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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 557MEDICATION AIDES--PROGRAM REQUIREMENTS
RULE §557.128Home Health Medication Aides

  (3) The renewal date of a permit is the last day of the current permit.

  (4) Each medication aide is responsible for renewing the permit before the expiration date. Failure to receive notification from HHSC before the expiration date of the permit does not excuse the medication aide's failure to file for timely renewal.

  (5) A medication aide must complete a seven hour continuing education program approved by HHSC before expiration of the permit in order to renew the permit. Continuing education hours are not required for the first renewal. After a permit is renewed for the first time, the medication aide must earn approved continuing education hours to have the permit renewed again.

  (6) HHSC denies renewal of the permit of a medication aide who is in violation of the Texas Health and Safety Code, Chapter 142, Subchapter B, or this chapter at the time of application for renewal.

  (7) HHSC denies renewal of the permit of a medication aide who has been convicted of a criminal offense listed in Texas Health and Safety Code §250.006(a), or convicted of a criminal offense listed in Texas Health and Safety Code §250.006(b) within five years before the date HHSC receives the renewal application.

  (8) HHSC denies renewal of the permit of a medication aide who is listed as unemployable on the EMR.

  (9) Home health medication aide permit renewal procedures are as follows.

    (A) At least 30 days before the expiration date of a permit, HHSC sends to the medication aide at the address in HHSC records notice of the expiration date of the permit and the amount of the renewal fee due and a renewal form that the medication aide must complete and return with the required renewal fee.

    (B) The renewal form must include the preferred mailing address of the medication aide. It must be signed by the medication aide.

    (C) Medication aides will be required to submit fingerprints for a Federal Bureau of Investigations criminal background check to the Texas Department of Public Safety, if not submitted previously.

    (D) HHSC issues a renewal permit to a medication aide who has met all requirements for renewal.

    (E) HHSC does not renew a permit if the medication aide does not complete the required seven-hour continuing education requirement. Successful completion is determined by the student's instructor. An individual who does not meet the continuing education requirement must complete a new program, application, and examination in accordance with the requirements of this section.

    (F) HHSC does not renew a permit if renewal is prohibited by the Texas Education Code §57.491, concerning defaults on guaranteed student loans.

    (G) If a medication aide fails to timely renew his or her permit because the medication aide is or was on active duty with the armed forces of the United States of America serving outside the State of Texas, the medication aide may renew the permit pursuant to this subparagraph.

      (i) Renewal of the permit may be requested by the medication aide, the medication aide's spouse, or an individual having power of attorney from the medication aide. The renewal form must include a current address and telephone number for the individual requesting the renewal.

      (ii) Renewal may be requested before or after the expiration of the permit.

      (iii) A copy of the official orders or other official military documentation showing that the medication aide is or was on active military duty serving outside the State of Texas must be filed with HHSC along with the renewal form.

      (iv) A copy of the power of attorney from the medication aide must be filed with HHSC along with the renewal form if the individual having the power of attorney executes any of the documents required in this subparagraph.

      (v) A medication aide renewing under this subparagraph must pay the applicable renewal fee.

      (vi) A medication aide is not authorized to act as a home health medication aide after the expiration of the permit unless and until the medication aide actually renews the permit.

      (vii) A medication aide renewing under this subparagraph is not required to submit any continuing education hours.

  (10) A person whose permit has expired for not more than two years may renew the permit by submitting to HHSC:

    (A) the permit renewal form;

    (B) all accrued renewal fees;

    (C) proof of having earned, during the expired period, seven hours in an approved continuing education program for each year or part of a year that the permit has been expired; and

    (D) proof of having earned, before expiration of the permit, seven hours in an approved continuing education program as required in paragraph (5) of this subsection.

  (11) A permit that is not renewed during the two years after expiration may not be renewed.

  (12) HHSC issues notices of permit renewal approval, disapproval, or deficiency must be in accordance with subsection (q) of this section.

(m) Changes.

  (1) A medication aide must notify HHSC within 30 days after changing his or her address or name.

  (2) HHSC replaces a lost, damaged, or destroyed permit upon receipt of a completed duplicate permit request form and permit replacement fee.

(n) Fees.

  (1) The schedule of fees is:

    (A) combined permit application and examination fee--$25;

    (B) renewal fee--$15; and

    (C) permit replacement fee--$5.00.

  (2) All fees are nonrefundable.

  (3) An applicant or home health medication aide must pay the required fee by cashier's check or money order made payable to the Health and Human Services Commission. All fees are nonrefundable, except as provided by Texas Government Code, Chapter 2005.

(o) Training program requirements.

  (1) An educational institution accredited by the Texas Workforce Commission or Texas Higher Education Coordinating Board that desires to offer a training program must file an application for approval on an HHSC form. Programs sponsored by state agencies for the training and preparation of its own employees are exempt from the accreditation requirement. An approved institution may offer the training program and a continuing education program.

    (A) All signatures on HHSC forms and supporting documentation must be originals.

    (B) The application includes:

      (i) the anticipated dates of the program;

      (ii) the location(s) of the classroom course(s);

      (iii) the name of the coordinator of the program;

      (iv) a list that includes the address and telephone number of each instructor and any other person responsible for the conduct of the program; and

      (v) an outline of the program content and curriculum if the curriculum covers more than HHSC established curricula.

    (C) HHSC may conduct an inspection of the classroom site.

    (D) HHSC sends notice of approval or proposed disapproval of the application to the program within 30 days of the receipt of a complete application. If the application is proposed to be disapproved due to noncompliance with the requirements of the Texas Health and Safety Code, Chapter 142, Subchapter B, or of this chapter, the reasons for disapproval are given in the notice.

    (E) An applicant may request a hearing on a proposed disapproval in writing within ten days of receipt of the notice of the proposed disapproval. The hearing must be in accordance with subsection (r) of this section and the Administrative Procedure Act, Texas Government Code, Chapter 2001. If no request is made, the applicant is deemed to have waived the opportunity for a hearing, and the proposed action may be taken.

  (2) The program includes, but is not limited to, the following instruction and training:

    (A) procedures for preparation and administration of medications;

    (B) responsibility, control, accountability, storage, and safeguarding of medications;

    (C) use of reference material;

    (D) documentation of medications in the client's clinical records, including PRN medications;

    (E) minimum licensing standards for agencies covering pharmaceutical service, nursing service, and clinical records;

    (F) federal and state certification standards for participation under the Social Security Act, Title XVIII (Medicare), pertaining to pharmaceutical service, nursing service, and clinical records;

    (G) lines of authority in the agency, including agency personnel who are immediate supervisors;

Cont'd...

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