TITLE 40.SOCIAL SERVICES AND ASSISTANCE

Part 1. TEXAS DEPARTMENT OF HUMAN SERVICES

Chapter 4. MEDICAID PROGRAMS--CHILDREN AND PREGNANT WOMEN

Subchapter A. ELIGIBILITY REQUIREMENTS

40 TAC §4.1006

The Texas Department of Human Services (DHS) proposes to amend §4.1006, concerning requirements for application, in its Medicaid Programs--Children and Pregnant Women chapter. The purpose of the amendment is to make the CPW Medicaid resource policy consistent with Temporary Assistance for Needy Families (TANF) policy so that it is less restrictive than current resource policy for these programs. Changes in this amendment include: removal of the school attendance requirement for 18-year-olds that eliminates the barrier to Medicaid eligibility for early graduates, allowance of a resource limit of $3,000 for households that have an aged or disabled member, and the addition of an exception that would consider a jointly owned vehicle that is owned with an individual who is not applying for or receiving benefits as inaccessible if the individual is not willing to sell the vehicle.

Eric M. Bost, 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 governments as a result of enforcing or administering the section.

Mr. Bost 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 adoption of the proposed rule will be that people who were previously excluded by these rules may be potentially eligible for Medicaid. There will be no effect on small or micro businesses as a result of enforcing or administering the section, because it applies only to the client's eligibility for Medicaid benefits, not to the operation of businesses. There is no anticipated economic cost to persons who are required to comply with the proposed section.

Questions about the content of this proposal may be directed to Melissa Saenz at (512) 438-4930 in DHS's Programs and Policy section. Written comments on the proposal may be submitted to Supervisor, Rules and Handbooks Unit-86, Texas Department of Human Services E-205, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

The amendment is proposed under the Human Resources Code, Title 2, Chapters 22, and 32, which authorize the department 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 the Human Resources Code, §§22.001- 22.030, §§31.001-31.0325, and §§32.001-32.042.

§4.1006.Requirements for Application.

To be eligible for the Medicaid Programs for Children and Pregnant Women (CPW) Program, clients must meet the following requirements.

(1)

Citizenship. Citizenship requirements for CPW applicants are the same as requirements for Temporary Assistance for Needy Families (TANF) applicants outlined in the Texas Department of Human Services' (DHS's) TANF rules in Chapter 3 of this title (relating to Texas Works).

(2)

Resources. Resource limits and types of countable and exempt resources for CPW are the same as those outlined in DHS's TANF rules, with the following exceptions:

(A)

The policy of receiving benefits up to six months pending a good faith effort to sell real property does not apply to the CPW Program.

[ (B)

The food stamp resource policy for households with no members 60 or over is applied when determining eligibility for children under six and children six or older born on or after October 1, 1983. Exception: DHS follows the TANF resource policy for loans and Texas Tomorrow Funds.]

(B)

[ (C) ] When determining eligibility for children described in §4.1004(1)-(3) of this title (relating to Eligible Groups), the family's primary vehicle is exempt. All other vehicles are considered in accordance with food stamp resource requirements. Exception: Follow TANF policy for jointly owned vehicles.

(C)

[ (D) ] Pregnant women described in §4.1004(1) of this title (relating to Eligible Groups) are exempt from a resource eligibility requirement.

(D)

[ (E) ] The TANF and Food Stamp policy for transferring resources to qualify for assistance does not apply to the CPW program.

(E)

[ (F) ] An alien sponsor's (and spouse's) resources are only counted for applicants admitted into the United States on or after December 19, 1997.

(3)

Age and relationship. Eligible children must meet the age and relationship requirements outlined in the TANF rules with the following exceptions:

(A)

Medicaid coverage under the newborn children provision continues until the end of the month of the child's first birthday if:

(i)

the child's mother continues to receive Medicaid, or the child's mother would continue to receive Medicaid if she were pregnant; and

(ii)

the child continues to live with his mother.

(B)

Medicaid coverage under the newborn children provision for children whose mothers are considering adoption, continues through the month the mother relinquishes her parental rights.

(C)

Children in two-parent families must meet the TANF relationship requirements to be eligible.

(D)

Relationship must be established between a parent and a child in order to include the child's needs in an application for a pregnant woman in a two-parent family.

(E)

Children listed in §4.1004(2) and (3) of this title (relating to Eligible Groups) do not need to meet the relationship/domicile requirements.

(4)

Child support requirements. The responsible relative of deprived Medicaid children must cooperate with the establishment of medical support from the absent parent(s). Exception: Pregnant women are not sanctioned for noncooperation with child support requirements.

