(a) Clients assigned to an intensive service level in a residential treatment program must be provided at least 20 hours of substance use disorder services per week, including at least:
  (1) ten hours of substance use disorder treatment (one hour of which must be individual counseling);
  (2) five hours of additional substance use disorder treatment, counseling, substance use education, life skills training, coping skills training, and/or relapse prevention education; and
  (3) five additional hours of services described in subsection (1) or (2) of this section.
(b) Clients assigned to a specialized service level in a residential treatment program must be provided at least six hours of substance use disorder services per week for each client, including at least:
  (1) three hours of substance use disorder treatment (one hour of which must be individual counseling); and
  (2) three hours of additional substance use disorder treatment, counseling, substance use education, life skills training, coping skills training, and/or relapse prevention education.
(c) Each residential treatment program must set limits on caseload size that ensure effective, individualized treatment. The treatment program must justify the caseload size in writing based on the treatment program design, characteristics and needs of the population served, and any other relevant factors.
(d) A treatment program may provide fewer than the number of weekly service hours required in subsections (a) and (b) of this section for good cause, such as the unavailability of the provider or client. All such justifications must be documented in the client record.

Source Note: The provisions of this §353.310 adopted to be effective October 1, 2021, 46 TexReg 6408