Part III.
Texas Youth Commission
Chapter 83.
Purchasing Youth Services
37 TAC §83.35
(Editor's note: The text of the following section proposed for
repeal will not be published. The section may be examined in the offices of
the Texas Youth Commission or in the Texas Register office, Room 245, James
Earl Rudder Building, 1019 Brazos Street, Austin.)
The Texas Youth Commission (TYC) proposes the repeal
of §83.35, concerning Quality Assurance of Contract Programs. The repealed
section will allow for the publication of a new rule.
Terry Graham, Assistant Deputy Executive Director for Financial Support,
has determined that for the first five-year period the section is in effect
there will be no fiscal implications for state or local government as a result
of enforcing or administering the section.
Mr. Graham 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 efficient state government. There will be no effect on
small businesses. There is no anticipated economic cost to persons who are
required to comply with the section as proposed. No private real property
rights are affected by adoption of this rule.
Comments on the proposal may be submitted to Gail Graham, Policy and Manuals
Manager, Texas Youth Commission, 4900 North Lamar, P.O. Box 4260, Austin,
Texas, 78765.
The repeal is proposed under the Human Resources Code, §61.034,
concerning policies and rules, which provides the Texas Youth Commission with
the authority to make rules and adopt policies appropriate to the proper accomplishment
of its functions.
The proposed rule implements the Human Resource Code, §61.034.
§83.35.Quality Assurance of Contract Programs.
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.
Filed with the Office of the Secretary of State, on
April 5, 1999.
TRD-9902020
Steve Robinson
Executive Director
Texas Youth Commission
Earliest possible date of adoption: May 16, 1999
For further information, please call: (512) 424-6244
The Texas Youth Commission (TYC) proposes
the new section §83.35, concerning Quality Assurance of Contract Programs.
The new section will add specific information concerning the sanction of residential
and non-residential contract programs, which do not comply with TYC contract
and service delivery requirements. In addition to explaining the terms probation,
termination, and corrective action plan, the new rule identifies sanctions
that may be imposed during each phase of the process.
Terry Graham, Assistant Deputy Executive Director for Financial Support,
has determined that for the first five-year period the section is in effect
there will be no fiscal implications for state or local government as a result
of enforcing or administering the section.
Mr. Graham 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 greater protection for youth and staff in residential
and non-residential contract placements. There will be no effect on small
businesses. There is no anticipated economic cost to persons who are required
to comply with the section as proposed. No private real property rights are
affected by adoption of this rule.
Comments on the proposal may be submitted to Gail Graham, Policy and Manuals
Manager, Texas Youth Commission, 4900 North Lamar, P.O. Box 4260, Austin,
Texas, 78765.
The new section is proposed under the Human Resources Code, §61.052,
concerning Contract Monitoring, which provides the Texas Youth Commission
with the authority to establish a formal program to monitor residential program-related
client services contracts made by the commission and to obtain and evaluate
performance requirements using a risk assessment methodology.
The proposed rule implements the Human Resource Code, §61.034.
§83.35.Quality Assurance of Contract Programs.
(a)
Purpose. The purpose of this rule is to establish procedures
and sanctions whereby the Texas Youth Commission (TYC) ensures compliance
with contract and service delivery requirements by a residential or non-residential
contract program.
(b)
Explanation of Terms Used.
(1)
On-Site Visit--a visit by TYC monitoring staff to a contract
program. The visit may or may not be announced.
(2)
Technical Assistance--the assistance, advice or training
that TYC staff offer in areas of contract implementation, performance standards,
clarification, problem analysis, staff training, and program implementation.
(3)
Monitoring--a formal review of the service provider's
contract and service delivery.
(4)
Evaluation--a process used to measure and evaluate
the quality and effectiveness of a service agency and/or a program.
(5)
Risk Assessment--a process by which programs are identified
by specific risk factors that present the greatest risk to agency resources
and responsibility.
(6)
Corrective Action Plan--a plan developed by TYC and/or
program staff to address and remediate deficiencies in a timely manner.
(7)
Overall Performance Measure Rating--program performance
on the four most recent reports.
(8)
Overall Performance Measure Rating, Below Average--Two
or more reports (of the last four) with three or more measures below average.
(9)
Probation--a disciplinary designation assigned by
TYC to a contract program that has failed to bring about necessary changes
to comply with contract specifications and/or service delivery standards.
(10)
Termination--the most serious disciplinary designation
assigned by TYC to a contract program for repeated failures to make required
changes to comply with contract specifications, service delivery standards
or when policies for the welfare and rights of youth are not honored.
(11)
Sanctions--actions that may be taken by TYC to facilitate
service provider compliance with TYC stated requirements or deficient service
delivery.
(c)
TYC shall implement a quality assurance program that identifies
exceptions and standards and requires corrective action to bring the service
providers into compliance with applicable standards.
(d)
Monitoring.
(1)
All programs contracting with the TYC shall be monitored
and evaluated by TYC staff to ensure contract compliance and service delivery
performance.
(A)
TYC shall establish a monitoring schedule based on risk,
for all contract residential and non-residential programs. The schedule may
be shared with service providers.
(B)
High risk programs shall be monitored more frequently than
lower risk programs.
