Texas Administrative Code (Last Updated: March 27,2024) |
TITLE 26. HEALTH AND HUMAN SERVICES |
PART 1. HEALTH AND HUMAN SERVICES COMMISSION |
CHAPTER 87. OMBUDSMAN SERVICES |
SUBCHAPTER D. OMBUDSMAN FOR BEHAVIORAL HEALTH |
SECTION 87.419. Substantiating and Closing Complaints
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(a) Once OBH staff have determined all pertinent information has been gathered and their investigation of a complaint is complete, they determine if the complaint is substantiated, unsubstantiated, or unable to be substantiated. (b) A written response requested by a consumer or the consumer's LAR includes: (1) a description of the steps taken to investigate the complaint; (2) a description of what OBH found as a result of their investigation; and (3) if a complaint is: (A) substantiated, a description of the actions taken in response; or (B) unsubstantiated, a description of additional steps the consumer can take to have someone review the consumer's concerns (e.g., a referral to Disability Rights Texas). (c) If the consumer provides consent, OBH staff also notify the consumer's health care provider of the outcome of a complaint. (d) OBH staff notify the rights protection officer that reviewed a case of the OBH finding. On a substantiated complaint, the superintendent of the relevant state hospital or the HHSC staff responsible for enforcement of the LBHA or LMHA contract is also asked to respond with a summary of actions taken. If a response is received, OBH staff upload the response into the HEART system. Source Note: The provisions of this §87.419 adopted to be effective January 10, 2019, 44 TexReg 252; amended to be effective December 21, 2022, 47 TexReg 8273