Correctional Managed Health Care
Policy Manual
Policy # | Effective Date | Title | Format |
---|---|---|---|
03/2024 | Table of Contents | ||
Disclaimer | |||
Transmittal Memos and Signature Pages | HTML | ||
Policy Review Schedules: | |||
Policy Review for January | |||
Policy Review for April | |||
Policy Review for July | |||
Policy Review for October | |||
SECTION A: GOVERNANCE AND ADMINISTRATION | |||
A-01.1 | 03/07/2017 | Access to Care | |
A-02.1 | 03/17/2016 | Responsible Health Authority | |
A-02.2 | 01/2024 | Treatment of Injuries Incurred in the Line of Duty | |
A-03.1 | 03/17/2016 | Medical Autonomy | |
A-04.1 | 3/17/2016 | Administrative Meetings | |
A-04.2 | 02/15/2019 | Health Services Statistical Report | |
A-05.1 | 10/2023 | Correctional Managed Health Care Policies | |
A-06.1 | 04/2022 | Quality Improvement/Quality Management Program | |
A-06.2 | 04/2022 | Professional and Vocational Nurse Peer Review Process | |
A-07.1 | 04/2022 | Emergency Plans and Drills | |
04/2022 | Attachment A: Disaster Drill Evaluation Form | ||
A-08.1 | 04/2022 | Decision Making for Serious Mentally Ill Patients | |
04/2022 | Attachment A: Mental Health Disciplinary Review Form | ||
A-08.2 | 04/2023 | Transfers of Offenders with Acute Conditions | |
04/2022 | Attachment A: Approved Medical Transportation Criteria | ||
A-08.3 | 07/13/2023 | Referral of Inmates to the Development Disabilities Program (DDP) | |
A-08.4 | 09/08/2022 | Inmate Medical and Mental Health Classification | |
11/05/2019 | Attachment A: Guidelines for Completing the Health Summary for Classification Form | ||
A-08.5 | 08/23/2016 | Coordination with Windham School System | |
A-08.6 | 08/23/2018 | Medically Recommended Intensive Supervision Screening | |
05/02/2013 | Attachment A: MRIS Screening Form | ||
03/07/2017 | Attachment B: MRIS Medical Summary | ||
A-08.7 | 07/2022 | PULHES System of Inmate Medical and Mental Health Classification | |
07/2022 | Attachment A: PULHES Background and Information | ||
07/2022 | Attachment B: Guidelines For Coding PUHLES | ||
A-08.8 | 08/17/2021 | Medical Pass | |
A-08.9 | 02/24/2022 | The Chronic Mentally Ill Treatment Program (CMI-TP) | |
A-08.10 | 07/2023 | The Program for Aggressive Mentally Ill Inmate (PAMIO) | |
A-09.1 | 10/2022 | Privacy of Care | |
A-10.1 | 10/2022 | Notification Requirements Regarding Critically Ill Inmates | |
A-11.1 | 04/15/2025 | Procedure to be Followed in Cases of Inmate Death | |
10/2021 | Attachment A: Initial Notification to Health Services of Inmate Death | ||
10/2023 | Attachment B: Deaths in Custody – Death Report for Bureau of Justice Statistics | ||
10/2021 | Attachment C: Inmate Death Summary | ||
A-11.2 | 10/2022 | Pronouncement of Death by Licensed Nurses | |
A-12.1 | 10/2022 | Grievance Mechanism | |
10/2021 | Attachment A: Getting Medical Treatment – English | ||
10/2021 | Attachment B: Getting Medical Treatment – Spanish | ||
10/2021 | Attachment C: Informal Resolution Process | ||
A-12.2 | 10/2023 | Patient Liaison Program | |
A-13.1 | 10/2022 | Provider Peer Review | |
SECTION B: MANAGING A SAFE AND HEALTHY ENVIRONMENT | |||
PLEASE REFER TO THE INFECTION CONTROL POLICY MANUAL |
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SECTION C: PERSONNEL AND TRAINING | |||
C-18.1 | 03/17/2016 | Licensure and Credential Verification | |
C-19.1 | 03/17/2016 | Continuing Education/Staff Development | |
C-19.2 | 04/2022 | Correctional Managed Health Care Reference Materials | |
04/2022 | Attachment A: Sample Correctional Managed Health Care Bookshelf | ||
C-20.1 | 04/2022 | Training for Correctional Officers | |
C-22.1 | 08/17/2021 | Inmate Workers | |
C-23.1 | 08/23/2016 | Position Descriptions | |
C-24.1 | 10/2022 | Staffing Levels | |
C-25.1 | 10/2022 | Orientation Training for Health Services Staff | |
SECTION D: HEALTH CARE SERVICES SUPPORT | |||
D-27.1 | 03/17/2016 | Pharmaceuticals | |
D-27.2 | 04/16/2025 | Heat Stress (formerly B-15.2) | |
04/02/2025 | Attachment A: Drugs Associated With Heat Stress | ||
01/2023 | Attachment B: Comorbidities That May Affect Heat Tolerance | ||
D-27.3 | 04/02/2025 | Photosensitivity | |
D-28.1 | 08/23/2016 | Clinic Space, Equipment, and Supplies | |
D-28.2 | 04/2022 | Sharp, Needle and Syringe Control | |
D-28.3 | 04/2022 | Facility Repairs and Renovations | |
D-28.4 | 04/2022 | First Aid Kits | |
D-28.5 | 08/23/2016 | Equipment, Supplies and Inventory | |
D-29.1 | 10/1995 | Access to Diagnostic Services | |
D-30.1 | 10/2022 | Hospital and Specialized Ambulatory Care | |
D-30.2 | 10/2023 | Scheduling Approved Consultations to Specialty Health Services | |
SECTION E: INMATE CARE AND TREATMENT | |||
E-31.1 | 03/17/2016 | Information on Health Care Services | |
E-31.2 | 04/2022 | Organ or Tissue Donation | |
04/2022 | Attachment A: Donor Information Sheet | ||
04/2022 | Attachment B: Retraction of Tissue and Organ Donor Status | ||
E-31.3 | 03/18/2018 | Obtaining Community Hospital Inmate Information | |
E-31.4 | 04/2022 | Management of Inmates Who Have Received Solid Organ Transplants | |
E-32.1 | 04/15/2025 | Receiving, Transfer and Continuity of Care Screening | |
06/2015 | Attachment A: SAFPF Detoxification Medications List | ||
E-34.1 | 07/13/2023 | Health Appraisal of Incoming Inmates | |
E-34.2 | 08/28/2019 | Periodic Physical Examinations | |
E-34.3 | 03/17/2016 | Use of Force Procedures | |
E-34.4 | 04/2022 | Reporting Suspected Abuse | |
E-34.5 | 04/2022 | Chemical Agents and the Use of Force Contraindication List | |
E-34.6 | 10/03/2024 | Taser (CONDUCTED ELECTRICAL DEVICE) | |
10/03/2024 | Attachment A: After TASER Discharge Education Pamphlet | ||
10/03/2024 | Attachment A: After TASER Discharge Education Pamphlet (Spanish) | ||
E-35.1 | 04/2022 | Mental Health Appraisal for Incoming Inmates | |
E-35.2 | 04/2022 | Mental Health Evaluation | |
E-36.1 | 08/02/2024 | Dental Treatment Levels of Care | |
E-36.2 | 08/02/2024 | Inprocessing Inmates – Dental Examination, Classification, Education and Treatment | |
E-36.3 | 04/2022 | Recording and Scheduling Dental Patient Visits | |
E-36.4 | 08/2023 | Dental Prosthodontic Services | |
04/2022 | Attachment A: Medically Necessary Dental Prosthetics Referral Form | ||
04/2022 | Attachment B: Completed Dental Prosthesis Requisition Form | ||
E-36.5 | 01/04/2012 | Dental Utilization/Quality Review Committee | |
E-36.6 | 01/04/2012 | Periodontal Disease Program | |
E-36.7 | 10/2022 | Dental Clinic Operations Reporting | |
E-36.8 | 08/23/2018 | Dental Comprehensive Treatment Plan (DCTP) | |
E-37.1 | 09/08/2022 | Daily Processing of Health Complaints and Sick Call | |
04/2022 | Attachment A: Sick Call Procedure For Inmates Unable To Write | ||
E-37.2 | 04/2022 | Guidelines for Clipper Shave Pass | |
E-37.3 | 04/2022 | Medical Lay-Ins | |
E-37.4 | 04/2022 | Lockdown Procedures | |
E-37.5 | 04/2022 | Interpreter Services – Monolingual Spanish-Speaking Offenders | |
E-37.6 | 01/04/2012 | Cosmetic Surgery | |
E-39.1 | 09/08/2022 | Health Evaluation and Documentation Inmates in Segregation – Restrictive Housing | |
E-39.2 | 10/2022 | Alternative Meal Service | |
E-40.1 | 08/28/2019 | Direct Medical Orders | |
E-41.1 | 08/23/2016 | Emergency Services | |
E-41.2 | 08/23/2016 | Emergency Response During Hours of Operation | |
04/2024 | Attachment A: Inventory List | ||
E-42.1 | 10/2023 | Offender Transport and Transfer | |
E-42.2 | 04/02/2025 | Missed Clinic Appointment | |
10/2021 | Attachment A: SLC Missed Appointment Audit/Survey | ||
E-42.3 | 04/02/2025 | Transportation of Infirmary and Inpatient Mental Health Inmates | |
10/2021 | Attachment A: Authorization to Leave the Inpatient or Sheltered Housing Setting | ||
