Section 554.2751 - Requesting Authorization to Provide Therapy Services(a) Before requesting authorization to provide a therapy service to a designated resident, a nursing facility must ensure that: (1) the therapy service is required by the designated resident's comprehensive care plan; (2) the designated resident has a diagnosis relevant to the need for the therapy service; (3) the therapy service is ordered by the designated resident's attending physician; and (4) a therapy provider who meets the qualifications in §554.2752 of this division (relating to Qualifications of a Provider of Therapy Services) completes an assessment within 30 days before the nursing facility request for authorization to provide the therapy service. (b) After a nursing facility submits a request for authorization to provide a therapy service to a designated resident: (1) the nursing facility receives a written approval or denial of its request through the LTC Online Portal; and (2) HHSC notifies the designated resident or the designated resident's LAR that the request has been approved or denied. (c) If HHSC denies a request for authorization to provide therapy services to a designated resident, the designated resident may request a fair hearing in accordance with 1 TAC Chapter 357, Subchapter A (relating to Uniform Fair Hearing Rules), to appeal the denial.26 Tex. Admin. Code § 554.2751
Adopted by Texas Register, Volume 42, Number 35, September 1, 2017, TexReg 4479, eff. 9/10/2017; Entire chapter transferred from Title 40, Pt. 1, Ch. 19 by Texas Register, Volume 45, Number 50, December 11, 2020, TexReg 8871, eff. 1/15/2021