Tex. Gov't Code Section 546.0052
Comprehensive Plan for Ensuring Appropriate Care Setting for Individuals with Disabilities; Biennial Report


(a)

The commission and appropriate health and human services agencies shall implement a comprehensive, effectively working plan that provides a system of services and support to foster independence and productivity and provide meaningful opportunities for an individual with a disability to reside in the most appropriate care setting, considering:

(1)

the individual’s physical, medical, and behavioral needs;

(2)

the least restrictive care setting in which the individual can reside;

(3)

the individual’s choice of care settings in which to reside;

(4)

the availability of state resources; and

(5)

the availability of state programs for which the individual qualifies that can assist the individual.

(b)

The plan must require appropriate health and human services agencies to:

(1)

provide to an individual with a disability residing in an institution or another individual as required by Sections 546.0053 (Information and Assistance Regarding Care and Support Options for Individuals with Disabilities) and 546.0054 (Community Living Options Information Process for Certain Individuals with Intellectual Disability) information regarding care and support options available to the individual with a disability, including community-based services appropriate to that individual’s needs;

(2)

recognize that certain individuals with disabilities are represented by a legally authorized representative, whom the agencies must include in any decision-making facilitated by the plan’s implementation;

(3)

facilitate a timely and appropriate transfer of an individual with a disability from an institution to an appropriate community setting if:

(A)

the individual chooses to reside in the community;

(B)

the individual’s treating professionals determine the transfer is appropriate; and

(C)

the transfer can be reasonably accommodated, considering this state’s available resources and the needs of other individuals with disabilities; and

(4)

develop strategies to prevent the unnecessary placement in an institution of an individual with a disability who is:

(A)

residing in the community; and

(B)

in imminent risk of requiring placement in an institution because of a lack of community services.

(c)

In implementing the plan, a health and human services agency may not deny an eligible individual with a disability access to an institution or remove an eligible individual with a disability from an institution if the individual prefers the type and degree of care provided in the institution and that care is appropriate for the individual. A health and human services agency may deny the individual with a disability access to an institution or remove the individual from an institution to protect the individual’s health or safety.

(d)

Subject to the availability of funds, each appropriate health and human services agency shall implement the strategies and recommendations under the plan.

(e)

To determine the appropriateness of transfers under Subsection (b)(3) and develop the strategies described by Subsection (b)(4), a health and human services agency shall presume that a child residing in a general residential operation is eligible for transfer to an appropriate community-based setting.

(f)

To develop the strategies described by Subsection (b)(4), an individual with a mental illness who is admitted to a commission facility for inpatient mental health services three or more times during a 180-day period is presumed to be in imminent risk of requiring placement in an institution. The strategies must be developed in a manner that presumes the individual’s eligibility for and the appropriateness of intensive community-based services and support.

(g)

Not later than December 1 of each even-numbered year, the executive commissioner shall submit to the governor and the legislature a report on the status of the implementation of the plan. The report must include recommendations on any statutory or other action necessary to implement the plan.

(h)

This section does not create a cause of action.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Source: Section 546.0052 — Comprehensive Plan for Ensuring Appropriate Care Setting for Individuals with Disabilities; Biennial Report, https://statutes.­capitol.­texas.­gov/Docs/GV/htm/GV.­546.­htm#546.­0052 (accessed May 18, 2024).