[ (5)

School attendance. Eligible children must meet the school attendance requirements outlined in the TANF rules.]

(5)

[ (6) ] Social security number. Eligible members of the budget group must meet the social security number requirement outlined in the TANF rules. Ineligible members are requested to provide social security numbers, but they are not required to provide their numbers.

(6)

[ (7) ] Newborn children. Only the requirement in paragraphs (3)(A) and (3)(B) of this section applies to children who are covered by the newborn children provision.

(7)

[ (8) ] Third-party resources. Eligible members of the budget group must cooperate in third-party resources activities outlined in the TANF rules.

(8)

[ (9) ] Strikers. The TANF striker policy applies to children described in §4.1004(5) of this title (relating to Eligible Groups). The policy does not apply to persons described in §4.1004(1)-(4).

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 March 14, 2001.

TRD-200101536

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Earliest possible date of adoption: April 29, 2001

For further information, please call: (512) 438-3108


Chapter 95. MEDICATION AIDES--PROGRAM REQUIREMENTS

40 TAC §95.128

The Texas Department of Human Services (DHS) proposes new §95.128, concerning home health medication aides, in its Medication Aides--Program Requirements chapter. The purpose of the new section is to move policy relating to medication aides from DHS's Chapter 97, Licensing Standards for Home and Community Support Services Agencies, to the more appropriate medication aides chapter.

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

Mr. Bost also has determined that for each year of the first five years the section are in effect the public benefit anticipated as a result of adoption of the proposed rule will be to allow access to the medication aides rules in one chapter. There will be no adverse economic effect on small or micro businesses, because only the location of the rules is changing. There is no anticipated economic cost to persons who are required to comply with the proposed section.

Questions about the content of this proposal may be directed to Lynette Sanders at (512) 231-5800 in DHS's Credentialing Department. Written comments on the proposal may be submitted to Supervisor, Rules and Handbooks Unit-083, Texas Department of Human Services E-205, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under §2007.003(b) of the Texas Government Code, the department has determined that Chapter 2007 of the Government Code does not apply to these rules. Accordingly, the department is not required to complete a takings impact assessment regarding these rules.

The new section is proposed under the Health and Safety Code, Chapter 142, which provides the department with the authority to adopt rules for the licensing and regulation of home and community support services agencies.

The new section implements the Health and Safety Code, Chapter 142.001-142.030, Subchapter F.

§95.128.Home Health Medication Aides.

(a)

General.

(1)

A person may not administer medication to a client unless the person:

(A)

holds a current license under state law which authorizes the licensee to administer medication;

(B)

holds a current permit issued under this section and acts under the delegated authority of a registered nurse (RN) licensed by the Board of Nurse Examiners which authorizes the licensee to administer medication;

(C)

administers a medication to a client of an agency in accordance with rules of the Board of Nurse Examiners that permit delegation of the administration of medication to a person not holding a permit under this section; or

(D)

administers noninjectable medication under circumstances authorized by the memorandum of understanding between the Board of Nurse Examiners and the Texas Department of Human Services (DHS).

(2)

An agency providing licensed and certified home health services, licensed home health services, hospice services, or personal assistance services. If there is a direct conflict between the requirements of this chapter and federal regulations, the requirements that are more stringent apply to the licensed and certified home health services agency may use a home health medication aide.

(3)

Other exemptions are as follows.

(A)

A person may administer medication to a client of an agency without the license or permit as required in paragraph (1) of this subsection if the person is:

(i)

a graduate nurse holding a temporary permit issued by the Board of Nurse Examiners;

(ii)

a student enrolled in an accredited school of nursing or program for the education of Rns who is administering medications as part of the student's clinical experience;

(iii)

a graduate vocational nurse holding a temporary permit issued by the Board of Vocational Nurse Examiners;

(iv)

a student enrolled in an accredited school of vocational nursing or program for the education of vocational nurses who is administering medications as part of the student's clinical experience; or

(v)

a trainee in a medication aide training program approved by DHS under this chapter who is administering medications as part of the trainee's clinical experience.

(B)

Supervision of an exempt person described in subparagraph (A) of this paragraph is as follows.

(i)

A person described in:

(I)

subparagraph (A)(i) of this paragraph shall be supervised by an RN;

(II)

subparagraph (A)(ii) or (iv) of this paragraph shall be supervised by the student's instructor; or

(III)

subparagraph (A)(iii) of this paragraph shall be supervised by an RN or licensed vocational nurse.

(ii)

Supervision must be on-site.

(C)

An exempt person described in this subsection may not be used in a supervisory or charge position.

