No later than the 45th day of an IPTP placement, the IPTP provider sends the child or youth’s complete clinical record to a third-party contractor that reviews and assigns service levels. For information, see 4400 Texas Service Levels System.

A complete clinical record must include all of the following:

• Form 2089 Level of Care Authorization Request, in IMPACT.
• Progress notes, daily logs, case management notes, and incident reports from the child’s previous 30 days in care.
• Assessments and evaluations made within the previous 30 days, including the child’s admission assessment, diagnostic assessment, educational assessment, psychiatric or psychological evaluation, and medical or dental documentation.
• The child’s current treatment or stabilization plan.
• The child’s current education documentation.
• A list of the child’s current medications, including the dosage, the frequency taken, and the reason that the medication was prescribed.
• Treatment records for a physical condition that is in progress and requires continuing or follow-up medical care.
• Therapy notes from the previous 30 days.