| (a) Organizational planning and communication. The
LMHA and MCO must define and implement organizational plans and systems
as described in this subchapter (e.g., quality management plan, utilization
management plan) and ensure that there are mechanisms in place that
facilitate effective communication throughout the organization to
promote the provision of quality mental health community services.
(b) Management of key processes and functions. The
LMHA and MCO must define organizational and clinical processes and
functions, including performance activities, as well as:
(1) allocate adequate, appropriate resources; and
(2) provide oversight for such processes and functions.
(c) Management information system. The LMHA, MCO, and
provider must ensure their management information systems provide
timely, accurate, and accessible information that supports clinical,
administrative, and fiscal decision-making.
(d) Consumer advocacy. The LMHA and MCO must encourage
and support advocacy for individuals accessing mental health community
services.
(e) Conflict of interest and dual relationships. The
LMHA and MCO must develop and implement policies and procedures to
ensure that all staff members refrain from activities and relationships
whereby personal, financial, professional, or other relationships
could compromise or interfere with independent judgment creating a
conflict of interest or otherwise having the potential to harm or
exploit individuals and families.
(f) Collaboration with other health care agencies and
community resources. The LMHA and MCO must demonstrate efforts to
collaborate with other health care agencies and community resources
to address the physical and behavioral health care needs of individuals,
as well as to ensure that these needs are met.
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| Source Note: The provisions of this §301.321 adopted to be effective April 29, 2009, 34 TexReg 2603; transferred effective March 15, 2020, as published in the February 21, 2020 issue of the Texas Register, 45 TexReg 1237 |