(b)

Required actions.

(1)

If home health medication aide services are provided, an agency employs a home health medication aide to provide home health medication aide services, and an RN shall be employed by or under contract with the agency to perform the initial assessment; prepare the client care plan; establish the medication list, medication administration record, and medication aide assignment sheet; and supervise the home health medication aide. The RN must be available to supervise the home health medication aide when services are provided.

(2)

The clinical records of a patient using a home health medication aide must include a statement signed by the client or family acknowledging receipt of the list of permitted and prohibited acts of a home health medication aide.

(3)

The RN must be knowledgeable regarding the rules of DHS governing home health medication aides and must assure that the home health medication aide is in compliance with the statute.

(4)

A permit holder must:

(A)

function under the supervision of an RN;

(B)

function in accordance with applicable law and this chapter relating to administration of medication and operation of the agency;

(C)

comply with DHS rules applicable to personnel used in an agency; and

(D)

comply with this section and §97.61 of this title (relating to Home Health Aides) if the person will be used as a home health aide and a home health medication aide.

(5)

The RN must make a supervisory visit while the medication aide is in the client's residence in accordance with §97.21(b)(6) of this title (relating to Licensure Requirements and Standards for Agencies Providing Licensed Home Health, Licensed and Certified Home Health or Hospice Services).

(c)

Permitted actions. A permit holder is permitted to:

(1)

observe and report to the agency's RN and document in the clinical note reactions and side effects to medication shown by a client;

(2)

take and record vital signs prior to the administration of medication which could affect or change the vital signs;

(3)

administer regularly prescribed medication which the permit holder has been trained to administer only after personally preparing (setting up) the medication to be administered. The medication aide must document the administered medication in the client's clinical note;

(4)

administer oxygen per nasal cannula or a non-sealing face mask only in emergency. Immediately after the emergency, the permit holder must verbally notify the supervising RN and appropriately document the action and notification;

(5)

apply specifically ordered ophthalmic, otic, nasal, vaginal, topical, and rectal medication unless prohibited by subsection (d)(10) of this section; and

(6)

administer medications only from the manufacturer's original container or the original container in which the medication had been dispensed and labeled by the pharmacy with all information mandated by the Texas State Board of Pharmacy.

(d)

Prohibited actions. Permit holders must not:

(1)

administer a medication by any injectable route;

(2)

administer medication used for intermittent positive pressure breathing (IPPB) treatment or any form of medication inhalation treatments;

(3)

administer previously ordered pro re nata (PRN) medication unless authorization is obtained from the agency's RN. If authorization is obtained, the permit holder must:

(A)

document in the client's clinical notes symptoms indicating the need for medication and the time the symptoms occurred;

(B)

document in the client's clinical notes that the agency's RN was contacted, symptoms were described, and permission was granted to administer the medication and the time of contact;

(C)

obtain permission to administer the medication each time the symptoms occur in the client; and

(D)

insure that the client's clinical record is co-signed by the RN who gave permission within seven calendar days of incorporation of the notes into the clinical record;

(4)

administer the initial dose of a medication that has not been previously administered to a client. Whether a medication has been previously administered must be determined by the client's current clinical records;

(5)

calculate a client's medication doses for administration except that the permit holder may measure a prescribed amount of a liquid medication to be administered or break a scored tablet for administration to a client provided the RN has calculated the dosage. The client's medication administration record must accurately document how the tablet must be altered prior to administration;

(6)

crush medication unless authorization has been given in the original physician's order or obtained from the agency's RN. The authorization to crush the specific medication must be documented on the client's medication administration record;

(7)

administer medications or feedings by way of a tube inserted in a cavity of the body except as specified in §97.21(b)(6) of this title;

(8)

receive or assume responsibility for reducing to writing a verbal or telephone order from a physician, dentist, or podiatrist;

(9)

order a client's medication from a pharmacy;

(10)

apply topical medications that involve the treatment of skin that is broken or blistered when a specified aseptic technique is ordered by the attending physician;

(11)

administer medications from any container other than the manufacturer's original container or the original container in which the medication had been dispensed and labeled by the pharmacy with all information mandated by the Texas State Board of Pharmacy;

(12)

steal, divert, or otherwise misuse medications;

(13)

violate any provision of the statute or of this chapter;

(14)

fraudulently procure or attempt to procure a permit;

(15)

neglect to administer appropriate medications, as prescribed, in a responsible manner; or

(16)

administer medications if the person is unable to do so with reasonable skill and safety to clients by reasons of drunkenness, excessive use of drugs, narcotics, chemicals, or any other type of material.

