26 Tex. Admin. Code § 368.204 - Process for Service Initiation
(a) A
LIDDA must comply with §
303.302 of this title (relating to
LIDDA, LMHA, and LBHA Responsibilities Related to the PASRR Process).
(b) At the initial IDT meeting, the
habilitation coordinator, in conjunction with the IDT, must:
(1) review the IHSS recommended on the PE and
identify which IHSS:
(A) the designated
resident, or LAR on the designated resident's behalf, wants to receive;
and
(B) the IDT agrees the
designated resident should receive;
(2) verify that identified IHSS are required
by the designated resident's NF baseline or comprehensive care plan;
and
(3) develop an HSP in
accordance with §
303.601(b)(2) of
this title (relating to Habilitation Coordination for a Designated
Resident).
(c) Within
seven calendar days of receiving the designated resident's NF baseline or
comprehensive care plan in accordance with §
368.203(a)(5) of
this subchapter (relating to Process for Provider Selection), the service
provider agency must:
(1) ensure an
individual service provider who meets the qualifications in §
368.406 of this chapter (relating
to Provider Qualifications) completes an assessment for each IHSS on the NF
baseline or comprehensive care plan, using HHSC forms; and
(2) send each assessment to the habilitation
coordinator.
(d) The
habilitation coordinator must:
(1) within 14
calendar days of sending the designated resident's NF baseline or comprehensive
care plan to the service provider agency, convene an SPT meeting to:
(A) discuss the assessments and recommended
frequency, amount, and duration for each IHSS for which an assessment was
conducted;
(B) develop an initial
plan of care, using HHSC forms, in accordance with §
368.301 of this chapter (relating
to Plan of Care) and HHSC's IDD PASRR Handbook; and
(C) revise the HSP in accordance with §
368.302 of this chapter (relating
to Renewal and Revision of a Plan of Care);
(2) ensure all required parties sign and date
the initial plan of care in accordance with form instructions; and
(3) submit the initial plan of care,
including all assessments, to HHSC within three business days after the SPT
meeting and:
(A) retain the original initial
plan of care in the designated resident's LIDDA record; and
(B) send a copy of the initial plan of care
to each member of the SPT.
(e) If HHSC denies an IHSS for a designated
resident, HHSC implements the fair hearings process in accordance with §
368.602 of this chapter (relating
to Fair Hearings).
(f) If HHSC
authorizes an IHSS for a designated resident, the service provider agency must
initiate IHSS in accordance with §
368.401 of this chapter (relating
to Service Initiation and Delivery).
Notes
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