1 Tex. Admin. Code § 363.607 - Place of Service
(a) Personal care
services (PCS) may be provided in an individual or group setting.
(b) PCS may be authorized for the following
place(s) of service:
(1) The recipient's
home;
(2) The home of the primary
or alternate care giver;
(3) The
recipient's school;
(4) The
recipient's day care facility; or
(5) Any community setting in which the
recipient is located.
(c) PCS may not be authorized in hospitals,
nursing facilities, or intermediate care facilities for individuals with
intellectual or developmental disabilities.
(d) Texas Medicaid does not reimburse
providers for PCS that duplicate services that are the legal responsibility of
school districts. The school district, through the Individuals with
Disabilities Education Act (IDEA), is required to meet the recipient's personal
care needs while the recipient is at school. If those needs cannot be met by
the school district, the school district must submit documentation to the
Department of State Health Services case manager indicating the school district
is unable to provide necessary services.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.