TITLE social-services-and-assistance

Part I. Texas Department of Human Services

Chapter 48. Community Care for Aged and Disabled

Case Management

40 TAC §48.3901

The Texas Department of Human Services (DHS) proposes an amendment to §48.3901, concerning application for services, in its Community Care for Aged and Disabled (CCAD) chapter. The purpose of the amendment is to clarify the amount of time allowed to establish program eligibility.

Terry Trimble, interim commissioner, has determined that for the first five-year period the proposed section will be in effect there will be no fiscal implications for state or local government as a result of enforcing or administering the section.

Mr. Trimble also has determined that for each year of the first five years the section is in effect the public benefit anticipated as a result of enforcing the section will be public access to correct information. There will be no effect on small businesses. There is no anticipated economic cost to persons who are required to comply with the proposed section.

Questions about the content of the proposal may be directed to Beverly Garrett at (512) 438-3140 in DHS's Client Eligibility section. Written comments on the proposal may be submitted to Supervisor, Rules Unit, Media and Policy Services-092, Texas Department of Human Services E-205, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

The amendment is proposed under the Human Resources Code, Title 2, Chapters 22 and 32, which provides the department with the authority to administer public and medical assistance programs and under Texas Government Code, §531.021, which provides the Health and Human Services Commission with the authority to administer federal medical assistance funds.

The amendment implements §§22.001-22.030 and §§32.001- 32.041 of the Human Resources Code.

§48.3901. Application for Services.

(a)-(c)

(No change.)

(d)

Eligibility for CCAD services for income-eligible applicants is determined within 30 calendar days after a signed application is received. For categorically-eligible applicants, eligibility must be determined within 30 calendar days after either the client's assessment or face to face contact with the worker, whichever comes first. If the applicant withdraws from the program before an assessment is completed or a face-to-face interview is conducted, no further action is necessary. [Eligibility for services is determined within 30 calendar days after the signed application is received by the department for verification of income/resources, or if income/resources do not have to be verified, within 30 calendar days after the client's assessment or client's contact with the worker, if the client withdraws from the program before assessment is completed. The applicant/client must provide all information requested by department staff for use in determining eligibility. If the applicant/client fails to cooperate, he is not eligible for services. Falsification of information is grounds for prosecution.]

(e)-(g)

(No change.)

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's authority to adopt.

Issued in Austin, Texas, on December 20, 1996.

TRD-9618583

Glenn Scott

General Counsel, Legal Services

Texas Department of Human Services

Proposed date of adoption: March 1, 1997

For further information, please call: (512) 438-3765


Part III. Texas Commission on Alcohol and Drug Abuse

Chapter 143. Awards

Subchapter A. Funding Mechanisms

40 TAC §§143.1-143.12, 143.31, 143.32

The Texas Commission on Alcohol and Drug Abuse proposes new §§143.1-143.12, 143.31, and 143.32, concerning procedures for awarding funds for client services. The sections describe the allocation of funds, establish parameters for selection criteria used to determine best value, and describe the competitive funding process including advertisement, request for proposals, application, application criteria and application information requirements, screening, peer review, and funding decision procedures. Additional sections explain conditions under which the commission may cancel a solicitation, describe procedures used for emergency purchases, and explain limitations on funding unsolicited proposals. These rules are proposed to implement changes resulting from a comprehensive review of the commission's funding process. They will replace rules currently proposed for repeal.

Terry Bleier, Executive Director, has determined that for the first five-year period the new sections are in effect there will be no fiscal implications for state or local government as a result of enforcing the new sections.

Ms. Bleier also has determined that for each year of the first five years the new sections are in effect the public benefit anticipated as a result of enforcing the new sections will be improved funding procedures which obtain the best value for the state resources. There will be no effect on small businesses. There are no anticipated economic costs to currently funded providers who are required to comply with the new sections as proposed.

Comments on the proposal may be submitted to Tamara Allen, Program Compliance, Texas Commission on Alcohol and Drug Abuse, 9001 North IH 35, Suite 105, Austin, Texas 78753.

The new sections are proposed under the Texas Health and Safety Code, §461.012(15), which provides the Texas Commission on Alcohol and Drug Abuse with the authority to adopt rules governing the functions of the commission, including rules that prescribe the policies and procedures followed by the commission in administering any commission programs.

The code affected by the new sections is the Texas Health and Safety Code, Chapter 461.

§143.1. Applicability.

The rules in this chapter apply to actions occurring after the date of adoption which pertain to funds allocated for client services in Fiscal Year 1998 and beyond that have not been exempted through an executive order identifying the reason for the exception and the procedures to be applied.

§143.2. Allocation of Funds.

