26 Tex. Admin. Code § 261.240 - Level of Need
(a) An LON for a
person must be requested from the department by electronically transmitting a
completed MR/RC Assessment, indicating the recommended LON, and submitting any
supporting documentation required by §
261.242 of this chapter (relating
to Supporting Documentation for Level of Need). The electronically transmitted
MR/RC Assessment must contain information identical to the information on the
signed MR/RC Assessment described in subsection (c) of this section.
(b) Supporting documentation must be received
by the department within seven days after the completed MR/RC Assessment is
electronically transmitted to the department.
(c) A paper copy of the person's signed MR/RC
Assessment and the supporting documentation must be maintained in the person's
record.
(d) The department will
assign an LON 1, LON 5, LON 6, LON 8, or LON 9, to a person in accordance with
the criteria described in §
261.241 of this chapter (relating
to Level of Need Criteria).
(e) The
department will assign an LON to a person based on the department's review of
information reported on the person's MR/RC Assessment, including the ICAP
service level score, and any supporting documentation required by §
261.242 of this chapter (relating
to Supporting Documentation for Level of Need).
(f) Within 21 days after receiving an MR/RC
Assessment and any supporting documentation, the department will request
additional documentation, electronically approve the recommended LON, or send
written notification to the requestor that the recommended LON has been
denied.
(g) If additional
documentation is requested, the department will review any additional
documentation submitted in accordance with its request and electronically
approve the recommended LON or send written notification to the requestor that
the recommended LON has been denied.
(h) The department may review a recommended
or assigned LON at any time to determine if it is appropriate. If the
department reviews a recommended or assigned LON, documentation supporting the
LON must be submitted to the department in accordance with the department's
request. The department may modify an LON and recoup or deny payment based on
its review.
Notes
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