26 TAC § 306.269. Notification and Terminations

(a) Notification. The provider must notify the department or its designee if the provider has reason to believe that:

(1) the individual no longer meets the eligibility criteria for MH case management services as set forth in §412.405 of this title (relating to Eligibility for MH Case Management Services);

(2) the LAR of an individual has refused MH case management services on behalf of the individual;

(3) the adult or LAR has refused MH case management services;

(4) the provider cannot locate the individual and the provider has documented multiple attempts to locate the individual over a period of two consecutive months;

(5) the individual has died;

(6) the individual has established or intends to establish residency outside of the provider's service area; or

(7) if MH case management services are terminated for any reason described in paragraphs (1) - (6) of this subsection, the provider shall document the reason for terminating MH case management services.

(b) Termination. The department or designee shall terminate MH case management services provided to an individual if:

(1) the department or designee is notified of any of the circumstances described in subsection (a) of this section;

(2) it is determined that the individual no longer meets the eligibility criteria for MH case management services as set forth in §412.405 of this title; or

(3) the individual is not eligible for Medicaid and the department or its designee determines that there are insufficient resources to continue to provide MH case management services to the individual.