Funds available for regional services are allocated to each of the 11 Health and Human Services Commission (HHSC) regions through a formula approved by the board of commissioners.

Funds are regionally allocated for general adult treatment, court commitment services, youth prevention, and youth treatment. An executive order will be issued annually describing services for which funds will not be allocated regionally.

The commission establishes restrictions and stipulations needed to fulfill state and federal funding mandates. The commission notifies the Regional Advisory Consortia (RAC) of estimated available funds and any restrictions and stipulations. The Regional Advisory Consortia have an opportunity to request recommendations regarding service needs and priorities unless the funds must be dispersed immediately. The commission considers RAC recommendations when it develops the statements of work and selection criteria for regional requests for proposal.

§143.3. Selection Criteria.

The commission develops selection criteria for each request for proposals which reflect applicable state and federal mandates. Selection criteria are designed to select applications which provide best overall value to the state. The award criteria include: program quality as determined by the peer review process; and the cost of proposed service. The commission may consider additional factors in determining best value, including: financial ability to perform services; state and community investment; regional service needs and priorities; access for underserved areas and populations; ability to provide service continuity; and past performance and compliance. Selection criteria include the scoring system(s) to be used and the weight assigned to each factor. Selection criteria are approved by the board of commissioners and listed in the request for proposals.

§143.4. Advertisement.

The commission publishes a notice of the intent to purchase services through a competitive process in the Texas Register . The notice includes: the service to be purchased; the geographic area to be served; funding limitations; method of payment; contract period; any limitations on who is eligible to submit an application; and the requirements and deadline for submitting a letter of intent. In order to be eligible to compete, applicants who are not already funded by the commission must submit specified documents with the letter of intent that demonstrate the applicant's financial ability to perform to services. The commission will issue a request for proposals if at least two eligible applicants submit a letter of intent by the specified deadline.

§143.5. Request for Proposals (RFP).

The request for proposals includes: goals describing the purpose of the funds; a clear and accurate description of the services to be purchased; all requirements that must be met for an application to be considered; an estimate of the funds available; applicable priorities and restrictions; application forms, procedures, and timeframes; and the selection criteria and the process used to evaluate proposals and select award recipients. For regional funds, the request for proposals is targeted to individual Health and Human Services Commission regions. The goals and statement of work address regional needs and priorities established by the Regional Advisory Consortia.

§143.6. Application.

An organization shall apply for funding using forms and procedures specified by the commission. The application shall be signed by the organization's authorized official.

Applicants seeking financial assistance from the commission shall comply with the Texas Review and Comment System (TRACS) as described in the request for proposal. A favorable Texas Review and Comment System recommendation is not required for applicants to submit proposals to the commission.

Applications shall be submitted by mail or in person. The commission does not accept applications by facsimile.

Applications shall be received at the commission by the date and time stated in the request for proposal. The commission will not consider any material related to an application (except for Texas Review and Comment System comments) that is received after the due date.

§143.7. Application Information.

The commission shall not fund an applicant who does not provide all request information. An applicant shall disclose to the commission in writing any pending or threatened litigation which might prevent the applicant from meeting funding requirements, if funded. This includes but is not limited to: an action, suit, or proceeding before any court or governmental body, including environmental and civil rights matters; and employee labor disturbances. All applicants shall supply the following information, if requested: identifying information; documentation of legal basis for operation; ownership or control information; information on business transactions and relationships; information on financial status; and information on persons convicted of crimes.

§143.8. Application Criteria.

An application shall not be considered for competitive funding unless the applicant meets the following criteria on the application due date and continues to meet them throughout the selection and funding process.

The applicant shall be a legally established public, private nonprofit, or for-profit organization. For-profit entities are only eligible to be considered for funding to provide treatment services and shall not be funded through a financial assistance payment mechanism.

Applicants seeking funding for treatment services shall be licensed to provide the requested services (detox, residential, or outpatient) to the proposed target population.

The applicant shall be in compliance with any commission agreed order.

The applicant shall have a Texas address. A post office box address may be used when the application is submitted, but the applicant must be able to conduct business out of a physical location in Texas before funds will be released.

The applicant shall have a governing body that provides oversight which is separate and different from staff who operate the program. Staff members, including the executive director, shall not serve on the governing board.

The applicant shall be in good standing with any State or Federal agency that has a contracting relationship with the applicant. If a State or Federal agency has suspended or terminated an applicant's award within the last 12 months for deficiencies in performance of the award, that applicant is not eligible to apply through a request for proposals unless all issues have been satisfactorily resolved as demonstrated by written documentation from the State or Federal agency. Additionally, an applicant is not eligible if it is debarred from participation in federal assistance programs.