(e)

Applicant qualifications. Each applicant for a permit issued under the statute must complete a training program. Prior to enrollment in a training program and prior to application for a permit under this section, all persons:

(1)

must be able to read, write, speak, and understand English;

(2)

must be at least 18 years of age;

(3)

must be free of communicable diseases and in suitable physical and emotional health to safely administer medications;

(4)

must be a graduate of a high school or have an equivalent diploma or higher degree; and

(5)

must have satisfactorily completed a home health aide training and competency evaluation program or a competency evaluation program under Chapter §97.61 (relating Home Health Aides).

(f)

Nursing graduates. A person who is a graduate of an accredited school of nursing and who does not hold a license to practice professional or vocational nursing meets the training requirements for issuance of a permit under this section; if the date of graduation from the nursing school was no earlier than January 1 of the year immediately preceding the year of application for a permit under this section.

(1)

The applicant must submit an official application form to DHS. The applicant must meet the requirements of subsection (e)(1)-(4) of this section.

(2)

The application must be accompanied by the permit application fee.

(3)

The applicant must include an official transcript documenting graduation from an accredited school of nursing.

(4)

DHS acknowledges receipt of the application by forwarding to the applicant a copy of this chapter and DHS's open book examination.

(5)

The applicant must complete the open book examination and return it within 45 calendar days to DHS.

(6)

The applicant must complete DHS's written examination. DHS determines the site of the examination. Any applicant failing to schedule and take the examination within 45 calendar days of the examination notice may have his or her application voided.

(7)

An open book or written examination may not be retaken if the applicant fails.

(8)

Upon successful completion of the two examinations, DHS evaluates all application documents submitted by the applicant.

(9)

DHS notifies the applicant in writing of the examination results.

(g)

Nursing students. A person who is attending or has attended an accredited school of nursing and who does not hold a license to practice professional or vocational nursing meets the training requirements for issuance of a permit under this section if the person:

(1)

attended the nursing school no earlier than January 1 of the year immediately preceding the year of application for a permit under this section;

(2)

successfully completed courses at the nursing school that cover DHS's curriculum for a home health medication aide training program;

(3)

submits a statement that is signed by the nursing school's administrator or other authorized individual and certifies that the person completed the courses specified under paragraph (2) of this subsection. The administrator is responsible for determining that the courses to which he or she certifies cover DHS's curriculum. The statement must be submitted with the person's application for a permit under this section; and

(4)

complies with subsection (f)(1)-(2) and (4)-(9) of this section.

(h)

Reciprocity. A person who holds a valid license, registration, certificate, or permit as a home health medication aide issued by another state whose minimum standards or requirements are substantially equivalent to or exceed the requirements of this section in effect at the time of application may request a waiver of the training program requirement.

(1)

The graduate must submit an official application form to DHS. The applicant must meet the requirements of subsection (e)(1)-(4) of this section.

(2)

The application must be accompanied by the permit application fee.

(3)

The application must include a current copy of the rules of the other state governing its licensing and regulation of home health medication aides, a copy of the legal authority (law, act, code, section, or otherwise) for the state's licensing program, and a certified copy of the license or certificate by which the reciprocal permit is requested.

(4)

DHS acknowledges receipt of the application by forwarding to the applicant a copy of this chapter and of DHS's open book examination.

(5)

DHS may contact the issuing agency to verify the applicant's status with the agency.

(6)

The applicant must complete DHS's open book examination and return it within 45 calendar days to DHS.

(7)

The applicant must complete DHS's written examination. The site of the examination shall be determined by DHS. Any applicant failing to schedule and take the examination within 45 calendar days of the examination notice may have his or her application voided.

(8)

An open book or written examination may not be retaken if the applicant fails.

(9)

Upon successful completion of the two examinations, DHS evaluates all application documents submitted by the applicant.

(10)

DHS notifies the applicant in writing of the examination results.

(i)

Application by trainees. An applicant under subsection (e) of this section must submit to DHS, no later than 30 calendar days after enrollment in a training program, all required information and documentation on official DHS forms.

(1)

DHS does not consider an application as officially submitted until the applicant submits the nonrefundable combined permit application and examination fee payable to the Texas Department of Human Services. The fee required by subsection (n) of this section must accompany the application form.

(2)

The general statement enrollment form must contain the following application material that is required of all applicants:

(A)

specific information regarding personal data, certain misdemeanor and felony convictions, work experience, education, and training;

(B)

a statement that all of the requirements in subsection (e) of this section were met prior to the start of the program;

(C)

a statement that the applicant understands that application fee submitted in the permit process is nonrefundable;

(D)

a statement that the applicant understands that materials submitted in the application process are not returnable;

(E)

a statement that the applicant understands that it is a misdemeanor to falsify any information submitted to DHS; and

(F)

the applicant's signature that has been dated and notarized.

