Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 26. HEALTH AND HUMAN SERVICES |
PART 1. HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 306. BEHAVIORAL HEALTH DELIVERY SYSTEM |
SUBCHAPTER A. STANDARDS FOR SERVICES TO INDIVIDUALS WITH CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS (COPSD) |
§ 306.1. Purpose |
§ 306.3. Application |
§ 306.5. Definitions |
§ 306.7. Services to Individuals with COPSD |
§ 306.9. Responsibility for Compliance |
§ 306.11. DSHS Responsibilities |
§ 306.13. Access to Services |
§ 306.15. Specialty Competencies of Staff Providing Services to Individuals with COPSD |
§ 306.17. Quality Management |
§ 306.19. Screening, Assessment, and Treatment Planning |
SUBCHAPTER B. STANDARDS OF CARE IN CRISIS STABILIZATION UNITS |
DIVISION 1. GENERAL REQUIREMENTS |
§ 306.41. Purpose |
§ 306.43. Application |
§ 306.45. Definitions |
§ 306.47. General Provisions |
DIVISION 2. ADMISSION |
§ 306.51. Admission Criteria |
§ 306.53. Pre-admission Screening and Assessment |
§ 306.55. Voluntary Admission Criteria and Intake Process |
§ 306.57. Involuntary Admission Criteria and Intake Process |
§ 306.59. Voluntary Treatment Following Involuntary Admission |
DIVISION 3. SERVICE REQUIREMENTS |
§ 306.61. Crisis Stabilization Unit Medical Services |
§ 306.63. Crisis Stabilization Unit Nursing Services |
§ 306.65. Crisis Stabilization Services and Recovery or Treatment Planning |
§ 306.67. Additional Standards of Care for Children and Adolescents |
DIVISION 4. DISCHARGE |
§ 306.71. Discharge Planning |
§ 306.73. Discharge Notices |
§ 306.75. Discharge of a Voluntarily-Admitted Individual |
§ 306.77. Maximum Length of Stay for a Voluntarily-Admitted Individual |
§ 306.79. Discharge of an Involuntarily-Admitted Individual |
DIVISION 5. OPERATIONAL REQUIREMENTS |
§ 306.81. Medical Record |
§ 306.83. Staff Training |
§ 306.85. Minimum Staffing Requirements |
§ 306.87. Protection of an Individual Receiving Crisis Stabilization Unit Services |
§ 306.89. Crisis Stabilization Unit Response to an Emergency Medical Condition |
§ 306.91. Transfers |
§ 306.95. Response to External Reviews |
SUBCHAPTER C. TEXAS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS |
§ 306.101. Purpose |
§ 306.103. Application |
§ 306.105. Definitions |
§ 306.107. Certification Eligibility |
§ 306.109. Application Process |
§ 306.111. Certification Standards |
SUBCHAPTER D. MENTAL HEALTH SERVICES--ADMISSION, CONTINUITY, AND DISCHARGE |
DIVISION 1. GENERAL PROVISIONS |
§ 306.151. Purpose |
§ 306.152. Application and Responsibility for Compliance |
§ 306.153. Definitions |
§ 306.154. Notification and Appeals Process for Local Mental Health Authority or Local Behavioral Health Authority Services |
§ 306.161. Screening and Assessment |
§ 306.162. Determining County of Residence |
§ 306.163. Most Appropriate and Available Treatment Options |
DIVISION 3. ADMISSION TO A STATE MENTAL HEALTH FACILITY OR A FACILITY WITH A CONTRACTED PSYCHIATRIC BED--PROVIDER RESPONSIBILITIES |
§ 306.171. General Admission Criteria for a State Mental Health Facility or Facility with a Contracted Psychiatric Bed |
§ 306.172. Admission Criteria for Maximum-Security Units |
§ 306.173. Admission Criteria for an Adolescent Forensic Unit |
§ 306.174. Admission Criteria for Waco Center for Youth |
§ 306.175. Voluntary Admission Criteria for a Facility with a Contracted Psychiatric Bed Authorized by an LMHA or LBHA or for a State Mental Health Facility |
§ 306.176. Admission Criteria for a Facility with a Contracted Psychiatric Bed Authorized by an LMHA or LBHA or for a State Mental Health Facility for Emergency Detention |
