26 Tex. Admin. Code § 276.3 - Definitions
The words and terms used in this chapter have the following meanings, unless the context clearly indicates otherwise.
(1) Assisted living services--Services
provided in an assisted living facility to eligible Texas Department of Human
Services (DHS) clients under the Community Based Alternatives (CBA) Assisted
Living/Residential Care (AL/RC) or the Community Care for Aged and Disabled
(CCAD) Residential Care (RC) programs.
(2) Assisted Living/Residential Care (AL/RC)
Program--A 24-hour residential care program for CBA clients.
(3) Attendant--A facility employee who
provides direct care to clients. An attendant may have other duties in addition
to direct client care.
(4) Case
manager--A DHS employee who is responsible for case management activities.
Activities include eligibility determination, client registration, assessment
and reassessment of client need, service plan development, and intercession on
the client's behalf.
(5) Client--A
CCAD or CBA client, as defined in Chapter 48 of this title (relating to
Community Care for Aged and Disabled), who is eligible to receive services
under this chapter.
(6) Community
Based Alternatives (CBA)--A Medicaid program that provides services to eligible
adults who are aged and/or disabled as an alternative to institutional care in
a nursing facility. CBA services are provided in accordance with the waiver
provisions of §1915(c) of the Social Security Act (42 U.S.C.
§1396n(c)).
(7) Community Care for Aged and Disabled
(CCAD)--A group of DHS programs that provides a variety of Title XIX and Title
XX-funded community-based services.
(8) Contract--The formal, written agreement
between DHS and an assisted living facility to provide services to DHS clients
eligible under this chapter in exchange for reimbursement.
(9) Contract manager--A DHS employee who is
responsible for the overall management of the contract with the assisted living
facility.
(10) Contracted assisted
living facility--An assisted living facility that contracts with DHS to provide
CBA AL/RC services or CCAD RC services or both. Any reference to facility in
this chapter means contracted assisted living facility, unless otherwise
specified in the text.
(11)
Copayment--The amount of personal income a client must pay to the facility
toward the cost of care.
(12)
Days--Any reference to days means calendar days, unless otherwise specified in
the text. Calendar days include weekends and holidays.
(13) Facility manager--The facility employee
who is responsible for the day-to-day operation of a facility.
(14) Licensed assisted living facility--A
facility licensed by DHS Long Term Care Regulatory under the Health and Safety
Code, Chapter 247.
(15) Personal
leave day--A continuous 24-hour period, measured from midnight to midnight,
when the client is absent from the facility for personal reasons.
(16) Representative--The client's spouse,
other responsible party, or legal representative.
(17) Residential Care (RC) Program--An
assisted living and emergency care program for CCAD clients.
(18) Room and board--The amount of personal
income a client must pay to the facility toward the cost of lodging and
food.
(19) Signature--A person's
name or a mark representing his/her name on a document to certify it is
correct. Initials are not an acceptable substitute for a signature.
(20) Trust fund--The services provided when
the facility performs or assists with money management at the written request
of the client or the client's representative.
(21) Witness--A person who signs to verify
distribution to or from a trust fund. A witness is identified in the client
file by name, address, and relationship to the client, the client's
representative, or the facility. A witness can be any person except:
(A) the person(s) responsible for accounting
for the client's trust fund;
(B)
the supervisor of the person(s) responsible for the client's trust
fund;
(C) a person supervised by
the person(s) responsible for the client's trust fund; or
(D) the person(s) who accepts the withdrawn
funds.
(22) Working
days--Days DHS is open for business.
Notes
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