(3)

The applicant must submit a certified copy or a photocopy that has been notarized as a true and exact copy of an unaltered original of the applicant's high school graduation diploma or transcript or an equivalent GED diploma or higher degree unless the applicant is applying under subsection (f) of this section.

(4)

DHS sends a notice listing the additional materials required to an applicant who does not complete the application in a timely manner. An application not completed within 30 calendar days after the date of the notice will be void.

(5)

Notice of application acceptance, disapproval, or deficiency must be in accordance with subsection (q) of this section.

(j)

Examination. DHS gives a written examination to each applicant at a site determined DHS.

(1)

No final examination may be given to an applicant until the applicant has met the requirements of subsections (e) and (i) of this section, and if applicable, subsections (f), (g), or (h) of this section.

(2)

The applicant must be tested on the subjects taught in the training program curricula and clinical experience. The examination covers an applicant's knowledge of accurate and safe drug therapy to an agency's clients.

(3)

A training program must notify DHS at least four weeks prior to its requested examination date.

(4)

DHS determines the passing grade on the examination.

(5)

DHS notifies in writing an applicant who fails the examination.

(A)

An applicant under subsection (e) of this section may be given a subsequent examination, without additional payment of a fee, upon the applicant's written request to DHS.

(B)

A subsequent examination must be completed within 45 calendar days from the date of the failure notification. DHS determines the site of the examination.

(C)

Another examination will not be permitted if the student fails the subsequent examination unless the student enrolls and successfully completes another training program.

(6)

An applicant who is unable to attend the applicant's scheduled examination due to unforeseen circumstances may be given an examination at another time without payment of an additional fee upon the applicant's written request to DHS. The examination must be completed within 45 calendar days from the date of the originally scheduled examination. DHS determines the site for the rescheduled examination.

(7)

An applicant whose application for a permit will be disapproved under subsection (k) of this section is ineligible to take the examination.

(k)

Determination of eligibility. DHS receives and approves or disapproves all applications. Notices of application approval, disapproval, or deficiency must be in accordance with subsection (q) of this section.

(1)

An application for a permit is disapproved if the person has:

(A)

not met the requirements of subsections (e)-(i) of this section, if applicable;

(B)

failed to pass the examination prescribed by DHS as set out in subsection (j) of this section;

(C)

failed to or refused to properly complete or submit any application form, endorsement, or fee, or deliberately presented false information on any form or document required by DHS;

(D)

violated or conspired to violate the statute or any provision of this chapter; or

(E)

been convicted of a felony or misdemeanor if the crime directly relates to the duties and responsibilities of a permit holder as set out in subsection (r) of this section.

(2)

If, after review, DHS determines that the application should not be approved, the director gives the applicant written notice of the reason for the proposed decision and of the opportunity for a formal hearing in accordance with subsection (r) of this section.

(l)

Permit renewal. Home health medication aides must comply with the following permit renewal requirements.

(1)

When issued, a permit is valid for one year.

(2)

A permit holder must renew the permit annually.

(3)

The renewal date of a permit is the last day of the current permit.

(4)

Each permit holder is responsible for renewing the permit before the expiration date. Failure to receive notification from DHS before the expiration date of the permit does not excuse failure to file for timely renewal.

(5)

A permit holder must complete a seven clock-hour continuing education program approved by DHS prior to expiration of the permit in order to renew the permit. Continuing education hours are required for the first renewal.

(6)

DHS denies renewal of the permit of a permit holder who is in violation of the statute or this chapter at the time of application for renewal.

(7)

Home health medication aide permit renewal procedures are as follows.

(A)

At least 30 calendar days before the expiration date of a permit, DHS sends to the permit holder at the address in DHS's records notice of the expiration date of the permit and the amount of the renewal fee due and a renewal form that the permit holder must complete and return with the required renewal fee.

(B)

The renewal form must include the preferred mailing address of the permit holder and information on certain misdemeanor and felony convictions. It must be signed by the permit holder.

(C)

DHS issues a renewal permit to a permit holder who has met all requirements for renewal.

(D)

DHS will not renew a permit if the permit holder does not complete the required seven-hour continuing education requirement. Successful completion is determined by the student's instructor. An individual who does not meet the continuing education requirement must complete a new program, application, and examination in accordance with the requirements of this section.

(E)

DHS will not renew a permit if renewal is prohibited by the Texas Education Code, §57.491, concerning defaults on guaranteed student loans.

