 |
Texas Administrative Code (Last Updated: March 27,2024) |
 |
TITLE 26. HEALTH AND HUMAN SERVICES |
|
|
PART 1. HEALTH AND HUMAN SERVICES COMMISSION |
|
|
CHAPTER 558. LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES |
| SUBCHAPTER A. GENERAL PROVISIONS |
| § 558.1. Purpose and Scope |
| § 558.2. Definitions |
| § 558.3. License Fees |
| SUBCHAPTER B. CRITERIA AND ELIGIBILITY, APPLICATION PROCEDURES, AND ISSUANCE OF A LICENSE |
| § 558.11. Criteria and Eligibility for Licensing |
| § 558.12. General Application |
| § 558.13. Obtaining an Initial License |
| § 558.15. Issuance of an Initial License |
| § 558.17. Application Procedures for a Renewal License |
| § 558.19. Issuance of a Renewal License |
| § 558.21. Denial of an Application or a License |
| § 558.23. Change of Ownership |
| § 558.25. Requirements for Change of Ownership |
| § 558.27. Application and Issuance of an Initial Branch Office License |
| § 558.29. Application and Issuance of an Alternate Delivery Site License |
| § 558.30. Operation of an Inpatient Unit at a Parent Agency |
| § 558.31. Time Frames for Processing and Issuing a License |
| SUBCHAPTER C. MINIMUM STANDARDS FOR ALL HOME AND COMMUNITY SUPPORT SERVICES AGENCIES |
| DIVISION 1. GENERAL PROVISIONS |
| § 558.201. Applicability |
| § 558.202. Habilitation |
| DIVISION 2. CONDITIONS OF A LICENSE |
| § 558.208. Reporting Changes in Application Information and Fees |
| § 558.210. Agency Operating Hours |
| § 558.211. Display of License |
| § 558.212. License Alteration Prohibited |
| § 558.213. Agency Relocation |
| § 558.214. Notification Procedures for a Change in Agency Contact Information and Operating Hours |
| § 558.215. Notification Procedures for an Agency Name Change |
| § 558.216. Change in Agency Certification Status |
| § 558.217. Agency Closure Procedures and Voluntary Suspension of Operations |
| § 558.218. Agency Organizational Changes |
| § 558.219. Procedures for Adding or Deleting a Category to the License |
| § 558.220. Service Areas |
| § 558.222. Compliance |
| DIVISION 3. AGENCY ADMINISTRATION |
| § 558.241. Management |
| § 558.242. Organizational Structure and Lines of Authority |
| § 558.243. Administrative and Supervisory Responsibilities |
| § 558.244. Administrator Qualifications and Conditions and Supervising Nurse Qualifications |
| § 558.245. Staffing Policies |
| § 558.246. Personnel Records |
| § 558.247. Verification of Employability and Use of Unlicensed Persons |
| § 558.248. Volunteers |
| § 558.249. Self-Reported Incidents of Abuse, Neglect, and Exploitation |
| § 558.250. Agency Investigations |
| § 558.251. Peer Review |
| § 558.252. Financial Solvency and Business Records |
| § 558.253. Disclosure of Drug Testing Policy |
| § 558.254. Billing and Insurance Claims |
| § 558.255. Prohibition of Solicitation of Patients |
| § 558.256. Emergency Preparedness Planning and Implementation |
| § 558.257. Medicare Certification Optional |
| § 558.259. Initial Educational Training in Administration of Agencies |
| § 558.260. Continuing Education in Administration of Agencies |
| DIVISION 4. PROVISION AND COORDINATION OF TREATMENT SERVICES |
| § 558.281. Client Care Policies |
| § 558.282. Client Conduct and Responsibility and Client Rights |
| § 558.283. Advance Directives |
| § 558.284. Laboratory Services |
| § 558.285. Infection Control |
| § 558.286. Disposal of Special or Medical Waste |
| § 558.287. Quality Assessment and Performance Improvement |
| § 558.288. Coordination of Services |
| § 558.289. Independent Contractors and Arranged Services |
| § 558.290. Backup Services and After-Hours Care |
| § 558.291. Agency Dissolution |
| § 558.292. Agency and Client Agreement and Disclosure |
| § 558.293. Client List and Services |
| § 558.294. Time Frame(s) for the Initiation of Care or Services |
| § 558.295. Client Transfer or Discharge Notification Requirements |
| § 558.296. Physician Delegation and Performance of Physician-Delegated Tasks |
| § 558.297. Receipt of Physician Orders |
| § 558.298. Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel and Tasks Not Requiring Delegation |
| § 558.299. Nursing Education, Licensure and Practice |
| § 558.300. Medication Administration |
| § 558.301. Client Records |
| § 558.302. Pronouncement of Death |
