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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 307BEHAVIORAL HEALTH PROGRAMS
SUBCHAPTER ECHILDREN'S MENTAL HEALTH--RESIDENTIAL TREATMENT CENTER PROJECT
RULE §307.223Discharge Plan

(a) The child may be discharged from the RTC Project:

  (1) when the service planning team determines that the child completed treatment and no longer requires a residential level of care;

  (2) when the child's LAR requests discharge from the operation; or

  (3) in accordance with Chapter 748, Subchapter I of this title (relating to Admission, Service Planning, and Discharge).

(b) If the RTC contractor determines at any point throughout treatment that the child is not appropriate for continued treatment at the RTC and must be discharged in less than 14 calendar days:

  (1) the RTC contractor must notify the child's LAR and the LMHA or LBHA within 24 hours after the determination and before discharge;

  (2) the RTC contractor must notify the RTC Project team, in writing, within 24 hours, but no later than one business day, after the determination; and

  (3) the RTC contractor must conduct an emergency staffing with the child's service planning team for continuity of care services.

(c) If the RTC contractor determines at any point throughout treatment that the child requires an emergency discharge, the RTC contractor must follow emergency discharge and transfer requirements in accordance with Chapter 748, Subchapter I of this title, and:

  (1) notify the child's LAR and LMHA or LBHA immediately after determining the child is not appropriate for continued treatment at the RTC and before the child's discharge;

  (2) notify the RTC Project team, in writing, within one business day after the determination is made; and

  (3) conduct an emergency staffing with the child's service planning team for continuity of care services.

(d) The RTC contractor must develop the discharge plan in consultation with the service planning team.

  (1) The discharge plan must be approved by the treating psychiatrist and must meet the requirements outlined in Chapter 748, Subchapter I of this title; and

  (2) The RTC contractor must submit a copy of the child's:

    (A) final discharge plan to the child's LAR, LMHA or LBHA, and RTC Project team 30 calendar days before discharge;

    (B) recommendations regarding the child's educational needs to the child's LAR at the time of discharge; and

    (C) discharge summary to the child's LAR, LMHA or LBHA, and the RTC Project within seven calendar days after the child's discharge.


Source Note: The provisions of this §307.223 adopted to be effective April 10, 2023, 48 TexReg 1829

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