(2)
Based on deficiencies found, TYC may require
a contract program to comply with the corrective action recommended within
a designated time limit. Notification of the corrective action shall be in
writing to the service provider.
(3)
TYC staff may proceed through the continuum of sanctions
to initiate the appropriate sanction for the performance deficiency and shall
communicate such in writing to the service provider.
(e)
Probation.
(1)
TYC may place a contract program on probation status and
may designate the appropriate sanction for the performance deficiency and
shall communicate such in writing to the service provider. Sanctions may be
initiated if the service provider:
(A)
fails to complete the corrective action specified and no
extenuating circumstances exist; or
(B)
is non-compliant with any area of the contract; or
(C)
is below average in any single TYC performance measure;
or
(D)
is below average in overall performance measure rating.
(2)
Sanctions that may be used during probation for
a specified period of time to bring about desired contract and/or service
delivery changes are:
(A)
Limited placements--temporary or extended; or
(B)
Moratorium on placements--temporary or extended; or
(C)
Temporary removal of youth--partial or complete; or
(D)
Withholding of vendor payment; or
(E)
Limited parole assignments.
(3)
Re-evaluation of the program will occur at the
end of the specified probation period for desired changes in performance deficiencies.
At that time the program will be notified in writing of TYC's plan to:
(A)
remove from probationary status and reinstate in good standing;
or
(B)
continue on probation for a specified period of time, or
(C)
place on termination status.
(f)
Termination. TYC may place a contract program on termination
status and may designate the appropriate sanction for the performance deficiency
and shall communicate such in writing to the service provider. Sanction that
may be used are:
(1)
Permanent removal of youth--emergency or gradual; or
(2)
Cancellation of contract.
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.
Filed with the Office of the Secretary of State, on
April 5, 1999.
TRD-9902021
Steve Robinson
Executive Director
Texas Youth Commission
Earliest possible date of adoption: May 16, 1999
For further information, please call: (512) 424-6244
Subchapter D. Health Care Services
37 TAC §91.95
The Texas Youth Commission (TYC) proposes an amendment to
section §91.95, concerning Pregnancy and Abortion. The amendments to
the section allows TYC staff to provide medical treatment for high-risk pregnancy
to youth who, when committed to the agency and through the initial assessment
process, are determined to be pregnant and chemically dependent. TYC staff
will also provide counseling and assistance to the youth in the planning for
the care of the unborn child after delivery. Youth will not be allowed to
house their children in TYC or contract care facilities.
Terry Graham, Assistant Deputy Executive Director for Financial Support,
has determined that for the first five-year period the section is in effect
there will be no fiscal implications for state or local government as a result
of enforcing or administering the section.
Mr. Graham 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 medical protection and care for chemically dependent youth
who are pregnant and in TYC facilities. There will be no effect on small businesses.
There is no anticipated economic cost to persons who are required to comply
with the section as proposed. No private real property rights are affected
by adoption of this rule.
Comments on the proposal may be submitted to Gail Graham, Policy and Manuals
Manager, Texas Youth Commission, 4900 North Lamar, P.O. Box 4260, Austin,
Texas, 78765.
The amended section is proposed under the Human Resources Code,
§61.076, concerning type of treatment permitted, which provides the Texas
Youth Commission with the authority to as a means of correcting the socially
harmful tendencies of a child committed to it, the commission may require
the modes of life and conduct that seem best adapted to fit the child for
return to full liberty without danger to the public and provide any medical
or psychiatric treatment that is necessary and §61.0812, concerning treatment
for substance abuse, which provides the Texas Youth Commission with the authority
to require that a child with a substance abuse problem, including the use
of a controlled substance, hazardous substances, or alcohol habitually, complete
a substance abuse treatment program.
The proposed rule implements the Human Resource Code, §61.034.
§91.95.Pregnancy and Abortion.
(a)
Purpose. The purpose of this rule is to establish the agency's
role in managing a pregnant youth committed to
Texas Youth Commission
(TYC)
[
(b)
(No change.)
(c)
The agency shall provide regular prenatal and post-natal
care to pregnant youth. This care includes medical examinations, appropriate
activity levels, safety precautions, and nutrition.
If a pregnant youth
is determined to be chemically dependent through the assessment process at
the time of admission, the youth will receive appropriate care as a high-risk
pregnancy in order to manage any medical complications of the youth or her
child associated with the addiction.
(d)
A youth who is committed, recommitted or had parole revoked
during pregnancy will be placed appropriate to risk and need as determined
by TYC centralized placement.
Youth will be provided counseling and assistance
in planning for the care of their unborn child after delivery. Youth are not
allowed to house their children in a TYC or contract care facility.
(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 legal authority to adopt.
Filed with the Office of the Secretary of State, on
April 5, 1999.
TRD-9902023
Steve Robinson
Executive Director
Texas Youth Commission
Earliest possible date of adoption: May 16, 1999
For further information, please call: (512) 424-6244
Chapter 91.
Program Services
TYC
]. New commitment, recommitment, or revocation
of a female in her seventh month of pregnancy is not encouraged by TYC. Committing
counties are encouraged to make arrangements for the youth's care until delivery
of the child.
Chapter 111.
Contracting for Services Other Than Youth Services