A provider that is an agency or an individual approved by HHSC to provide case management services must ensure a case manager meets at least one of the following qualifications:

1. (1) an advanced practice registered nurse who holds a license, other than a provisional or temporary license, under Texas Occupations Code Chapter 301;

2. (2) a registered nurse who holds a license, other than a provisional or temporary license, under Texas Occupations Code Chapter 301 and:

   1. (A) has a baccalaureate degree in nursing; or

   2. (B) has an associate degree in nursing and has:

      1. (i) at least two years of cumulative paid full-time work experience; or

      2. (ii) at least two years of cumulative, supervised full-time educational internship or practicum experience obtained in the last 10 years that included assessing the psychosocial and health needs of and making community referrals for:

         1. (I) children up to age 21; or
         2. (II) pregnant women;
3. (3) a social worker who holds a license, other than a provisional or temporary license, under Texas Occupations Code Chapter 505, appropriate for the individual's practice, including the independent practice of social work;
4. (4) a community health worker, as defined by Texas Health and Safety Code §48.001, that is certified as a community health worker by the Department of State Health Services; or
5. (5) a doula who is certified in alignment with nationally recognized standards, as determined by HHSC, unless the doula qualifies as a certified community health worker under paragraph (4) of this subsection.

Source Note:The provisions of this §257.19 adopted to be effective May 29, 2025, 50 TexReg 3129.