1. (a) A NATCEP must apply to have its approval renewed every two years. HHSC sends a notice of renewal through the online portal to a NATCEP at least 60 days before the expiration date of an approval.
2. (b) A NATCEP must submit a NATCEP application through the online portal at least 30 days before the expiration date of an approval. If a NATCEP does not file an application to renew an approval at least 30 days before the expiration of the approval, the approval expires.
3. (c) HHSC uses the results of an on-site or off-site visit to determine NATCEP compliance with the Act and this chapter and to decide whether to renew the approval of a NATCEP.
4. (d) HHSC may conduct an on-site or off-site review of a NATCEP at any reasonable time.

5. (e) HHSC provides written notification through the online portal to a NATCEP of deficiencies found during an on-site or off-site review.

   1. (1) If a NATCEP receives a notification of deficiencies from HHSC, the NATCEP must submit a written response to HHSC through the online portal, which must include a plan of correction (POC) to correct all deficiencies.
   2. (2) HHSC may direct a NATCEP to comply with the requirements of the Act and this chapter.
   3. (3) HHSC may not renew the approval of a NATCEP that does not meet the requirements of the Act and this chapter by failing to provide an adequate POC.
6. (f) A NATCEP approved by HHSC may provide in-service education to a nurse aide that is necessary to have the certificate of registration and associated listing on the NAR renewed.
7. (g) A NATCEP must receive approval or an exemption under Texas Education Code Chapter 132 (relating to Career Schools and Colleges).

Source Note:The provisions of this §556.7 adopted to be effective September 24, 2018, 43 TexReg 6326; amended to be effective September 27, 2022, 47 TexReg 6201; amended to be effective September 18, 2024, 49 TexReg 7342.