(a) Interdisciplinary Team (IDT). The IDT is a designated group that includes the following individuals who meet when the need arises to discuss service delivery issues:      
        (1) the client or the client's representative, or both;       
        (2) a facility representative; and       
        (3) a Texas Department of Human Services (DHS) representative. A DHS representative may be:                  (A) the case manager (or designee);                   (B) the contract manager (or designee); or                   (C) the regional nurse (or designee).         
      (b) Convening an IDT meeting.      
        (1) The facility must convene an IDT meeting within three working days of the date the facility identifies a service delivery issue.       
        (2) If the facility is unable to convene an IDT meeting with all the members described in subsection (a) of this section, the facility must send the documentation of the IDT meeting described in subsection (e) of this section to the Regional Administrator for the DHS region in which the client resides.                  (A) The documentation must be sent within five working days of the date of the IDT meeting.                   (B) Further action may be required by the facility, based on a review of the IDT meeting documentation.         
      (c) IDT meeting.      
        (1) The IDT meeting may be conducted by telephone conference call or in person.       
        (2) The IDT must:                  (A) evaluate the issue;                   (B) identify any solutions to resolve the issue; and                   (C) make recommendations to the facility.         
      (d) IDT meeting outcome. The facility must do one of the following within two working days after the IDT meeting:      
        (1) implement the recommendations of the IDT; or       
        (2) discharge the client from the facility and refer the case back to the case manager for referral to another facility.       
      (e) Documentation of the IDT meeting. The facility must document the IDT meeting in the client file, including the:      
        (1) specific reasons for calling the IDT meeting;       
        (2) participants of the IDT meeting. If all members described in subsection (a) of this section are unable to participate, the facility must document all efforts made to convene an IDT meeting with all the members;       
        (3) recommendations of the IDT;       
        (4) efforts made to resolve the issue;       
        (5) facility's action as a result of the IDT recommendations; and       
        (6) reasons for the facility's actions.       
     Source Note:        The provisions of this §46.35 adopted to be effective September 1, 2003, 28 TexReg 6941