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Revision 06-1; Effective April 10, 2006
5410 Changes and Serious Incidents
Revision 06-1; Effective April 10, 2006
A change is an event in the individual's status or condition that may require a change in the individual's service authorization. Events include:
- hospitalization;
- changes in functional abilities (or ability to operate unit);
- complaints of pain;
- change of address;
- changes in the household composition;
- an emergency involving the individual that receives a response; and
- three unsuccessful attempts to contact the individual for the monthly systems test.
The provider notifies the case manager in writing of changes. An interdisciplinary team may need to be called if monthly system checks are unsuccessful or an individual or someone in the home engages in illegal discrimination against a provider staff or a Texas Health and Human Services Commission (HHSC) employee. The case manager notifies the provider if services should continue or be terminated.
The case manager and provider will ensure that both parties are aware of any changes involving an individual (examples: hospitalization, change of residence or visits with relatives).
5420 Interdisciplinary Team (IDT) Meetings
Revision 06-1; Effective April 10, 2006
The provider will convene an IDT meeting when the need arises. A meeting is called for situations in which the provider is unable to resolve issues with the individual. IDT requirements are outlined in Chapter 52, Contracting to Provide Emergency Response Services.
5430 Provider Changes
Revision 06-1; Effective April 10, 2006
The provider sends Form 2067, Case Information, to the regional contract manager to notify him of a change in the provider address or telephone number.
5440 Client Rights and Responsibilities
Revision 06-1; Effective April 10, 2006
For information regarding an individual's rights and responsibilities, see Chapter 49, Contracting for Community Care Services.