| § 558.303. Standards for Possession of Sterile Water or Saline, Certain Vaccines or Tuberculin, and Certain Dangerous Drugs |
| DIVISION 5. BRANCH OFFICES AND ALTERNATE DELIVERY SITES |
| § 558.321. Standards for Branch Offices |
| § 558.322. Standards for Alternate Delivery Sites |
| SUBCHAPTER D. ADDITIONAL STANDARDS SPECIFIC TO LICENSE CATEGORY AND SPECIFIC TO SPECIAL SERVICES |
| § 558.401. Standards Specific to Licensed Home Health Services |
| § 558.402. Standards Specific to Licensed and Certified Home Health Services |
| § 558.404. Standards Specific to Agencies Licensed to Provide Personal Assistance Services |
| § 558.405. Standards Specific to Agencies Licensed to Provide Home Dialysis Services |
| § 558.406. Standards for Agencies Providing Psychoactive Services |
| § 558.407. Standards for Agencies Providing Home Intravenous Therapy |
| SUBCHAPTER E. LICENSURE SURVEYS |
| DIVISION 1. GENERAL |
| § 558.501. Survey and Investigation Frequency |
| § 558.503. Exemption From a Survey |
| § 558.505. Notice of a Survey |
| § 558.507. Agency Cooperation with a Survey |
| § 558.509. Survey of a Branch Office, Alternate Delivery Site, and Services Provided |
| DIVISION 2. THE SURVEY PROCESS |
| § 558.521. Requirements for an Initial Survey |
| § 558.523. Personnel Requirements for a Survey |
| § 558.525. Survey Procedures |
| § 558.527. Post-Survey Procedures |
| SUBCHAPTER F. ENFORCEMENT |
| § 558.601. Enforcement Actions |
| § 558.602. Administrative Penalties |
| § 558.603. Court Action |
| § 558.604. Surrender or Expiration of a License |
| SUBCHAPTER G. HOME HEALTH AIDES |
| § 558.701. Home Health Aides |
| SUBCHAPTER H. STANDARDS SPECIFIC TO AGENCIES LICENSED TO PROVIDE HOSPICE SERVICES |
| DIVISION 1. HOSPICE GENERAL PROVISIONS |
| § 558.801. Subchapter H Applicability |
| DIVISION 2. INITIAL AND COMPREHENSIVE ASSESSMENT OF A HOSPICE |
| § 558.810. Hospice Initial Assessment |
| § 558.811. Hospice Comprehensive Assessment |
| § 558.812. Update of the Hospice Comprehensive Assessment |
| § 558.813. Hospice Client Outcome Measures |
| DIVISION 3. HOSPICE INTERDISCIPLINARY TEAM, CARE PLANNING, AND COORDINATION OF SERVICES |
| § 558.820. Hospice Interdisciplinary Team |
| § 558.821. Hospice Plan of Care |
| § 558.822. Review of the Hospice Plan of Care |
| § 558.823. Coordination of Services by the Hospice |
| DIVISION 4. HOSPICE CORE SERVICES |
| § 558.830. Provision of Hospice Core Services |
| § 558.831. Hospice Physician Services |
| § 558.832. Hospice Nursing Services |
| § 558.833. Hospice Medical Social Services |
| § 558.834. Hospice Counseling Services |
| DIVISION 5. HOSPICE NON-CORE SERVICES |
| § 558.840. Provision of Hospice Non-Core Services |
| § 558.841. Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services |
| § 558.842. Hospice Aide Services |
| § 558.843. Hospice Aide Qualifications |
| § 558.844. Hospice Homemaker Services |
| § 558.845. Hospice Homemaker Qualifications |
| § 558.846. Services Provided Under a State Medicaid Personal Care Benefit |
| DIVISION 6. HOSPICE ORGANIZATION AND ADMINISTRATION OF SERVICES |
| § 558.850. Organization and Administration of Hospice Services |
| § 558.851. Hospice Services Provided by a Licensed Person |
| § 558.852. Hospice Governing Body and Administrator |
| § 558.853. Hospice Infection Control Program |
| § 558.854. Hospice Professional Management Responsibility |
| § 558.855. Criminal Background Checks |
| § 558.856. Hospice Alternate Delivery Sites |
| § 558.857. Hospice Staff Training |
| § 558.858. Hospice Medical Director |
| § 558.859. Hospice Discharge or Transfer of Care |
| § 558.860. Provision of Medical Supplies, and Durable Medical Equipment by a Hospice |
| § 558.861. Management of Drugs and Biologicals and Disposal of Controlled Substance Prescription Drugs in a Client's Home or Community Setting |
| § 558.862. Management of Drugs and Biologicals and Disposal of Controlled Substance Prescription Drugs in an Inpatient Hospice Unit |
| § 558.863. Hospice Short-term Inpatient Care |
| DIVISION 7. HOSPICE INPATIENT UNITS |
| § 558.870. Staffing in a Hospice Inpatient Unit |
| § 558.871. Physical Environment in a Hospice Inpatient Unit |
| § 558.880. Providing Hospice Care to a Resident of a Skilled Nursing Facility, Nursing Facility, or Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions |