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This page provides links to draft, proposed and adopted rules for the facilities regulated by the Health Facility Program. Links to sites outside the Department are intended to be informational and do not necessarily imply any official endorsement. Staff associated with the Health Facility Program routinely review the links, but we cannot guarantee the validity of information provided at outside sites.

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LVN Information

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Physician Information

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Drafted/Proposed Rules

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Recently Adopted Rules

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Current Rules and Regulations

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Abortion Facilities

Abortion Facility Reporting and Licensing - State Regulations 25 TAC §139 PDF Format 198KB

Notice to Medicaid Women’s Health Program Providers

Section 32.0248, Human Resources Code, prohibits the payment of Medicaid Women's Health Program funds to a provider that performs elective abortions. This provision also applies to licensed abortion facilities. A provider that has performed elective abortions (through either surgical or medical methods) for any patient is ineligible to serve Medicaid Women's Health Program clients and cannot be reimbursed for those services. This prohibition has been in effect since September 1, 2005. This prohibition does not prohibit providers from delivering services to other Medicaid clients. The Health and Human Services Commission may recoup Medicaid Women's Health Program funds that it determines were paid to providers that have performed elective abortions.

For more information please call Kendra Sippel-Theodore, Medicaid/CHIP Division, Health and Human Services Commission, at (512) 491-5594.

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Ambulatory Surgical Centers (ASCs)

Ambulatory Surgical Centers - State Regulations 25 TAC §135 PDF File  353KB
DSHS Position Statement Regarding the Use of Alcohol-Based Surgical Skin Preparations 9/28/2004 PDF File 88KB  
NPI Update (10/2/2006)   PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07  
Federal Regulations - Ambulatory Surgical Centers 42 CFR 416 See section 1 to 150 PDF File

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Birthing Centers

Birthing Centers - State Regulations 25 TAC §137 PDF File 140KB

Preamble 17KB
The Centers for Medicare and Medicaid Services (CMS) notified the Texas Health and Human Services Commission (HHSC) that birthing centers are not an eligible Medicaid provider under section 1905(a) of the Social Security Act.  Please see the entire notice (PDF 35KB) for more information.

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Community Mental Health Centers

State Regulations - not applicable  
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07
Federal Regulations - Supplementary Medical Insurance (SMI) Benefits 42 CFR 410

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Comprehensive Out-Patient Rehabilitation Facilities

State Regulations - not applicable  
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07
Federal Regulations - Conditions of Participation: Specialized Providers 42 CFR 485 See sections 50 to 74

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End Stage Renal Disease (ESRD) Facilities

End Stage Renal Disease State Regulations 25 TAC §117 PDF File 277KB
Informational & educational material concerning vaccinations against influenza virus and pneumococcal disease Click to link  
Position Statement Regarding Minimum Staffing in ESRD Facilities PDF File 87KB
NPI Update (10/2/2006) PDF File 13KB
Federal Regulations - Federal Health Insurance for the Aged and Disabled 42 CFR 405
See sections 2100 to 2184
 

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Hospitals- General

Hospital Licensing State Regulations 25 TAC §133 PDF file 914KB
Helfpful Tools Preamble
87KB
Final Fact
Sheet

32KB
THA Comments
82KB
Revision
134KB






 

List A, Procedures Requiring Full Disclosure of Specific Risks and Hazards 25 TAC §601  
List B, Procedures Requiring No Disclosure of Specific Risks and Hazards 25 TAC §601  
Information for Sexual Assault Patients Click here to link
Informational Material Concerning Vaccinations Against Influenza Virus and Pneumococcal Diseases Click here to link
DSHS Position Statement Regarding the Use of Alcohol-Based Surgical Skin Preparations 9/28/2004 PDF File 88KB
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07  
Medicare/Medicaid State Operations Manual - Survey Protocol, Regs and Interpretive Guidelines Appendix A  
Federal Regulations - Conditions of Participation for Hospitals 42 CFR 482  
Federal Regulations - Prospective Payment System (PPS) 42 CFR 412  
Federal Regulations - Special Responsibilities in Emergency Cases 42 CFR 489 See sections 20 & 24  
Federal Regulations - Critical Access Hospital Conditions of Coverage 42 CFR 485 See section 608  
Federal Regulations - Swing Bed 42 CFR 482 See section 66  

