribing physician's orders; or

  (6) if the minor's parent or an adult minor fails to pay for services, except as prohibited by state law.

(e) A center must keep in a minor's medical record:

  (1) a copy of the written notification provided in accordance with subsection (a) or (b) of this section to the minor's parent or adult minor;

  (2) documentation of the personal contact with the minor's parent or adult minor in accordance with subsection (b) of this section; and

  (3) documentation that the minor's prescribing physician was notified of the date of transfer or discharge in accordance with subsection (c) of this section.


Source Note: The provisions of this §550.608 adopted to be effective September 1, 2014, 39 TexReg 6569; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1875

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