§ 306.177. Admission Criteria Under Order of Protective Custody or Court-ordered Inpatient Mental Health Services |
§ 306.178. Voluntary Treatment Following Involuntary Admission |
DIVISION 4. TRANSFERS AND CHANGING LOCAL MENTAL HEALTH AUTHORITIES OR LOCAL BEHAVIORAL HEALTH AUTHORITIES |
§ 306.191. Transfers Between State Mental Health Facilities |
§ 306.192. Transfers Between a State Mental Health Facility and a State Supported Living Center |
§ 306.193. Transfers Between a State Mental Health Facility and an Out-of-State Institution |
§ 306.194. Transfers Between a State Mental Health Facility and Another Facility in Texas |
§ 306.195. Changing Local Mental Health Authorities or Local Behavioral Health Authorities |
DIVISION 5. DISCHARGE AND ABSENCES FROM A STATE MENTAL HEALTH FACILITY OR FACILITY WITH A CONTRACTED PSYCHIATRIC BED |
§ 306.201. Discharge Planning |
§ 306.202. Special Considerations for Discharge Planning |
§ 306.203. Discharge of an Individual Voluntarily Receiving Treatment |
§ 306.204. Discharge of an Individual Involuntarily Receiving Treatment |
§ 306.205. Pass or Furlough from a State Mental Health Facility or a Facility with a Contracted Psychiatric Bed |
§ 306.206. Absence for Trial Placement |
§ 306.207. Post Discharge or Absence for Trial Placement: Contact and Implementation of the Recovery or Treatment Plan |
DIVISION 6. TRAINING |
§ 306.221. Screening and Intake Assessment Training Requirements at a State Mental Health Facility and a Facility with a Contracted Psychiatric Bed |
SUBCHAPTER E. MENTAL HEALTH CASE MANAGEMENT |
§ 306.251. Purpose |
§ 306.253. Application |
§ 306.255. Definitions |
§ 306.257. Provider Requirements |
§ 306.259. Eligibility for MH Case Management Services |
§ 306.261. Authorization for MH Case Management Services |
§ 306.263. MH Case Management Services Standards |
§ 306.265. Making a Complaint |
§ 306.267. Service Limitations |
§ 306.269. Notification and Terminations |
§ 306.271. MH Case Management Employee Qualifications |
§ 306.273. MH Case Management Employee Competencies |
§ 306.275. Documenting MH Case Management Services |
§ 306.277. Medicaid Reimbursement |
§ 306.279. Fair Hearings and Appeal Processes |
§ 306.281. Guidelines |
SUBCHAPTER F. MENTAL HEALTH REHABILITATIVE SERVICES |
§ 306.301. Purpose |
§ 306.303. Application |
§ 306.305. Definitions |
§ 306.307. General Requirements for Providers of MH Rehabilitative Services |
§ 306.309. Eligibility |
§ 306.311. Service Authorization and Recovery Plan |
§ 306.313. Crisis Intervention Services |
§ 306.315. Medication Training and Support Services |
§ 306.317. Psychosocial Rehabilitative Services |
§ 306.319. Skills Training and Development Services |
§ 306.321. Day Programs for Acute Needs |
§ 306.323. Documentation Requirements |
§ 306.325. Staff Member Competency and Training |
§ 306.327. Medicaid Reimbursement |
§ 306.329. Medicaid Provider Participation Requirements |
§ 306.331. Fair Hearings and Reviews |
§ 306.333. Guidelines |
SUBCHAPTER G. USE AND MAINTENANCE OF THE HEALTH AND HUMAN SERVICES COMMISSION PSYCHIATRIC DRUG FORMULARY |
§ 306.351. Purpose |
§ 306.352. Application |
§ 306.353. Definitions |
§ 306.354. General Requirements |
§ 306.355. Organization of HHSC Psychiatric Drug Formulary |
§ 306.356. Responsibilities of the Psychiatric Executive Formulary Committee |
§ 306.357. Adding a Drug to the HHSC Psychiatric Drug Formulary |
§ 306.358. Changing the HHSC Psychiatric Drug Formulary |
§ 306.359. Prescribing Non-formulary Drugs |
§ 306.360. Adverse Drug Reactions |
SUBCHAPTER X. DISASTER RULE FLEXIBILITIES FOR BEHAVIORAL HEALTH PROVIDERS |
§ 306.1251. Disaster Flexibilities |