26 TAC § 301.321. Leadership, DIVISION 2. ORGANIZATIONAL STANDARDS

(a) Organizational planning and communication. The LMHA and MCO must define and implement organizational plans and systems as described in this subchapter (e.g., quality management plan, utilization management plan) and ensure that there are mechanisms in place that facilitate effective communication throughout the organization to promote the provision of quality mental health community services.

(b) Management of key processes and functions. The LMHA and MCO must define organizational and clinical processes and functions, including performance activities, as well as:

(1) allocate adequate, appropriate resources; and

(2) provide oversight for such processes and functions.

(c) Management information system. The LMHA, MCO, and provider must ensure their management information systems provide timely, accurate, and accessible information that supports clinical, administrative, and fiscal decision-making.

(d) Consumer advocacy. The LMHA and MCO must encourage and support advocacy for individuals accessing mental health community services.

(e) Conflict of interest and dual relationships. The LMHA and MCO must develop and implement policies and procedures to ensure that all staff members refrain from activities and relationships whereby personal, financial, professional, or other relationships could compromise or interfere with independent judgment creating a conflict of interest or otherwise having the potential to harm or exploit individuals and families.

(f) Collaboration with other health care agencies and community resources. The LMHA and MCO must demonstrate efforts to collaborate with other health care agencies and community resources to address the physical and behavioral health care needs of individuals, as well as to ensure that these needs are met.