SECTION 261.245. Renewal of Level of Care  


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  • (a) To avoid interruption in payment from the department, a program provider must request to renew an individual's existing LOC prior to its expiration date.

    (b) To request to renew an individual's existing LOC, a program provider must follow the procedures for requesting an LOC described in §419.237 of this title (relating to Level of Care).

    (c) The department will make an LOC determination and notify the program provider of its determination in accordance with §419.237 of this title (relating to Level of Care).

    (d) The effective date of a renewed LOC is:

    (1) the date the MR/RC was electronically transmitted to the department, if a different date is not requested; or

    (2) a requested effective date within 45 days after the MR/RC was electronically transmitted to the department.

    (e) A renewed LOC is valid for 364 days after its effective date.

Source Note: The provisions of this §261.245 adopted to be effective September 1, 2001, 26 TexReg 5384; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8841; transferred effective October 1, 2020, as published in the Texas Register August 28, 2020, 45 TexReg 6127