(F)

If a permit holder fails to timely renew his or her permit because the permit holder is or was on active duty with the armed forces of the United States of America serving outside the State of Texas, the permit holder may renew the permit pursuant to this subsection.

(i)

Renewal of the permit may be requested by the permit holder, the permit holder's spouse, or an individual having power of attorney from the permit holder. The renewal form must include a current address and telephone number for the individual requesting the renewal.

(ii)

Renewal may be requested before or after the expiration of the permit.

(iii)

A copy of the official orders or other official military documentation showing that the permit holder is or was on active military duty serving outside the State of Texas should be filed with DHS along with the renewal form.

(iv)

A copy of the power of attorney from the permit holder must be filed with DHS along with the renewal form if the individual having the power of attorney executes any of the documents required in this subsection.

(v)

A permit holder renewing under this subsection must pay the applicable renewal fee.

(vi)

A permit holder is not authorized to act as a home health medication aide after the expiration of the permit unless and until the permit holder actually renews the permit.

(vii)

A permit holder renewing under this subsection is not required to submit any continuing education hours.

(8)

A person whose permit has expired for not more than two years may renew the permit by submitting to DHS:

(A)

the permit renewal form;

(B)

all accrued renewal fees;

(C)

proof of having earned, during the expired period, seven hours in an approved continuing education program for each year or part of a year that the permit has been expired; and

(D)

proof of having earned, prior to expiration of the permit, seven hours in an approved continuing education program as required in paragraph (5) of this subsection.

(9)

A permit that is not renewed during the two years after expiration may not be renewed.

(10)

Notices of permit renewal approval, disapproval, or deficiency must be in accordance with subsection (q) of this section (relating to Processing Procedures).

(m)

Changes.

(1)

Notification of changes shall be reported to DHS within 30 calendar days after a change of address or name.

(2)

DHS replaces a lost, damaged, or destroyed permit upon receipt of a completed duplicate permit request form and permit replacement fee.

(n)

Fees.

(1)

The schedule of fees is:

(A)

combined permit application and examination fee--$25;

(B)

renewal fee--$15; and

(C)

permit replacement fee--$5.00.

(2)

All fees are nonrefundable.

(3)

An applicant whose personal check for the combined permit application and examination fee is not honored by the financial institution may reinstate the application by remitting to DHS a money order or cashier's check for the amount within 30 calendar days of the date of the applicant's receipt of DHS's notice. An application will be considered incomplete until the fee has been received and cleared through the appropriate financial institution.

(4)

A permit holder whose personal check for the renewal fee is not honored by the financial institution must remit to DHS a money order or cashier's check within 30 calendar days of the date of the licensee's receipt of DHS's notice. If proper payment is not received, the permit will not be renewed. If a renewal card has already been issued, it will be void.

(o)

Training program requirements.

(1)

An educational institution accredited by the Texas Education Agency or Texas Higher Education Coordinating Board that desires to offer a training program must file an application for approval on an official form. Programs sponsored by state agencies for the training and preparation of its own employees are exempt from the accreditation requirement. An approved institution may offer the training program and a continuing education program.

(A)

All signatures on official forms and supporting documentation must be originals.

(B)

The application includes:

(i)

the anticipated dates of the program;

(ii)

the location(s) of the classroom course(s);

(iii)

the name of the coordinator of the program;

(iv)

a list of instructors and any other person responsible for the conduct of the program. The list must include addresses and telephone numbers for each instructor; and

(v)

an outline of the program content and curriculum if the curriculum covers more than DHS's established curricula.

(C)

DHS may conduct an inspection of the classroom site.

(D)

Notice of approval or proposed disapproval of the application will be given to the program within 30 calendar days of the receipt of a complete application. If the application is proposed to be disapproved due to noncompliance with the requirements of the statute or of this chapter, the reasons for disapproval must be given in the notice.

(E)

An applicant may request a hearing on a proposed disapproval in writing within ten calendar days of receipt of the notice of the proposed disapproval. The hearing must be in accordance with subsection (r) of this section and the Administrative Procedure Act, Texas Government Code, Chapter 2001. If no request is made, the applicant is deemed to have waived the opportunity for a hearing, and the proposed action may be taken.