Applicants who have previously been funded by the commission shall be in compliance with the following requirements:

if the applicant has been suspended or terminated by the commission at any time in the past all issues shall be satisfactorily resolved (demonstrated by written documentation from the commission);

if the applicant owes a refund to the commission, the applicant shall be on schedule with the terms of the repayment agreement;

the applicant shall have submitted an annual audit as required by the grant agreement or contract and corrected all deficiencies or submitted a corrective action plan that the commission has accepted.

The commission may establish additional eligibility standards in a request for proposals or other form of solicitation.

Organizations that do not meet the application criteria may be considered for developmental funds if such funds become available, provided the organization has corrected identified deficiencies.

Providers shall continue to meet application criteria after funds are awarded or be subject to sanctions.

The commission may deny funding to an applicant if any person who has an ownership or controlling interest in the provider organization, or who is an agent or managing employee of the provider, has been convicted of a criminal offense related to involvement in any program established under Medicare, Medicaid, or the Title XX block grant.

The commission may refuse to fund an applicant who cannot demonstrate that the location where services will be provided is in compliance with all applicable local and state zoning, building, health, fire, and safety standards.

§143.9. Screening.

Commission staff screen the applications for completeness and conduct an evaluation using application criteria stated in the request for proposals.

An application shall meet all application criteria to qualify for further consideration.

The commission notifies applicants eliminated through the screening process within 45 days of the submission deadline.

§143.10. Peer Review.

The commission uses peer reviewers to evaluate the quality of applications.

The commission solicits applications from professionals outside Texas to serve as peer reviewers. Peer reviewers shall demonstrate appropriate training and experience and shall not have a conflict of interest.

The commission provides written procedures and training for all peer reviewers.

The peer reviewers score each application according to the review criteria stated in the request for proposal.

§143.11. Funding Decisions.

The commission applies the selection criteria to determine which applications will be funded.

Lobbying of commission staff or commissioners is prohibited.

The commission sends successful applicants written notice within 30 days of the funding decision.

The commission may negotiate with selected applicants to determine the terms of the award. To receive an award, the applicant shall accept any additional or special terms and conditions listed in the grant award notice and any changes in the funding application. Terms and conditions shall be limited to items required to ensure compliance with requirements stated in the request for proposals and applicable commission rules.

A provider shall not enter into an agreement with the commission if legal action that might impact the provider's ability to meet the requirements of the award is pending or threatened.

The commission notifies unsuccessful applicants in writing within 30 days of the funding decision. Upon written request, the commission will provide written feedback on unsuccessful proposals within 30 days of receipt of the written request. If this time frame cannot be met the applicant will be informed of the date of response.

Applicants shall not make public announcements about the commission funds until they have received written award notification from the commission.

§143.12. Cancellation or Suspension of Solicitation.

The commission has the right to reject all offers and cancel a solicitation. Reasons for cancellation include: the specifications given in the request for proposals were inaccurate, inadequate, or ambiguous; the services are no longer required; the offers received indicated that the services can be purchased by a less expensive method; evidence is received that the bids/offers are collusive or were submitted in bad faith; none of the applicants are considered responsive; and funds are no longer available.

§143.31. Emergency Purchase.

Emergency treatment services may be purchased from licensed treatment providers on a non-competitive basis when clients will suffer adverse consequences unless services are secured immediately. The executive director shall approve the transaction, including a statement of justification which: describes the emergency situation and what caused it; describes the damage that will occur if needs are not satisfied immediately; and states why the needs were not or could not be anticipated. The initial funding period shall last no longer than 90 days. Funding can be approved for additional 90-day periods until the emergency no longer exists or a provider is selected through other procedures as provided in this chapter. The commission has no real or implied commitment to the provider for on-going contractual obligations. During the first 90-day period, the commission will evaluate the provider in relation to federal and state requirements and its own application criteria. If the provider does not meet relevant requirements or the commission's application criteria, the commission will terminate the services as soon as possible. Upon approval by the executive director of an emergency services transaction, the commission shall promptly initiate procedures to secure the needed services on a long-term basis.

§143.32. Unsolicited Proposals.

The commission's executive director may authorize funding for unsolicited proposals when sufficient and proper funds are available. Unsolicited proposals are accepted only for prevention services. Total cost shall not exceed $25,000 and the project shall be completed within a 12-month period. Unsolicited proposals do not include late or advance proposals for known commission requirements that can be obtained through standard procedures. Ongoing programs are not eligible for awards through this process.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Issued in Austin, Texas, on December 19, 1996.