E-42.4 | 03/18/2015 | Medical Holds | |
E-43.1 | 10/2022 | Delegation to Advanced Practice Registered Nurses and Physician Assistants | |
10/2021 | Attachment A: Prescriptive Authority Agreement | ||
10/2021 | Attachment B: Alternative Physician Supervision Log | ||
E-44.1 | 10/2023 | Continuity of Care | |
E-44.2 | 10/2023 | Examination of Inmates by Private Practitioners | |
10/2021 | Attachment A: Request and Consent for Examination by Private Practitioner | ||
SECTION F: HEALTH PROMOTION AND DISEASE PREVENTION | |||
F-46.1 | 03/17/2016 | Health Education and Promotion | |
F-47.1 | 03/26/2025 | Therapeutic Diets and Food Allergies | |
04/2022 | Attachment A: Counseling Sheet for Therapeutic Diet Refusal | ||
F-48.1 | 04/2022 | Exercise Program | |
F-49.1 | 09/22/2014 | Personal Hygiene | |
F-50.1 | 10/12/2023 | Tobacco Free Environment | |
SECTION G: SPECIAL NEEDS AND SERVICES | |||
G-51.1 | 03/07/2017 | Inmates with Special Needs | |
G-51.3 | 01/2023 | Admission Health Appraisals for Inmates with Physical Disabilities | |
01/2022 | Attachment A: Speech Pathology Referral Criteria for TDCJ and Speech Pathology Referral Process | ||
01/2022 | Attachment B: Level of Care Assessment | ||
G-51.4 | 03/17/2016 | Wheelchair Repair and Maintenance | |
G-51.5 | 03/08/2018 | Certified American Sign Language (ASL) Interpreter Services | |
G-51.6 | 04/2022 | Referral of an Inmate for Admission Into a Behavioral Health Facility | |
G-51.7 | 04/2022 | Behavioral Health Treatment for Substance Abuse Felony Punishment Facility Offenders | |
G-51.8 | 04/2022 | Care of Inmates With Terminal Conditions | |
04/2022 | Attachment A: Consent to Hospice Care | ||
04/2022 | Attachment B: Hospice Guidelines | ||
G-51.9 | 08/02/2024 | Wheelchair Use | |
04/2022 | Attachment A: Special Wheelchair Committee - Treatment Plan of Inmate Refusing to Walk | ||
04/2022 | Attachment B: Special Wheelchair Committee Treatment Plan Form | ||
G-51.10 | 04/2022 | Chronic Care Program | |
G-51.11 | 10/2023 | Treatment of Inmates With Intersex Conditions, Gender Identity Disorder or Gender Dysphoria, Formerly Known as Gender Identity Disorder | |
08/05/2014 | G-51.11 Revision Explanation | ||
01/10/2017 | Attachment A: Consent Form for Therapy with Male Hormones | ||
01/10/2017 | Attachment B: Consent Form for Therapy with Female Hormones | ||
G-51.12 | 04/11/2019 | Inmates with Special Needs who are Releasing from TDCJ | |
G-51.13 | 04/02/2025 | Admission to a Sheltered Housing | |
G-52.1 | 08/23/2016 | Infirmary Care | |
G-52.2 | 07/13/2023 | Chronic Mentally Ill - Sheltered Housing (CMI-SH) | |
G-52.3 | 09/08/2022 | Admission to the TDCJ Mental Health Therapeutic Diversion Program (MHTDP) | |
G-52.4 | 04/2023 | Seriously Mentally Ill – Sheltered Housing (SMI-SH) | |
04/2022 | Attachment A - Seriously Mentally Ill – (SMI-SH) Referral Form | ||
G-53.1 | 07/13/2023 | Suicide Prevention Plan | |
08/23/2018 | Attachment A - Health Services Policy Facility Addendum | ||
G-53.3 | 08/02/2024 | Management of Inmates Hunger Strikes | |
G-54.1 | 01/04/2012 | Detoxification | |
G-55.1 | 04/02/2025 | Pregnant Inmates | |
G-56.1 | 10/2022 | Inmates with Substance Abuse Disorders | |
G-57.1 | 07/13/2023 | Sexual Assault/Sexual Abuse | |
G-59.2 | 04/2023 | Optical Prostheses and Appliances | |
10/2021 | Attachment A: CMHC Dispensing of Prescription Eyewear | ||
G-59.3 | 10/2022 | Medical Prostheses and Orthotic Devices | |
10/2021 | Attachment A: Medical Conditions Not Suitable for B&L Referral | ||
G-60.1 | 10/2023 | Tattoo Removal Program | |
SECTION H: HEALTH RECORDS | |||
H-60.1 | 02/25/2019 | Health Records – Organization, Maintenance and Governance | |
01/2022 | Attachment A: Outpatient Health Record Format | ||
01/2022 | Attachment B: List of EHR Chart Sections | ||
