TX HHS Form 2816. Residential Treatment Center Project Referral Checklist

The TX HHS Form 2816, Residential Treatment Center Project Referral Checklist, is a crucial tool for determining eligibility for youth in need of residential treatment center (RTC) placement. This comprehensive checklist helps Local Mental Health Authorities (LMHAs) or Local Behavioral Health Authorities (LBHAs) navigate the referral process from start to finish.

The form guides users through four phases: Referral Process, Assessment and Intake Information, Outpatient Services, and Level of Care (LOC) Authorization. Key features include required information such as youth name, date of birth, and legally authorized representative contact details. The checklist also highlights important sections like the CANS Assessment submission and LOC authorization dates.

This form is essential for LMHAs or LBHAs to complete and submit updates at least once a week during Phases 1 and 2, and once a month during Phases 3 and 4. By using this checklist, users can ensure that all necessary information is collected and submitted in a timely manner, streamlining the RTC referral process for youth in need of residential treatment.