TITLE 40.SOCIAL SERVICES AND ASSISTANCE

Part 1. TEXAS DEPARTMENT OF HUMAN SERVICES

Chapter 19. NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION

The Texas Department of Human Services (DHS) adopts amendments to §§19.101, 19.2302, and 19.2320; and adopts new §19.1113 and §19.1115 without changes to the proposed text published in the March 19, 2004, issue of the Texas Register (29 TexReg 2859).

Justification for the amendments and the new sections is to comply with federal guidelines and to implement changes mandated by the 78th Texas Legislature. The amendment to §19.101 and new §19.1113 and §19.1115 are being adopted to allow facilities to use paid feeding assistants, as provided in 42 Code of Federal Regulations (CFR), §§483.35, 483.75, 483.160, and 488.301. Justification for the amendment to §19.2302 is to add the requirement for facilities that furnish services under the Medicaid program to comply with solicitation guidelines in Occupations Code, Chapter 102, as required by Government Code, §531.116. The amendment to §19.2320 is being adopted to implement Human Resources Code §32.024, which holds the facility responsible for payment of nonemergency ambulance services when the facility fails to obtain prior authorization.

DHS received no comments regarding adoption of the amendments and new sections.

Subchapter B. DEFINITIONS

40 TAC §19.101

The amendment is adopted under the Human Resources Code, Chapters 22 and 32, and the Health and Safety Code, Chapter 242, which authorize DHS to administer public and medical assistance programs and to license and regulate nursing facilities; and under Government Code, §531.021, which provides the Texas Health and Human Services Commission with the authority to administer federal medical assistance funds.

The amendment affects the Human Resources Code, §§22.0001 - 22.040 and §§32.001 - 32.067, and the Health and Safety Code, §§242.001 - 242.852.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 11, 2004.

TRD-200403189

Carey Smith

Deputy Commissioner, Legal Services

Texas Department of Human Services

Effective date: June 1, 2004

Proposal publication date: March 19, 2004

For further information, please call: (512) 438-3734


Subchapter L. DIETARY SERVICES

40 TAC §19.1113, §19.1115

The new sections are adopted under the Human Resources Code, Chapters 22 and 32, and the Health and Safety Code, Chapter 242, which authorize DHS to administer public and medical assistance programs and to license and regulate nursing facilities; and under Government Code, §531.021, which provides the Texas Health and Human Services Commission with the authority to administer federal medical assistance funds.

The new sections affect the Human Resources Code, §§22.0001 - 22.040 and §§32.001 - 32.067, and the Health and Safety Code, §§242.001 - 242.852.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 11, 2004.

TRD-200403190

Carey Smith

Deputy Commissioner, Legal Services

Texas Department of Human Services

Effective date: June 1, 2004

Proposal publication date: March 19, 2004

For further information, please call: (512) 438-3734


Subchapter X. REQUIREMENTS FOR MEDICAID-CERTIFIED FACILITIES

40 TAC §19.2302, §19.2320

The amendments are adopted under the Human Resources Code, Chapters 22 and 32, and the Health and Safety Code, Chapter 242, which authorize DHS to administer public and medical assistance programs and to license and regulate nursing facilities; and under Government Code, §531.021, which provides the Texas Health and Human Services Commission with the authority to administer federal medical assistance funds.

The amendments affect the Human Resources Code, §§22.0001 - 22.040 and §§32.001 - 32.067, and the Health and Safety Code, §§242.001 - 242.852.

This agency hereby certifies that the adoption has been reviewed by legal counsel and found to be a valid exercise of the agency's legal authority.

Filed with the Office of the Secretary of State on May 11, 2004.

TRD-200403191

Carey Smith

Deputy Commissioner, Legal Services

Texas Department of Human Services

Effective date: June 1, 2004

Proposal publication date: March 19, 2004

For further information, please call: (512) 438-3734