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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 3LIFE, ACCIDENT, AND HEALTH INSURANCE AND ANNUITIES
SUBCHAPTER HHSTANDARDS FOR REASONABLE COST CONTROL AND UTILIZATION REVIEW FOR CHEMICAL DEPENDENCY TREATMENT CENTERS
RULE §3.8004Admission and Monitoring

(a) The admitting or attending physician shall review and approve in writing within 24 hours each admission to an inpatient hospital, residential detoxification program, or outpatient detoxification program. Physician review and approval shall include determination of the appropriate diagnosis and application of the standards and corresponding criteria as set out in this subchapter to determine the appropriate level of treatment. A physician assessment shall occur prior to any change in the level of treatment or discharge from treatment.

(b) A qualified credentialed counselor shall authorize and approve in writing each admission to a 24-hour residential chemical dependency treatment center, partial hospitalization program, detoxification program, or outpatient program. Review and approval shall include determination of the appropriateness for admission and application of the standards and corresponding criteria as set out in this subchapter to determine the appropriate level of treatment. An assessment completed by a qualified credentialed counselor shall occur prior to any change in the level of treatment or discharge from treatment.


Source Note: The provisions of this §3.8004 adopted to be effective August 28, 1991, 16 TexReg 4403; amended to be effective February 14, 1999, 24 TexReg 713

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