1 Tex. Admin. Code § 363.602 - Definitions
The following words and terms when used in this subchapter have the following meanings, unless the context clearly indicates otherwise.
(1) Activities of Daily Living
(ADL)--Activities that include, but are not limited to, eating, toileting,
personal hygiene, dressing, bathing, transferring, maintaining continence,
positioning, and mobility.
(2)
Assessment--An evaluation conducted with the recipient and responsible adult to
determine the recipient's need for services.
(3) Attendant--A person who provides direct
care to a recipient.
(4) Consumer
Directed Services (CDS)--A service delivery option in which a recipient or
legally authorized representative employs and retains service providers and
directs the delivery of program services.
(5) Cueing--Indirect intervention provided
during the delivery of personal care services to prompt or instruct a recipient
with a cognitive impairment or behavioral condition in the performance of ADLs
or IADLs to ensure the recipient performs the task properly.
(6) Delegation--Has the meaning assigned by
22 TAC §
225.4(relating to
Definitions).
(7) Dependents--Any
member of a household, other than the recipient, whose care and support is the
legal responsibility of the responsible adult. A dependent includes a disabled
adult family member living in the household. Care and support includes meeting
the medical, educational, and psycho-social needs of a dependent.
(8) Early and Periodic Screening, Diagnosis,
and Treatment (EPSDT)--The child and adolescent health component of the
Medicaid program for recipients under 21 years of age, defined in the United
States Code, Title 42, §1396d(r), and the Code of Federal Regulations,
Title 42, §440.40(b). EPSDT includes screening, vision, dental, hearing,
laboratory, health care, treatment, diagnostic services and other measures
necessary to correct or ameliorate defects and physical and mental illnesses
and conditions. In Texas, EPSDT is referred to as Texas Health Steps
(THSteps).
(9) Financial Management
Services (FMS)--Services delivered by the CDS agent to an employer such as
orientation, training, support, assistance with and approval of budgets, and
processing payroll and payables on behalf of the employer.
(10) Financial Management Services Agency
(FMSA)--An entity that contracts with the Department of Aging and Disability
Services to provide financial management services (FMS).
(11) Health Maintenance Activities
(HMAs)--Has the meaning assigned by 22 TAC §
225.4.
(12) Home and Community Support Services
Agency (HCSSA)--A public or private agency or organization that provides home
and community supports and is licensed under 40 TAC Chapter 97 (relating to
Licensing Standards for Home and Community Support Services
Agencies).
(13) Instrumental
Activities of Daily Living (IADLs)--Activities include, but are not limited to,
meal preparation, grocery shopping, light housework, laundry, communication,
assistance with transportation services, and for recipients over the age of 18,
money management.
(14)
Intervening--Direct contact or intervention provided by an attendant during the
delivery of personal care services to a recipient with a physical or cognitive
impairment in the performance of ADLs or IADLs to ensure the task is performed
properly.
(15) Legally authorized
representative (LAR)--A person authorized or required by law to act on behalf
of an individual with regard to a matter described in this chapter, including a
parent of a minor, guardian of a minor, managing conservator of a minor, or the
guardian of an adult.
(16) Personal
Care Services (PCS)--Support services provided to an EPSDT recipient who
requires assistance with ADLs, IADLs, and HMAs due to physical, cognitive, or
behavioral limitations related to his or her disability or chronic health
condition.
(17) Practitioner--A
person who is currently licensed in a state in which the person practices as a
physician, advanced practice nurse, or physician assistant.
(18) Recipient--An individual who is eligible
to receive services through the medical assistance program.
(19) Redirecting--Intervention provided
during the delivery of PCS to divert, change direction, or give new direction
to a recipient with a cognitive or behavioral impairment in the performance of
ADLs or IADLs to ensure the recipient completes the task.
(20) Responsible Adult--An individual, age 18
or older, who has agreed to accept responsibility for providing food, shelter,
clothing, education, nurturing, and supervision for the recipient. The term
includes biological parents, adoptive parents, foster parents, legal guardians,
court-appointed managing conservators or the primary adult who is acting in the
role of parent or recipient.
Notes
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No prior version found.