We regulate the following types of services:     
       (1) Child-Care Services--Services that meet a child's basic need for shelter, nutrition, clothing, nurture, socialization and interpersonal skills, care for personal health and hygiene, supervision, education, and service planning;      
       (2) Treatment Services--In addition to child-care services, a specialized type of child-care services designed to treat and/or support children:                (A) With Emotional Disorders who have a current DSM-5 diagnosis, such as mood disorders, psychotic disorders, or dissociative disorders, and demonstrate two or more of the following:                    (i) Major self-injurious actions, including a suicide attempt within the last 12 months;                     (ii) Difficulties that present a significant risk of harm to others, including frequent or unpredictable physical aggression; or                     (iii) An additional DSM-5 diagnosis of substance-related and/or addictive disorder with severe impairment;                   (B) With a DSM-5 diagnosis of Intellectual Disability characterized by prominent, severe deficits and pervasive impairment in one or more of the following areas:                    (i) Conceptual, social, and practical adaptive skills to include daily living and self-care;                     (ii) Communication, cognition, or expressions of affect;                     (iii) Self-care activities or participation in social activities;                     (iv) Responding appropriately to an emergency; or                     (v) Multiple physical disabilities, including sensory impairments;                   (C) With a DSM-5 diagnosis of Autism Spectrum Disorder that is characterized by prominent, severe deficits and pervasive impairment in one or more of the following areas of development:                    (i) Conceptual, social, and practical adaptive skills to include daily living and self-care;                     (ii) Communication, cognition, or expressions of affect;                     (iii) Self-care activities or participation in social activities;                     (iv) Responding appropriately to an emergency; or                     (v) Multiple physical  disabilities including sensory impairments;                   (D) With Primary Medical Needs, who cannot live without mechanical supports or the services of others because of life-threatening conditions, including:                    (i) The inability to maintain an open airway without assistance. This does not include the use of inhalers for asthma;                     (ii) The inability to be fed except through a feeding tube, gastric tube, or a parenteral route;                     (iii) The use of sterile techniques or specialized procedures to promote healing, prevent infection, prevent cross-infection or contamination, or prevent tissue breakdown; or                     (iv) Multiple physical disabilities including sensory impairments; and                   (E) Determined to be a trafficking victim, including a child:                    (i) Determined to be a trafficking victim as the result of a criminal prosecution or who is currently alleged to be a trafficking victim in a pending criminal investigation or prosecution;                     (ii) Identified by the parent or agency that placed the child with the child-placing agency as a trafficking victim; or                     (iii) Determined by the child-placing agency to be a trafficking victim based on reasonably reliable criteria, including one or more of the following:                        (I) The child's own disclosure as a trafficking victim;                         (II) The assessment of a counselor or other professional; or                         (III) Evidence that the child was recruited, harbored, transported, provided to another person, or obtained for the purpose of forced labor or commercial sexual activity; and            
       (3) Additional Programmatic Services, which include:                (A) Transitional Living Program--A residential services program designed to serve children 14 years old or older for whom the service or treatment goal is basic life skills development toward independent living. A transitional living program includes basic life skills training and the opportunity for children to practice those skills. A transitional living program is not an independent living program;                 (B) Assessment Services Program--Services to  provide an initial evaluation of the appropriate placement for a child to ensure that appropriate information is obtained in order to facilitate service planning; and                 (C) Respite Child-Care Services--See §749.2621 of this title (relating to What are respite child-care services?).        
     Source Note:        The provisions of this §749.61 adopted to be effective January 1, 2007, 31 TexReg 7469; amended to be effective September 1, 2010, 35 TexReg 7522; amended to be effective December 1, 2014, 39 TexReg 9069; amended to be effective January 1, 2017, 41 TexReg 9944; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909