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TITLE 26 - HEALTH AND HUMAN SERVICES
PART 1 - HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 306 - BEHAVIORAL HEALTH DELIVERY SYSTEM
SUBCHAPTER D - MENTAL HEALTH SERVICES--ADMISSION, DISCHARGE, AND CONTINUITY OF CARE
SECTION/RULE §306.155 - Local Mental Health Authority, Local Behavioral Health Authority, and Continuity of Care Liaison Responsibilities
Chapter Review Date 07/23/2024

LMHAs and LBHAs must develop policies and procedures that require: (1) the LMHA or LBHA to employ at least one dedicated full-time staff member who is a QMHP-CS or LPHA to act as the CoC liaison to support continuity of care activities;(2) a CoC liaison to delegate continuity of care responsibilities to other continuity of care staff, if necessary;(3) a CoC liaison not to have assigned duties outside of activities supporting continuity of care and related functions;(4) an alternate staff member to act as the CoC liaison in the absence of the person identified as the primary CoC liaison; (5) communication and facilitation of services between the continuity of care team and parties involved in the individual's care, including:(A) a mental health peer specialist or a recovery support peer specialist as described in 1 TAC §354.3159 (relating to Core and Supplemental Training); or(B) a family partner;(6) coordination with other state agencies responsible for the care of a child such as DFPS, the Texas Department of Criminal Justice, or the Texas Juvenile Justice Department;(7) initiation of contact with the parties involved in the individual's care at a state hospital or CPB within three business days after admission;(8) coordination of post-discharge activities with local community parties involved in the individual's care, including other LMHAs, LBHAs, and LIDDAs;(9) a CoC liaison to conduct continuity of care activities, including responding to communications from a facility within three business days after the facility sent the communication;(10) the LMHA or LBHA to provide notification of the CoC liaison's contact information, including if there is a CoC liaison personnel change, and the CoC liaison's designated alternate staff member's contact information within three business days to each facility that has an individual admitted in the LMHA's or LBHA's care;(11) a QMHP-CS or LPHA acting as the CoC liaison to maintain the QMHP-CS' certification as a QMHP-CS or the LPHA's licensure as an LPHA;(12) identification of a process for obtaining services and resources for an individual, as needed;(13) LMHA or LBHA representation by an assigned CoC liaison in treatment team meetings at a state hospital or CPB as requested by the facility;(14) the availability of a CoC liaison to communicate with providers from 8:00 a.m. to 5:00 p.m. on business days, coordinate coverage to respond to continuity of care service needs 24 hours a day, and follow up as necessary to ensure continuity of care needs are met;(15) monitoring of the number of individuals who are currently admitted to state hospitals or CPBs and the number of individuals who are discharged from these facilities; (16) a CoC liaison to conduct a uniform assessment, either in person or by audiovisual technology, to ensure a level of care determination is made within ten business days before discharge;(17) a CoC liaison ensures all LMHA, LBHA, or LIDDA appointments are scheduled in advance for needed programs and services to minimize any disruption in services or support at the time of discharge and community integration;(18) LMHA or LBHA staff to participate in all applicable court proceedings;(19) LMHA or LBHA staff to participate in the development of an outpatient management plan for an individual who is on a Texas Code of Criminal Procedure Chapter 46C commitment and whom a state hospital identifies as suitable for outpatient placement; and (20) a CoC liaison to initiate transition planning with the receiving LMHA or LBHA when the individual is changing LMHAs or LBHAs.

Source Note: The provisions of this §306.155 adopted to be effective February 23, 2025, 50 TexReg 997.

View Official Rule