(2)

The program includes, but is not limited to, the following instruction and training:

(A)

procedures for preparation and administration of medications;

(B)

responsibility, control, accountability, storage, and safeguarding of medications;

(C)

use of reference material;

(D)

documentation of medications in the client's clinical records, including PRN medications;

(E)

minimum licensing standards for agencies covering pharmaceutical service, nursing service, and clinical records;

(F)

federal and state certification standards for participation under the Social Security Act, Title XVIII (Medicare), pertaining to pharmaceutical service, nursing service, and clinical records;

(G)

lines of authority in the agency, including agency personnel who are immediate supervisors;

(H)

responsibilities and liabilities associated with the administration and safeguarding of medications;

(I)

allowable and prohibited practices of permit holders in the administration of medication;

(J)

drug reactions and side effects of medications commonly administered to home health clients;

(K)

instruction on universal precautions; and

(L)

the provisions of this chapter.

(3)

The program consists of 140 hours: 100 hours of classroom instruction and training, 20 hours of return skills demonstration laboratory, ten hours of clinical experience including clinical observation and skills demonstration under the supervision of a RN in an agency, and ten more hours in the return skills demonstration laboratory in the preceding order. A classroom or laboratory hour constitutes 50 clock-minutes of actual classroom or laboratory time.

(A)

Class time will not exceed four hours in a 24-hour period.

(B)

The completion date of the program must be a minimum of 60 calendar days and a maximum of 180 calendar days from the starting date of the program.

(C)

Each program must follow the curricula established by DHS.

(4)

At least seven calendar days prior to the commencement of each program, the coordinator must notify DHS in writing of the starting date, the ending date, the daily hours of the program, and the projected number of students.

(5)

A change in any information presented by the program in an approved application including, but not limited to, location, instructorship, and content must be approved by DHS prior to the program's effective date of the change.

(6)

The program instructors of the classroom hours must be an RN and registered pharmacist.

(A)

The nurse instructor must have a minimum of two years of full-time experience in caring for the elderly, chronically ill, or pediatric clients or been employed full time for a minimum of two years as an RN with a home and community support services agency. An instructor in a school of nursing may request a waiver of the experience requirement.

(B)

The pharmacist instructor must have a minimum of one year of experience and be currently employed as a practicing pharmacist.

(7)

The coordinator must provide clearly defined and written policies regarding each student's clinical experience to the student, the administrator, and the director of nursing of the agency used for the clinical experience.

(A)

The clinical experience must be counted only when the student is observing or involved in functions involving medication administration and under the direct, contact supervision of an RN.

(B)

The coordinator is responsible for final evaluation of the student's clinical experience.

(8)

Upon successful completion of the program, each program issues to each student a certificate of completion, including the program's name, the student's name, the date of completion, and the signature of the program coordinator.

(9)

Each program must inform DHS of the satisfactory completion for each student within 15 calendar days of completion of the course. The official department class roster form must be used and signed by the coordinator.

(p)

Continuing education. The continuing education training program is as follows.

(1)

The program must consist of at least seven clock hours of classroom instruction.

(2)

The instructor must meet the requirements in subsection (o)(6) of this section.

(3)

Each program must follow the curricula established by DHS.

(4)

Each program must inform DHS of the name of each permit holder who completes the course within 15 calendar days. The official department class roster form must be used and signed by the coordinator.

(q)

Processing procedures. DHS complies with the following procedures in processing applications of home health medication aide permits and renewal of permits.

(1)

The following periods of time apply from the date of receipt of an application until the date of issuance of a written notice that the application is complete and accepted for filing or that the application is deficient and additional specific information is required. A written notice stating that the application has been approved may be sent in lieu of the notice of acceptance of a complete application. The time periods are:

(A)

letter of acceptance of an application for a home health medication aide permit--14 working days; and

(B)

letter of application or renewal deficiency--14 working days.

(2)

The following periods of time shall apply from the receipt of the last item necessary to complete the application until the date of issuance of written notice approving or denying the application. The time periods for denial include notification of proposed decision and of the opportunity, if required, to show compliance with the law and of the opportunity for a formal hearing. An application is not considered complete until the required documentation and fee have been submitted by the applicant. The time periods are as follows:

(A)

the issuance of an initial permit--90 calendar days;

(B)

the letter of denial for a permit--90 calendar days; and

(C)

the issuance of a renewal permit--20 calendar days.

(3)

In the event an application is not processed in the time period stated in paragraphs (1) and (2) of this subsection, the applicant has the right to request reimbursement of all fees paid in that particular application process. Request for reimbursement is made to the director of the Home Health Medication Aide Permit Program. If the director of the Home Health Medication Aide Permit Program does not agree that the time period has been violated or finds that good cause existed for exceeding the time period, the request will be denied.

(4)

Good cause for exceeding the time period is considered to exist if the number of applications for initial home health medication aide permits and renewal permits exceeds by 15% or more the number of applications processed in the same calendar quarter of the preceding year; another public or private entity relied upon by DHS in the application process caused the delay; or any other condition exists giving DHS good cause for exceeding the time period.

