(a) At least quarterly, the QMHP-CS must convene an MI quarterly meeting with the MI specialized services team, in person, or in extenuating circumstances via audio-visual communication, to:
  (1) review the PCRP to determine whether the MI specialized services previously identified remain relevant; and
  (2) determine whether the current uniform assessment accurately reflects the need for MI specialized services in the identified frequency for the resident with MI, in the amount, and duration, or if an updated uniform assessment is required.
(b) The MI specialized services team initiates revisions to the PCRP in response to changes to the needs of the resident with MI.
  (1) Any MI specialized services team member may ask the QMHP-CS to convene a meeting at any time to discuss whether the PCRP for the resident with MI needs to be revised to add a new MI specialized service or change the frequency, amount, or duration of an existing MI specialized service.
  (2) The QMHP-CS must convene a meeting within seven calendar days after learning of the need to revise the PCRP for the resident with MI.
(c) If the MI specialized services team agrees to add a new MI specialized service to the PCRP or determines an updated uniform assessment is required, a QMHP-CS must, within seven calendar days after the meeting is held, update the uniform assessment and provide it to the MI specialized services team.
(d) The QMHP-CS must:
  (1) document revisions on the PCRP within five calendar days after a team meeting; and
  (2) retain the revised PCRP documentation in the LMHA or LBHA record for the resident with MI.
(e) Within ten calendar days after the PCRP is updated or renewed, the QMHP-CS must send each member of the MI specialized services team a copy of the revised PCRP.
(f) If the MI specialized services team determines a new MI specialized service is needed or determines a change in the frequency, amount, or duration of an existing service is needed, the PCRP must be revised before the LMHA or LBHA delivers a new or updated service.
(g) Before the QMHP-CS conducts the meeting described in subsection (a) of this section via audio-visual communication, the QMHP-CS must:
  (1) do one of the following:
    (A) obtain the written informed consent of the resident with MI or LAR; or
    (B) obtain the oral consent from the resident with MI or LAR and document the oral consent in the record of the resident with MI; and
  (2) document in the record of the resident with MI the extenuating circumstances which required the use of audio-visual communication.
(h) If the QMHP-CS does not obtain the written or oral consent required by subsection (g) of this section, the QMHP-CS must:
  (1) document the refusal of the resident with MI or LAR in the record of the resident with MI; and
  (2) convene an MI specialized services team meeting in person as soon as possible after the extenuating circumstances no longer exist.

Source Note: The provisions of this §303.907 adopted to be effective September 1, 2021, 46 TexReg 5419; amended to be effective April 15, 2024, 49 TexReg 2287