(a) If a child takes psychotropic medications, the prescribing health-care professional must evaluate and document in the child's medication record a description of the child's response to the medication and an assessment of its effectiveness and the appropriateness of continuing the medication at least quarterly. The written evaluation must include any reasons for discontinuing the medication.     
      (b) If the health-care professional decides that he can evaluate the appropriateness of continuing the medication without seeing the child, you do not have to schedule an appointment for the evaluation.     
      (c) The health-care professional must consider the target symptoms and treatment goals in evaluating the child's use of  psychotropic medications.     
      (d) The health-care professional must document whether the child needs to continue taking the medication. You must document the health-care professional's decision in the child's record.     
      (e) If the health-care professional does not substantiate the effectiveness of a specific psychotropic medication within 90 days, the health-care professional must provide a written rationale for continuing the medication for an additional period. The continuation of the medication may not exceed an additional 90 days (for a total of 180 days) if effectiveness is not substantiated by the health-care professional. A copy of the written rationale must be documented in the child's record.     
     Source Note:        The provisions of this §748.2261 adopted to be effective January 1, 2007, 31 TexReg 7377; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909