TRD-9618399

Mark S. Smock

Deputy for Finance and Administration

Texas Commission on Alcohol and Drug Abuse

Earliest possible date of adoption: February 3, 1997

For further information, please call: (512) 349-6609


40 TAC §§143.11-143.14, 143.16, 143.17

The Texas Commission on Alcohol and Drug Abuse proposes the repeal of §§143.11-143.14, 143.16 and 143.17, concerning procedures for awarding funds for services. These sections describe methods of purchase, competitive negotiation, noncompetitive negotiation, unsolicited proposals, categorical awards, and emergency purchase procedures. The repeal is proposed to allow adoption of new funding rules.

Terry Bleier, Executive Director, has determined that for the first five-year period the repeal is in effect there will be no fiscal implications for state or local government as a result of the proposed repeal.

Ms. Bleier also has determined that for each year of the first five years the repeal is in effect the public benefit anticipated will be the elimination of redundant rules. There will be no effect on small businesses. There are no anticipated economic costs to currently funded providers who are required to comply with the proposed repeal.

Comments on the proposal may be submitted to Tamara Allen, Program Compliance, Texas Commission on Alcohol and Drug Abuse, 9001 North IH 35, Suite 105, Austin, Texas 78753.

The repealed sections are proposed under the Texas Health and Safety Code, §461.012(15), which provides the Texas Commission on Alcohol and Drug Abuse with the authority to adopt rules governing the functions of the commission, including rules that prescribe the policies and procedures followed by the commission in administering any commission programs.

The code affected by the repealed sections is the Texas Health and Safety Code, Chapter 461.

§143.11. Methods of Purchase.

§143.12. Competitive Negotiation.

§143.13. Noncompetitive Negotiation.

§143.14. Unsolicited Proposals.

§143.16. Categorical Awards.

§143.17. Emergency Purchase.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Issued in Austin, Texas, on December 19, 1996.

TRD-9618396

Mark S. Smock

Deputy for Finance and Administration

Texas Commission on Alcohol and Drug Abuse

Earliest possible date of adoption: February 3, 1997

For further information, please call: (512) 349-6609


Subchapter B. Eligibility

40 TAC §§143.21, 143.23-143.25

The Texas Commission on Alcohol and Drug Abuse proposes the repeal of §§143.21 and 143.23-143.25, concerning procedures for awarding funds for services. These sections describe eligibility criteria, required application information, requirements for compliance with other agencies, and provisions regarding litigation. The repeal is proposed to allow adoption of new funding rules.

Terry Bleier, Executive Director, has determined that for the first five-year period the repeal is in effect there will be no fiscal implications for state or local government as a result of the proposed repeal.

Ms. Bleier also has determined that for each year of the first five years the repeal is in effect the public benefit anticipated will be the elimination of redundant rules. There will be no effect on small businesses. There are no anticipated economic costs to currently funded providers who are required to comply with the proposed repeal.

Comments on the proposal may be submitted to Tamara Allen, Program Compliance, Texas Commission on Alcohol and Drug Abuse, 9001 North IH 35, Suite 105, Austin, Texas 78753.

The repealed sections are proposed under the Texas Health and Safety Code, §461.012(15), which provides the Texas Commission on Alcohol and Drug Abuse with the authority to adopt rules governing the functions of the commission, including rules that prescribe the policies and procedures followed by the commission in administering any commission programs.

The code affected by the repealed sections is the Texas Health and Safety Code, Chapter 461.

§143.21. Eligibility Criteria.

§143.23. Application Information.

§143.24. Compliance with Other Agencies.

§143.25. Litigation.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Issued in Austin, Texas, on December 19, 1996.

TRD-9618397

Mark S. Smock

Deputy for Finance and Administration

Texas Commission on Alcohol and Drug Abuse

Earliest possible date of adoption: February 3, 1997

For further information, please call: (512) 349-6609


Subchapter C. Competitive Funding Process

40 TAC §§143.31-143.46

The Texas Commission on Alcohol and Drug Abuse proposes the repeal of §§143.31-143.46, concerning procedures for awarding funds for services. These sections describe the competitive funding process, including award criteria, request for proposals, conditions for cancellation or suspension of solicitation, provisions regarding competition and collusion, advertisement, procedures for obtaining information about the funding process, application process, the Texas Review and Comment System Review, screening, internal review, peer review, funding decisions, negotiation, acceptance, funding announcements, and notification of unsuccessful applicants. The repeal is proposed to allow adoption of new funding rules.

Terry Bleier, Executive Director, has determined that for the first five-year period the repeal is in effect there will be no fiscal implications for state or local government as a result of the proposed repeal.

Ms. Bleier also has determined that for each year of the first five years the repeal is in effect the public benefit anticipated will be the elimination of redundant rules. There will be no effect on small businesses. There are no anticipated economic costs to currently funded providers who are required to comply with the proposed repeal.