546.0001
Definitions
546.0002
Long-term Care Plan
546.0003
Employment-first Policy
546.0004
Long-term Care Insurance Awareness and Education Campaign
546.0051
Definitions
546.0052
Comprehensive Plan for Ensuring Appropriate Care Setting for Individuals with Disabilities
546.0053
Information and Assistance Regarding Care and Support Options for Individuals with Disabilities
546.0054
Community Living Options Information Process for Certain Individuals with Intellectual Disability
546.0055
Implementation of Community Living Options Information Process at State Institutions for Certain Adult Residents
546.0056
Voucher Program for Transitional Living Assistance for Individuals with Disabilities
546.0057
Transition Services for Youth with Disabilities
546.0058
Transfer of Money for Community-based Services
546.0101
Definitions
546.0102
Implementation of Consumer Direction Models
546.0103
Rules
546.0104
Applicability of Certain Nursing Licensure Requirements
546.0105
Legally Authorized Representative Service Oversight Required
546.0106
Procedure to Provide Notice to Medicaid Recipients
546.0151
Definition
546.0152
Community-based Support and Service Delivery Systems for Long-term Care Services
546.0153
Area Agencies on Aging: Minimum Number
546.0154
Proposals
546.0155
Proposal Review and Approval
546.0156
Standard and Priority of Review
546.0157
Community-based Organization Matching Contribution Required
546.0158
Proposals Involving Multiple Community-based Organizations
546.0159
Guidelines
546.0160
Certain Agencies’ Duty to Provide Resources and Assistance
546.0201
Definitions
546.0202
Policy Statement
546.0203
Development of Permanency Plan Procedures
546.0204
Permanency Planning for Certain Children
546.0205
Institution to Assist with Permanency Planning Efforts
546.0206
Implementation System: Local Permanency Planning Sites
546.0207
Designation of Volunteer Advocate
546.0208
Preadmission Notice and Information
546.0209
Requirements of Parent or Guardian on Child’s Admission to Certain Institutions
546.0210
Duties of Certain Institutions: Notification Requirements and Parent or Guardian Accommodations
546.0211
Notification of Placement Required
546.0212
Notice to Parent or Guardian Regarding Placement Options and Services
546.0213
Placement on Waiver Program Waiting List
546.0214
Interference with Permanency Planning Efforts
546.0215
Initial Placement of Child in Institution and Placement Extensions
546.0216
Review of Certain Placement Data
546.0217
Procedures for Placement Reviews
546.0218
Annual Reauthorization of Plans of Care for Certain Children
546.0219
Transfer of Child Between Institutions
546.0220
Compliance with Permanency Plan Requirements as Part of Inspection, Survey, or Investigation
546.0221
Search for Child’s Parent or Guardian
546.0222
Documentation of Ongoing Permanency Planning Efforts
546.0223
Access to Records
546.0224
Collection of Information Regarding Involvement of Certain Parents and Guardians
546.0225
Reporting Systems: Semiannual Reporting
546.0226
Effect on Other Law
546.0251
Definitions
546.0252
Family-based Alternatives System: Purpose, Implementation, and Administration
546.0253
Family-based Alternatives System Design Requirements
546.0254
Medicaid Waiver Program Alignment
546.0255
Community Organization Eligibility
546.0256
Placement Options
546.0257
Agency Cooperation
546.0258
Dispute Resolution
546.0259
Gifts, Grants, and Donations
546.0260
Annual Report
546.0301
Procedures to Review Conduct Related to Certain Institutions and Facilities
546.0302
Issuance of Materials to Certain Long-term Care Facilities
546.0351
Definitions
546.0352
Incentive Payment Program
546.0353
Common Performance Measures
546.0354
Subject to Appropriations
546.0401
Medicaid Long-term Care System
546.0402
Administration and Delivery of Certain Waiver Programs
546.0403
Recovery of Certain Assistance
546.0451
Competitive and Integrated Employment Initiative for Certain Recipients
546.0452
Risk Management Criteria for Certain Waiver Programs
546.0453
Protocol for Maintaining Contact Information of Individuals Interested in Medicaid Waiver Programs
546.0454
Interest List Management for Certain Medicaid Waiver Programs
546.0501
Limitation on Nursing Facility Level of Care Requirement
546.0502
Consumer Direction of Services
546.0503
Assessments and Reassessments
546.0504
Quality Monitoring by External Quality Review Organization
546.0505
Quarterly Report
546.0551
Quality Assurance Fee for Certain Medicaid Waiver Program Services
546.0552
Waiver Program Quality Assurance Fee Account
546.0553
Reimbursement Under Certain Medicaid Waiver Programs
546.0554
Invalidity
546.0555
Expiration of Quality Assurance Fee Program
546.0601
Definitions
546.0602
Program Principles
546.0603
Agreements with Nonprofit Organizations
546.0604
Funding
546.0605
Rules
546.0651
Definition
546.0652
Pilot Program
546.0653
Federal Guidance and Funding
546.0654
Report
546.0655
Expiration
546.0701
Definition
546.0702
Mortality Review System
546.0703
Access to Information and Records
546.0704
Mortality Review Reports
546.0705
Use and Publication Restrictions
546.0706
Limitation on Liability

Accessed:
May 18, 2024

§ 546.0052’s source at texas​.gov