Section 700.519 - What is Tier I: Complex Medical Needs Treatment to Support Community Transition Package?(a) A trauma-informed facility, that in addition to providing a child's basic living needs, has a formal treatment/therapeutic program that specializes in providing a holistic, comprehensive array of medical and therapeutic supports, services, and enhanced care coordination, complex case management, and on-site access to care.(b) This time-limited service is designed for children, youth, and young adults that present with complex medical conditions, which may include uncontrolled diabetes with a documented history of non-compliance with medication management, or who may present with a medical diagnosis and who may not be able to live without mechanical supports or the services of others because of life threatening conditions, including: (1) The inability to maintain an open airway without assistance;(2) The inability to be fed except through a feeding tube, gastric tube, or a parenteral route;(3) The use of sterile techniques or specialized procedures to promote healing, prevent infection, prevent cross-infection or contamination, or prevent tissue breakdown; or(4) Multiple physical disabilities including sensory impairments.(c) This Service Package is designed to offer temporary, facility-based care, medical, and other therapy/rehabilitation services to support recovery (if applicable) and well-being and improve the quality of life for youth and young adults based on their individual strengths and needs, and in accordance with their customized Service Plan and permanency goal.(d) The Operation and Direct Care Staff must be Credentialed to provide Tier I: Complex Medical Needs Treatment Services in accordance with the guidelines and requirements as defined by the Department of Family and Protective Services pursuant to Chapter 40 of the Texas Human Resources Code.40 Tex. Admin. Code § 700.519
Adopted by Texas Register, Volume 49, Number 51, December 20, 2024, TexReg 10391, eff. 12/22/2024