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TITLE 26 - HEALTH AND HUMAN SERVICES
PART 1 - HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 261 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM--CONTRACTING
SUBCHAPTER E - ELIGIBILITY, ENROLLMENT AND REVIEW
SECTION/RULE §261.242 - Supporting Documentation for Level of Need
Chapter Review Date 07/22/2024

The following supporting documentation, at a minimum, must be submitted to the department when requesting an LON:(1) if a request is made to increase an LON 1, LON 5, or LON 8 in accordance with §419.241(b) of this title (relating to Level of Need Criteria), due to a person's dangerous behavior:(A) the person's IPP;(B) the person's ICAP assessment booklet;(C) the person's person directed plan (PDP), if available;(D) the person's behavior intervention plan; and(E) written descriptions (e.g. incident reports or progress notes) of specific incidents of the dangerous behavior and the staff interventions;(2) if a request is made for an LON 9 in accordance with §419.241(c) of this title (relating to Level of Need Criteria), due to the person's extremely dangerous behavior:(A) the person's IPP;(B) the person's ICAP assessment booklet;(C) the person's PDP, if available;(D) the person's behavior intervention plan;(E) written descriptions (e.g. incident reports or progress notes) of specific incidents of the extremely dangerous behavior and the staff interventions; and(F) time sheets that verify the assignment of a staff member to exclusively and constantly supervise the person during the person's waking hours, which must be at least 16 hours per day;(3) if a request is made to increase an LON 1, LON 5, or LON 8 in accordance with §419.241(d) of this title (relating to Level of Need Criteria), due to a person's extraordinary medical needs:(A) the person's IPP;(B) the person's ICAP assessment booklet;(C) the person's PDP, if available; and(D) description, frequency, and duration of each type of nursing treatment; and(4) if a request is made to increase an individual's existing LON based on the results of an ICAP assessment:(A) the individual's previous ICAP assessment booklet;(B) the individual's latest ICAP reassessment;(C) the individual's IPP;(D) program progress notes; and(E) the individual's PDP, if available.

Source Note: The provisions of this §261.242 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.

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