Comments on the proposal may be submitted to Tamara Allen, Program Compliance, Texas Commission on Alcohol and Drug Abuse, 9001 North IH 35, Suite 105, Austin, Texas 78753.

The repealed sections are proposed under the Texas Health and Safety Code, §461.012(15), which provides the Texas Commission on Alcohol and Drug Abuse with the authority to adopt rules governing the functions of the commission, including rules that prescribe the policies and procedures followed by the commission in administering any commission programs. The code affected by the repealed sections is the Texas Health and Safety Code, Chapter 461.

§143.31.Award Criteria.

§143.32. Request for Proposals (RFP).

§143.33.Cancellation or Suspension of Solicitation.

§143.34.Competition and Collusion.

§143.35.Advertisement of Solicitation.

§143.36.Information about the Funding Process.

§143.37.Application.

§143.38. Texas Review and Comment System (TRACS) Review.

§143.39.Screening.

§143.40.Internal Review.

§143.41.Peer Review.

§143.42.Funding Decisions.

§143.43.Negotiation.

§143.44.Acceptance.

§143.45.Funding Announcements.

§143.46.Notification of the Unsuccessful Applicant.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Issued in Austin, Texas, on December 19, 1996.

TRD-9618398

Mark S. Smock

Deputy for Finance and Administration

Texas Commission on Alcohol and Drug Abuse

Earliest possible date of adoption: February 3, 1997

For further information, please call: (512) 349-6609


Part XII. Texas Board of Occupational Therapy Examiners

Chapter 362. Definitions

40 TAC §362.1

The Texas Board of Occupational Therapy Examiners proposes an amendment to §362.1, concerning Definitions by adding a new definition of screening. The new definition for "screening" has been added to clarify the difference between a screening and an evaluation. These terms are used in §373.1, concerning Supervision.

John Maline, Executive Director of the Executive Council of Physical Therapy and Occupational Therapy Examiners, has determined that for the first five-year period the proposed amendment is in effect there will be no affect on state or local government.

Mr. Maline also has determined that for each year of the first five years the proposed amendment is in effect the public benefit anticipated as a result of enforcing the rule will be more clarity of the difference between screening and evaluation in occupational therapy. There will be no effect on small businesses. There is no anticipated economic cost to persons having to comply with the proposed amendment.

Comments on the proposed rule may be submitted to Alicia Dimmick Essary, OT Coordinator, Texas Board of Occupational Therapy Examiners, 333 Guadalupe, Suite 2-510, Austin, Texas 78701.

The amendment is proposed under the Occupational Therapy Practice Act, Texas Civil Statutes, Article 8851, which provide the Texas Board of Occupational Therapy Examiners with the authority to adopt rules consistent with this Act to carry out its duties in administering this Act.

Texas Civil Statutes, Article 8851 is affected by the proposed amendment.

§362.1. Definitions.

The following words and terms, when used in this chapter shall have the following meanings, unless the context clearly indicates otherwise.

Screening -

A process or tool used to determine a potential need for occupational therapy interventions. This information may be compiled using observation, medical or other records, the interview process, self reporting, and /or other documentation.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Issued in Austin, Texas, on December 18, 1996.

TRD-9618382

John P. Maline

Executive Director

Texas Board of Occupational Therapy Examiners

Earliest possible date of adoption: February 3, 1997

For further information, please call: (512) 305-6900


Chapter 365. Types of Licenses

40 TAC §365.1

The Texas Board of Occupational Therapy Examiners proposes an amendment to §365.1 concerning, Types of Licenses to clarify and simplify requirements for regular, provisional, temporary and extended temporary licenses. Individuals who qualify for a regular license will be able to receive one when they first apply. Provisional licenses will be issued only when the initial application documents are incomplete. The changes also define circumstances when a second temporary license may be issued and changes references to the American Occupational Therapy Certification Board (AOTCB) to National Board for Certification in Occupational Therapy (NBCOT).

John Maline, Executive Director of the Executive Council of Physical Therapy and Occupational Therapy Examiners, has determined that for the first five-year period the proposed amendment is in effect there will be no affect on state or local government.

Mr. Maline also has determined that for each year of the first five years the proposed amendment is in effect the public benefit anticipated as a result of enforcing the rule will be simpler requirements for license application, making it easier for qualified persons to obtain licenses. There will be no effect on small businesses. There is no anticipated economic cost to persons having to comply with the proposed amendment.

Comments on the proposed rule may be submitted to Alicia Dimmick Essary, OT Coordinator, Texas Board of Occupational Therapy Examiners, 333 Guadalupe, Suite 2-510, Austin, Texas 78701.