08/2024 | Attachment C: Approved Abbreviations | ||
01/2022 | Attachment D: CMHC EHR Standard Operating Procedure – Change Sign User for Email | ||
01/2022 | Attachment E: CMC Document Clarification | ||
01/2022 | Attachment F: CMHC EHR Standard Operating Procedure – Creating an Addendum Note | ||
01/2022 | Attachment G: Incomplete Chart Review | ||
H-60.2 | 08/02/2024 | Inpatient Health Records | |
04/2022 | Attachment A: History and Physical Examination | ||
04/2022 | Attachment B: Discharge Summary | ||
04/2022 | Attachment C: Approval To File an Incomplete Medical Record | ||
H-60.3 | 08/23/2016 | Health Services Forms Control and Design | |
H-60.4 | 04/07/2017 | Utilization of Electronic Health Record | |
H-61.1 | 08/17/2021 | Confidentiality and Release of Protected Health Information | |
07/2012 | Attachment A: Affidavit of Personal Representative | ||
01/2021 | Attachment B: Authorization for the Use and Disclosure of Protected Health Information (PHI) - English | ||
01/2021 | Attachment C: Authorization for the Use and Disclosure of Protected Health Information (PHI) - Spanish | ||
11/19/2008 | Attachment D: Calculation of Costs for Patient Health Information (2/2005) Facilities | ||
07/2012 | Attachment E: Calculation of Costs for Patient Health Information (2/2005) Health Services Archives | ||
H-64.1 | 10/2022 | Transfer of Health Records | |
10/2021 | Attachment A: Breach of Confidentiality Incident Log | ||
10/2021 | Attachment B: Breach of Confidentiality Form | ||
H-65.1 | 11/22/2021 | Retention/Destruction of Health Records | |
SECTION I: MEDICAL-LEGAL ISSUES | |||
I-66.1 | 11/04/2017 | Medical Therapeutic Restraints | |
08/23/2016 | Attachment A: Medical Therapeutic Restraint Flow Sheet | ||
I-66.2 | 10/2022 | Therapeutic Restraint of Mental Health Patients | |
I-66.3 | 10/2022 | Therapeutic Seclusion of Mental Health Patients | |
I-67.1 | 10/2022 | Compelled Psychoactive Medication for Mental Illness | |
10/2021 | Attachment A: Correctional Managed Health Care - Mental Health Services Certificate of Emergency Compelled Psychoactive Medication In A Mentally Ill Person | ||
10/2021 | Attachment B: Certificate of Non-Emergency Compelled Psychoactive Medication in a Mentally Ill Person | ||
I-68.1 | 03/17/2016 | Blood and Urine Testing for Forensic Purposes | |
I-68.2 | 03/07/2017 | DNA Specimen Collection | |
I-68.3 | 03/07/2016 | Forensic Information | |
I-68.4 | 04/2022 | Medical Consultation for the Inmate Drug Testing Program | |
04/2022 | Attachment A: Inmate Controlled Substance Testing Information Form | ||
04/2022 | Attachment B: Prescription Drugs Giving Positive Results for the T-cup Test | ||
I-69.1 | 04/2022 | Participation in Executions | |
I-70.1 | 07/13/2023 | Informed Consent | |
09/24/2015 | Attachment A: Request/Consent for Treatment or Services | ||
I-70.2 | 10/2022 | Consent for Admission to a Behavioral Health Facility | |
10/2021 | Attachment A: Voluntary Consent for Admission to a Behavioral Health Facility | ||
10/2021 | Attachment B: Psychiatric Involuntary Admission Review | ||
10/2021 | Attachment C: Involuntary Admission to a Behavioral Health Facility | ||
I-71.1 | 01/04/2012 | Offender’s Right to Refuse Treatment, Department’s Right to Compel Treatment | |
08/07/2013 | Attachment A: Request for Compelled Medical Treatment | ||
08/07/2013 | Attachment B: Refusal of Treatment or Services | ||
08/16/2017 | Attachment C: Instructions For Completing The Refusal Of Treatment Form | ||
I-71.2 | 10/2022 | Patient Self-Determination Act, Natural Death Act, Advance Directives Act | |
10/2021 | Attachment A: Directive To Physicians | ||
10/2021 | Attachment B: Standard Out-Of-Hospital Do-Not-Resuscitate Order | ||
10/2021 | Attachment C: Patient Information About Advance Directives | ||
I-72.1 | 01/08/2016 | Biomedical Research |