(a) The DAHS facility must suspend services before the end of the prior approval period if one or more of the circumstances specified in paragraphs (1) - (10) of this subsection occur:
  (1) the client leaves the state or moves outside the geographic area served by the DAHS facility;
  (2) the client dies;
  (3) the client is admitted to a hospital, nursing home, state school, or state hospital;
  (4) the client requests that services end;
  (5) the physician requests that services end;
  (6) the Health and Human Services Commission (HHSC) denies the client's Medicaid/Title XX eligibility;
  (7) DADS enforces sanctions against the DAHS facility by terminating the contract;
  (8) the client threatens the health and safety of himself or others;
  (9) the client is absent from the DAHS facility for 15 consecutive days;
  (10) the client becomes ineligible for Medicaid. Each month the DAHS facility must verify that a client has a current HHSC Medical Care Identification Card.
(b) No later than the first DADS workday after services are suspended, the DAHS facility must verbally notify the caseworker or staff in the caseworker's office about the reason the DAHS facility suspended services. Written notification on DADS' Case Information form must be sent to the caseworker within seven workdays after the incident that was reported verbally.

Source Note: The provisions of this §211.207 adopted to be effective May 1, 1999, 24 TexReg 3100; amended to be effective April 1, 2007, 32 TexReg 1749; transferred effective July 31, 2024, as published in the July 5, 2024, issue of the Texas Register, 49 TexReg 4935