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Hospitals- Psychiatric & Crisis Stabilization Units

Private Psychiatric Hospitals and CSUs State Regulations 25 TAC �4            PDF File (364KB)

Information for Sexual Assault Patients Click here to link

 

Informational Material Concerning Vaccinations Against Influenza Virus
and Pneumococcal Diseases Click here to link
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07
Medicare/Medicaid State Operations Manual - Interpretive Guidelines, Regs and Survey Procedures Appendix A and AA
Federal Regulations - Conditions of Participation for Hospitals 42 CFR 482
Federal Regulations - Prospective Payment System (PPS) 42 CFR 412

Federal Regulations - Special Responsibilities in Emergency Cases

42 CFR 489 See sections 20 & 24

Federal Regulations - Critical Access Hospital Conditions of Coverage 42 CFR 485 See section 608
Federal Regulations - Swing Bed 42 CFR 482 See section 66

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Hospitals- Special

Hospital Licensing State Regulations 25 TAC §133 PDF file 419KB
Helfpful Tools  

Preamble
87KB

Final Fact
Sheet

32KB

THA Comments
82KB

Revision 134KB

Information for Sexual Assault Patients Click here to link
Informational Material Concerning Vaccinations Against Influenza Virus and Pneumococcal Diseases Click here to link
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07  
Medicare/Medicaid State Operations Manual - Survey Protocol, Regs and Interpretive Guidelines Appendix A  
Federal Regulations - Conditions of Participation for Hospitals 42 CFR 482  
Federal Regulations - Prospective Payment System (PPS) 42 CFR 412  
Federal Regulations - Special Responsibilities in Emergency Cases 42 CFR 489 See section 20 & 24  
Federal Regulations - Critical Access Hospital Conditions of Coverage 42 CFR 485 See section 608  
Federal Regulations - Swing Bed 42 CFR 482 See section 66  

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Narcotic Treatment Clinics (NTC)

Minimum Standards for Narcotic Treatment Programs 25 TAC, Section 229.141 - 229,153
Assessment of Administrative Penalties 25 TAC, Section 229.261

Certification of Opioid Treatment Programs

Includes links to the following Sections:
Accreditation
Certification and Treatment Standards
Suspension or Revocation
Federal Opioid Treatment Standards

42 CFR (Code of Federal Regulations) Part 8
Please refer to Table of Contents on this page for all specific Parts
Adopted Narcotic Treatment Program Rules Memo
Confidentiality of Alcohol and Drug Abuse Patient Records 42 CFR Part 2
Registration of Manufacturers, Distributors, and Dispensers of Controlled Substances 21 CFR Part 1301
Records and Reports of Registrants 21 CFR Part 1304
United States Department of Health and Human Services HIPAA Summary
HIPAA Rules and General Information

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Out-Patient Physical Therapy or Speech Pathology Services

State Regulations - not applicable
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07
Federal Regulations - Conditions of Participation: Specialized Providers 42 CFR 485 See section 701 to 729

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Portable X-Ray Services

State Regulations - not applicable
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07
Federal Regulations - Conditions for Coverage of Specialized Services Furnished by Providers 42 CFR 486 See sections 100 to 110

RuleRural Health Clinics

State Regulations - not applicable
NPI Update (10/2/2006) PDF File 13KB
Medicare/Medicaid State Operations Manual Publication 100-07
Federal Regulations - Certification of Certain Health Facilities 42 CFR 491 See sections 1 to 11

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Special Care Facilities

Special Care Facilities State Regulations 25 TAC �5

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Substance Abuse Treatment Facilities

General Provision State Regulations 25 TAC §441 PDF File 80KB
Standard of Care State Regulations 25 TAC �8 Word File 311KB PDF File 193KB

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Texas Medical Disclosure Panel

List A, Procedures Requiring Full Disclosure of Specific Risks and Hazards 25 TAC §601
List B, Procedures Requiring No Disclosure of Specific Risks and Hazards 25 TAC §601

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Hard rule
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Texas Department of State Health Services, Health Facillity Licensing Program
1100 West 49th Street - Austin, Texas 78756 - (512) 834-6646

Last Updated September 25, 2009

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