(a) Interdisciplinary Team (IDT). The IDT is a designated
group that includes the following people who meet when the provider
identifies the need to discuss service delivery issues or barriers
to service delivery:
(1) the individual or the individual's representative,
or both;
(2) a provider representative; and
(3) an HHSC representative, who may be:
(A) the case worker or designee;
(B) the case worker's supervisor or designee;
(C) the contract manager or designee; or
(D) the regional nurse or designee.
(b) Convening an IDT meeting.
(1) The provider must convene an IDT meeting:
(A) within three working days of the date the provider
suspends services to an individual under §47.71(a)(7) or (b)
of this chapter (relating to Suspensions); or
(B) within seven working days of the date the provider
identifies an issue that prevents the provider from carrying out a
requirement of the PHC Program, CAS Program, or FC Program.
(2) A provider must make and document a good faith
effort to include all members of the IDT described in subsection (a)
of this section.
(3) If the provider is unable to convene an IDT meeting
with all the members described in subsection (a) of this section,
the provider must convene the IDT meeting with the available members
and send the documentation of the IDT meeting described in subsection
(e) of this section to the Regional Director for the HHSC region in
which the individual resides. The documentation must be sent within
five working days after the date of the IDT meeting.
(c) IDT meeting.
(1) The IDT meeting may be conducted by telephone or
in person.
(2) The IDT must:
(A) evaluate the issue;
(B) identify any solutions to resolve the issue; and
(C) make recommendations to the provider.
(d) IDT meeting outcome. The provider must do one of
the following within two working days after the IDT meeting:
(1) implement the recommendations of the IDT; or
(2) discharge the individual from the provider and
refer the individual to the case worker for referral to another provider.
(e) Documentation of the IDT meeting. The provider
must document the IDT meeting in the individual's file, including
the:
(1) specific reasons for calling the IDT meeting;
(2) participants in the IDT meeting;
(3) recommendations of the IDT;
(4) action as a result of the IDT recommendations;
and
(5) reasons for the provider's actions.
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Source Note: The provisions of this §47.49 adopted to be effective June 1, 2004, 29 TexReg 5113; amended to be effective June 1, 2009, 34 TexReg 2802; amended to be effective October 1, 2019, 44 TexReg 5138 |