The amendment is proposed under the Occupational Therapy Practice Act, Texas Civil Statutes, Article 8851, which provide the Texas Board of Occupational Therapy Examiners with the authority to adopt rules consistent with this Act to carry out its duties in administering this Act.

Texas Civil Statutes, Article 8851 is affected by the proposed amendment.

§365.1. Types of Licenses.

(a)

The board issues three types of licenses: a regular license, a temporary license, and a provisional license.

(b)

Regular License: [A regular license (renewable yearly) may be issued to an applicant who has met the academic requirements and passed the AOTCB certification examination. Application for regular license must be made within 12 months of having passed the certification examination. If practicing under a temporary license, a regular license must be requested after passage of the certification examination.]

(1)

A regular license may be issued to an applicant who has met the academic requirements and passed the NBCOT certification examination, submitted a complete application with the required fees and now meets at least one of the following criteria:

(A)

The applicant passed the NBCOT examination within the 12 months immediately before the receipt date of current, complete application for licensure with TBOTE; or

(B)

The applicant has a current, valid license to practice as an OTR or COTA in another state, the District of Columbia, or a territory of the United States that has licensing requirements that are substantially equivalent to the requirements of the Texas Occupational Therapy Practice Act, and has been employed as an OTR or COTA in that jurisdiction within five years from the receipt date of current, complete application for licensure with TBOTE; or

(C)

The applicant has been employed as an OTR or COTA within the past six months of the receipt date of current, complete application for licensure with TBOTE in a non-licensing state, foreign country, or state or federal government facility which does not require a license or other form of registration; or

(D)

The applicant has been employed as an OTR or COTA within five years of the receipt date of current, complete application for licensure with TBOTE.

(i)

Previous OT employment may be in Texas, another state, a foreign country, or state or federal government facility which does not require a license or other form of registration.

(ii)

Applicants returning to practice shall complete extra hours of continuing education within a specified period of time as determined by the Coordinator of the Occupational Therapy Program. Such hours are in addition to those required by Chapter 367, Continuing Education.

(2)

The regular license is valid from the date of issuance until the last day of the applicant's next birth month. If the applicant's birth month is within 90 days after the license is issued, the license will be valid until the last day of the following birth month in the next year. For example: If the license is issued in January 1997, and the applicant's birthday is in March, the license will be valid until March 1998. On the other hand, if the license is issued in January 1997 and the applicant's birthday is in July, the license will be valid until July 1997.

(c)

Temporary License. [There are two types of temporary licenses.]

(1)

There are two types of temporary licenses.

(A)

[(1)] Temporary License Pending Examination—The applicant meets all the qualifications for a license except taking the first available NBCOT [AOTCB] examination after completion of all educational requirements. Continuing supervision by a licensed OTR is required while holding this type of license. The temporary license expires upon notification to the board of failure to pass the certification examination and must be returned to the board. No second temporary licenses are issued after failure of the certification examination. The Applications Review Committee may allow a second temporary license to an individual who failed to take the NBCOT examination for which he or she was registered, if there are documented extraordinary circumstances that prevented the individual from taking the examination.

(B)

[(2)] Temporary Extended License — The applicant has passed the NBCOT examination [is certified by the AOTCB] and has not been employed as an OTR or COTA for five years or more from the receipt date of current, complete application for licensure with TBOTE. A temporary license is issued for a maximum of 12 months, during which time the NBCOT [AOTCB] examination must be taken. The temporary license will be canceled if the applicant fails the certification examination and must be returned to the board. The continuing supervision by a licensed OTR is required, and the licensee shall complete additional hours of continuing education within a specified period of time as determined by the Coordinator of the Occupational Therapy Program.

(2)

The board may issue a regular license upon receipt of satisfactory evidence that the applicant has passed the national examination. The regular license will be valid until the end of the licensee's first birth month after the expiration of the temporary license. The exception for licenses issued within 90 days of the licensee's birth month (described in subsection (b)(2) of this section) does not apply in this case.

(d)

Provisional License.

(1)

If an applicant for a regular license under subsection (b)(1)(B),(C) or (D) of this section is unable to provide complete documentation that he or she meets the qualification for a regular license, the board may issue a provisional license.

(A)

The applicant must provide satisfactory interim documentation, including evidence of having passed the national examination.

(B)

The provisional license will be valid for not more than 120 days.

(2)

Upon receipt of full documentation the board may issue a regular license. In that case, the regular license will be valid until the end of the licensee's first birth month after the expiration of the provisional license. The exception for licenses issued within 90 days of the licensee's birth month (described in subsection (b)(2) of this section) does not apply in this case.