(5)

If a request for reimbursement under paragraph (3) of this subsection is denied by the director of the Home Health Medication Aide Permit Program, the applicant may appeal to the commissioner of DHS for a timely resolution of any dispute arising from a violation of the time periods. The applicant must give written notice to the commissioner at the address of DHS that he or she requests full reimbursement of all fees paid because his or her application was not processed within the applicable time period. The director of the Home Health Medication Aide Permit Program must submit a written report of the facts related to the processing of the application and of any good cause for exceeding the applicable time period. The commissioner provides written notice of the commissioner's decision to the applicant and the director of the Home Health Medication Aide Permit Program. An appeal is decided in the applicant's favor if the applicable time period was exceeded and good cause was not established. If the appeal is decided in favor of the applicant, full reimbursement of all fees paid in that particular application process are made.

(6)

The time periods for contested cases related to the denial of initial home health medication aide permits or renewal permits are not included within the time periods stated in this subsection. The time period for conducting a contested case hearing runs from the date DHS receives a written request for a hearing and ends when the decision of DHS is final and appealable. A hearing may be completed within one to four months but may extend for a longer period of time depending on the particular circumstances of the hearing.

(r)

Denial, suspension, or revocation.

(1)

DHS may deny, suspend, emergency suspend, or revoke a permit or program approval if the permit holder or program fails to comply with any provision of the statute or this chapter.

(2)

DHS may also take action under paragraph (1) of this subsection for fraud, misrepresentation, or concealment of material fact on any documents required to be submitted to DHS or required to be maintained or complied by the permit holder or program pursuant to this chapter.

(3)

DHS may suspend or revoke an existing permit or program approval or disqualify a person from receiving a permit or program approval because of a person's conviction of a felony or misdemeanor if the crime directly relates to the duties and responsibilities of a home health medication aide or training program. In determining whether a conviction directly relates, DHS must consider the elements set forth in §97.52(c) of this title (relating to Enforcement Action).

(4)

If DHS proposes to deny, suspend, or revoke a home health medication aide permit or to rescind a home health medication aide program approval, the director notifies the permit holder or home health medication aide program by certified mail, return receipt requested, of the reasons for the proposed action and offer the permit holder or home health medication aide program an opportunity for a hearing.

(A)

The permit holder or home health medication aide program must request a hearing within 15 calendar days of receipt of the notice. Receipt of notice is presumed to occur on the tenth calendar day after the notice is mailed to the last address known to DHS unless another date is reflected on a United States Postal Service return receipt.

(B)

The request must be in writing and submitted to the Texas Department of Human Services, Medication Aide Program, Mail Code 979, P.O. Box 149030, Austin, Texas 78714-9030.

(C)

If the permit holder or home health medication aide program does not request a hearing, in writing, within 15 calendar days of receipt of the notice, the permit holder or home health medication aide program is deemed to have waived the opportunity for a hearing and the proposed action is taken.

(5)

DHS may suspend a permit to be effective immediately when the health and safety of persons are threatened. DHS notifies the permit holder of the emergency action by certified mail, return receipt requested, or personal delivery of the notice and of the effective date of the suspension and the opportunity for the permit holder to request a hearing.

(6)

All hearings must be conducted pursuant to the Administrative Procedure Act, Texas Government Code, Chapter 2001, and DHS's formal hearing procedures in Chapter 79 of this title (relating to Legal Services).

(7)

If the permit holder or program fails to appear or be represented at the scheduled hearing, the permit holder or program has waived the right to a hearing and the proposed action is taken.

(8)

If DHS suspends a home health medication aide permit, the suspension remains in effect until DHS determines that the reason for suspension no longer exists. DHS investigates prior to making a determination.

(A)

During the time of suspension, the suspended permit holder must return his or her permit to DHS.

(B)

If a suspension overlaps a renewal date, the suspended permit holder may comply with the renewal procedures in this chapter; however, DHS may not renew the permit until DHS determines that the reason for suspension no longer exists.

(9)

If DHS revokes or does not renew a permit, a person may reapply for a permit by complying with the requirements and procedures in this chapter at the time of reapplication.

(A)

DHS may refuse to issue a permit if the reason for revocation or nonrenewal continues to exist.

(B)

Upon revocation or nonrenewal, a permit holder must return the license or permit to DHS.

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 March 14, 2001.

TRD-200101535

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Earliest possible date of adoption: April 29, 2001

For further information, please call: (512) 438-3108