26 Tex. Admin. Code § 270.6 - Definitions
The words and terms used in this chapter have the following meanings, unless the context clearly indicates otherwise.
(1) Capitation--The uniform per client
monthly amount that DADS pays to a provider agency.
(2) CFR--The Code of Federal
Regulations.
(3) CMS--The Centers
for Medicare and Medicaid Services.
(4) DADS--The Department of Aging and
Disability Services or its successor agency.
(5) Former military member--A person who
served in the United States Army, Navy, Air Force, Marine Corps, or Coast
Guard:
(A) who declared and maintained Texas
as the person's state of legal residence in the manner provided by the
applicable military branch while on active duty; and
(B) who was killed in action or died while in
service, or whose active duty otherwise ended.
(6) Individual--A person seeking to enroll or
who is enrolled in PACE services.
(7) Interdisciplinary Team (IDT)--The IDT is
a team of persons who interact and collaborate to assess clients and plan for
their care. The IDT must include the client's primary care physician,
registered nurse, Programs of All-Inclusive Care for the Elderly (PACE) center
director, social worker, physical therapist, occupational therapist, activities
director, dietician, home care coordinator, personal care attendant or his or
her representative, and driver or his or her representative.
(8) LAR--Legally authorized representative. A
person authorized by law to act on behalf of an individual with regard to a
matter described in this chapter, and may include a parent, guardian, or
managing conservator of a minor, or the guardian of an adult.
(9) Military family member--A person who is
the spouse or child (regardless of age) of:
(A) a military member; or
(B) a former military member.
(10) Military member--A member of
the United States military serving in the Army, Navy, Air Force, Marine Corps,
or Coast Guard on active duty who has declared and maintains Texas as the
member's state of legal residence in the manner provided by the applicable
military branch.
(11) Nursing
facility--A facility required to be licensed under Texas Health and Safety
Code, Chapter 242.
(12)
PACE--Programs of All-Inclusive Care for the Elderly.
(13) PACE contract--A written agreement
between DADS and the provider agency to provide PACE services for one
year.
(14) Program agreement--A
three-party agreement between the provider agency, CMS, and DADS.
(15) Provider agency--An entity that delivers
required PACE services under a PACE contract and a program agreement.
(16) Respite services--Services provided to
an individual unable to care for himself or herself, because of the absence or
need for relief of those persons normally providing the care.
(17) Service area--The geographic area served
by a provider agency according to its program agreement and PACE
contract.
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.