[(1)

The applicant for a Provisional License must meet one of the following:]

[(A)

The applicant is certified by the AOTCB, has a valid license to practice as an OTR or COTA in another state, the District of Columbia, or a territory of the United States that has licensing requirements that are substantially equivalent to the requirements of Senate Bill 690, and has been employed as an OTR or COTA in that state, District of Columbia, or territory within five years from the receipt date of current, complete application for licensure with TBOTE; or]

[(B)

The applicant is certified by the AOTCB and has been employed as an OTR or COTA within the past six months of the receipt date of current, complete application for licensure with TBOTE in a non-licensing state, foreign country, or state or federal government facility which does not require a license or other form of registration. No extra hours of continuing education required; or]

[(C)

The applicant is certified by the AOTCB and has been employed as an OTR or COTA within five years of the receipt date of current, complete application for licensure with TBOTE in Texas, a non-licensing state, foreign country, or state or federal government facility which does not require a license or other form of registration. Such provisional licensees shall complete extra hours of continuing education within a specified period of time as determined by the Coordinator of the Occupational Therapy Program.]

(3)

[(2)] The applicant must be sponsored by and practice with a person licensed by the board under this Act.

(4)

[(3)] An applicant may be excused from paragraph (3) [(2)] of this subsection if it constitutes a hardship to the applicant. A request for hardship exemption must be submitted in writing to the board. [ Hardship is established by the employer stating in writing to the board that the applicant is unable to secure a sponsor. If the applicant is self-employed, a letter may be provided by the applicant to this effect.]

(e)

An application for a regular, temporary, or provisional license will be referred to the Application Review Committee whenever additional information, investigation, or study of the application is warranted.

(f)

An applicant educated in Occupational Therapy [trained] outside the United States of America or its territories may be issued a temporary license, not to exceed a duration of nine months, upon approval from NBCOT [AOTCB] that the applicant has met all the requirements to sit for the next available certification examination.

(g)

A complete application must be received in the board's office not later than 12 months after successfully passing the certification examination. If the application is received more than 12 months after the examination, the applicant may be required to complete additional continuing education.

(h)

Any licensee holding a temporary, provisional, or regular license who continues to practice as an OT, OTA, OTR, or COTA after the expiration of his or her license will be subject to disciplinary action (refer to §374.1 of this title (relating to Disciplinary Actions)).

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Issued in Austin, Texas, on December 18, 1996.

TRD-9618383

John P. Maline

Executive Director

Texas Board of Occupational Therapy Examiners

Earliest possible date of adoption: February 3, 1997

For further information, please call: (512) 305-6900


Chapter 373. Supervision

40 TAC §373.1

The Texas Board of Occupational Therapy Examiners proposes an amendment to §373.1, concerning Supervision to clarify supervising licensees' responsibility for supervision and to identify actions which can and cannot be performed by COTAs and OT aides or orderlies. The changes also modify the requirements for documentation of supervision of COTAs.

John Maline, Executive Director of the Executive Council of Physical Therapy and Occupational Therapy Examiners, has determined that for the first five-year period the proposed amendment is in effect there will be no affect on state or local government.

Mr. Maline also has determined that for each year of the first five years the proposed amendment is in effect the public benefit anticipated as a result of enforcing the rule will be clearer accountability and better documentation of supervision in the provision of occupational therapy. There will be no effect on small businesses. There is no anticipated economic cost to persons having to comply with the proposed amendment.

Comments on the proposed rule may be submitted to Alicia Dimmick Essary, OT Coordinator, Texas Board of Occupational Therapy Examiners, 333 Guadalupe, Suite 2-510, Austin, Texas 78701.

The amendment is proposed under the Occupational Therapy Practice Act, Texas Civil Statutes, Article 8851, which provide the Texas Board of Occupational Therapy Examiners with the authority to adopt rules consistent with this Act to carry out its duties in administering this Act.

Texas Civil Statutes, Article 8851 is affected by the proposed amendment.

§373.1. Supervision.

(a)

Occupational Therapists, Registered (OTRs) are fully responsible for the planning and delivery of occupational therapy services.

(1)

The supervising OTR has overall responsibility for providing the supervision necessary to protect the health and welfare of the consumer receiving OT services from a COTA, temporary licensee, or OT aide or orderly.

(2)

OTRs must ensure that tasks appropriate for a COTA or temporary licensee are not delegated to persons without current licenses.

(3)

However, this does not absolve the COTA or temporary licensee from his or her professional responsibilities.

(b)

[(a)] Supervision of COTAs.

(1)

The OTR shall delegate responsibilities to the COTA that are within the scope of his or her training.

