1 Tex. Admin. Code § 354.4005 - Personal Care Services that Require the Use of EVV
(a) A program provider
must ensure a service provider uses EVV to document the provision of the
following personal care services by the program provider:
(1) in the traditional Medicaid service model
also referred to as fee-for-service, including for members enrolled in STAR who
receive PCS through fee-for-service:
(A) CFC
PAS;
(B) CFC HAB;
(C) PCS provided under Texas Health Steps
CCP, including SRO; and
(D)
PCS-Behavioral Health provided under Texas Health Steps CCP, including
SRO;
(2) in the CLASS
Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(3) personal attendant services provided
through the Community Attendant Services Program, including SRO;
(4) in the DBMD Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(5) personal attendant services provided
through the FC Program, including SRO;
(6) in the HCBS-AMH Program:
(A) supported home living; and
(B) in-home respite;
(7) in the HCS Program:
(A) CFC PAS/HAB;
(B) in-home respite; and
(C) in-home individualized skills and
socialization provided to members with the residential type of "own/family
home";
(8) personal
attendant services provided through the Primary Home Care Program, including
SRO;
(9) in the STAR Health
Program:
(A) CFC PAS, including SRO;
(B) CFC HAB, including SRO; and
(C) for a member in STAR Health MDCP:
(i) in-home respite, with and without RN
delegation, including SRO; and
(ii)
flexible family support, with and without RN delegation, including
SRO;
(10) in
the STAR Kids Program:
(A) CFC PAS, including
SRO;
(B) CFC HAB, including SRO;
and
(C) for a member in STAR Kids
MDCP:
(i) in-home respite, with and without RN
delegation, including SRO; and
(ii)
flexible family support, with and without RN delegation, including
SRO;
(11) in
the STAR+PLUS Program:
(A) personal assistance
services, including SRO;
(B) CFC
PAS, including SRO; and
(C) CFC
HAB, including SRO;
(12)
in the STAR+PLUS HCBS Program:
(A) in-home
respite care, including SRO;
(B)
protective supervision, including SRO;
(C) personal assistance services, including
SRO;
(D) CFC PAS, including SRO;
and
(E) CFC HAB, including
SRO;
(13) in the
STAR+PLUS MMP:
(A) in-home respite care,
including SRO;
(B) protective
supervision, including SRO;
(C)
personal assistance services, including SRO;
(D) CFC PAS, including SRO; and
(E) CFC HAB, including SRO;
(14) in the TxHmL Program:
(A) CFC PAS/HAB;
(B) in-home respite; and
(C) in-home individualized skills and
socialization;
(15)
in-home respite provided in the YES Program; and
(16) any other service required by federal or
state mandates.
(b) A
CDS employer must ensure a service provider uses EVV to document the provision
of the following personal care services through the CDS option:
(1) in the traditional Medicaid service model
also referred to as fee-for-service:
(A) CFC
PAS;
(B) CFC HAB;
(C) PCS provided under Texas Health Steps
CCP; and
(D) PCS-Behavioral Health
provided under Texas Health Steps CCP;
(2) in the CLASS Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(3) personal attendant services provided
through the Community Attendant Services Program;
(4) in the DBMD Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(5) personal attendant services provided
through the FC Program;
(6) in the
HCS Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(7) personal attendant services provided
through the Primary Home Care Program;
(8) in the STAR Health Program:
(A) CFC PAS;
(B) CFC HAB; and
(C) for a member in STAR Health MDCP:
(i) in-home respite, with and without RN
delegation; and
(ii) flexible
family support, with and without RN delegation;
(9) in the STAR Kids Program:
(A) CFC PAS;
(B) CFC HAB; and
(C) for a member in STAR Kids MDCP:
(i) in-home respite, with and without RN
delegation; and
(ii) flexible
family support, with and without RN delegation;
(10) in the STAR+PLUS Program:
(A) personal assistance services;
(B) CFC PAS; and
(C) CFC HAB;
(11) in the STAR+PLUS HCBS Program:
(A) in-home respite care;
(B) protective supervision;
(C) personal assistance services;
(D) CFC PAS; and
(E) CFC HAB;
(12) in the STAR+PLUS MMP:
(A) in-home respite care;
(B) protective supervision;
(C) personal assistance services;
(D) CFC PAS; and
(E) CFC HAB; and
(13) in the TxHmL Program:
(A) CFC PAS/HAB;
(B) in-home respite; and
(C) in-home individualized skills and
socialization.
Notes
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