(2)

A COTA shall provide occupational therapy services only under the general supervision of a licensed OTR. (See Chapter 362 of this title (relating to Definitions))

(A)

A minimum of eight hours of supervision per month for full time COTAs must be documented on a "COTA/OTA Supervision Log" prescribed by the board. COTAs employed part time shall prorate the required supervision. [ (If the COTA is employed less than 20 hours per week, a minimum of four hours of supervision is required per month.) The "COTA/OTA Supervision Log" must be kept by the COTA, and a copy of this form must be maintained by the facility where the COTA provides services. One "COTA/OTA Supervision Log" must be completed for each separate employer.]

(i)

The "COTA/OTA Supervision Log" must be kept by the COTA, and a copy of this form must be maintained by the facility where the COTA provides services. One "COTA/OTA Supervision Log" must be completed for each separate employer.

(ii)

The "COTA / OTA Supervision Log" must be submitted to TBOTE with the COTA's renewal application.

(B)

The manner of supervision shall depend on the treatment setting, patient/client caseload, and the competency of the COTA as determined by the supervising OTR.

(C)

The supervising OTR need not be physically present or on the premises at all times.

(3)

A COTA may initiate and perform the screening process and collect information for the OTR's review. The OTR is responsible for determining if intervention is needed and if a physician's referral is required for evaluation and/or occupational therapy intervention.

(4)

An [The] OTR is responsible for completing the patient's evaluation/assessment. The supervising OTR may delegate any evaluative task to a COTA that the OTR and COTA agree is within the competency level of that COTA.

(5)

An [The supervising] OTR is responsible for developing and modifying the patient's treatment plan. The treatment plan must include the following components: goals, interventions/modalities, frequency, and duration.

[(6)

The supervising OTR has overall responsibility for providing the supervision necessary to protect the health and welfare of the consumer receiving treatment by a COTA. However, this does not absolve the COTA from his or her professional responsibilities.]

(6)

[(7)] An OTR assumes responsibility for the patient's discharge summary. The supervising OTR may delegate any discharge-related task to a COTA that the OTR and COTA agree is within the competency level of that COTA. [The supervising OTR is responsible for writing the patient's discharge summary.]

(7)

[(8)] It is the responsibility of the OTR and the COTA to ensure that all documentation prepared by the COTA which becomes part of the patient's/client's permanent record is co-signed by the supervising OTR. Occupational Therapy notes must be initialed by the OTR and signed at the bottom of each page.

(8)

[(9)] These rules shall not preclude the COTA from responding to emergency situations in the patient's condition which require immediate action.

[(10)

It is the responsibility of the COTA to notify the board within 30 days of a change in the primary OTR supervisor on a form provided by the board.]

(b)

Supervision of an OT Aide or OT Orderly.

(1)

When an OTR or COTA delegates OT tasks to an aide or orderly, the OTR and/or COTA is responsible for the aide's actions during patient contact on the delegated tasks. The licensee is responsible for ensuring that the aide is adequately trained in the tasks delegated. [The OTR or COTA is responsible for the actions of the OT Aide or OT Orderly during patient contact.]

(2)

An OTR and/ or COTA using OT Aide or OT Orderly personnel to assist with the provision of occupational therapy services must provide close personal supervision in order to protect the health and welfare of the consumer. (See Chapter 362 of this title (relating to Definitions))

(3)

(No change.)

(c)

Supervision of an occupational therapist or an occupational therapy assistant with a temporary license.

(1)

Temporary Licenses:

(A)

A person issued a temporary occupational therapy license must practice occupational therapy under the continuing supervision of an OTR. (See Chapter 362 of this title (relating to Definitions))

(B)

A minimum of 16 hours of supervision per month for full time OTAs must be documented on a "COTA/OTA Supervision Log" prescribed by the board. OTAs employed part time shall prorate the required supervision. [(]If the OTA is employed less than 20 hours per week, a minimum of eight hours of supervision is required per month.[) ] The "COTA/OTA Supervision Log" must be kept by the OTA, and a copy of this form must be maintained by the facility where the OTA provides services. One "COTA/OTA Supervision Log" must be completed for each separate employer.

(C)-(E)

(No change.)

(F)

All documentation completed by an individual holding a temporary license which becomes part of the patient's/client's permanent file must be co-signed by the supervising OTR. Occupational Therapy notes must be initialed by the OTR and signed at the bottom of each page.

(2)

(No change.)

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Issued in Austin, Texas, on December 18, 1996.

TRD-9618381

John P. Maline

Executive Director

Texas Board of Occupational Therapy Examiners

Earliest possible date of adoption: February 3, 1997

For further information, please call: (512) 305-6900