26 Tex. Admin. Code § 368.401 - Service Initiation and Delivery
(a)
The service provider agency must serve each designated resident who selects the
service provider agency unless:
(1)
enrollment has reached its service capacity identified in the contract;
or
(2) HHSC approves the service
provider agency's request to waive this requirement.
(b) The service provider agency must ensure
the delivery of all IHSS in accordance with an implementation plan that, for
each IHSS on the designated resident's plan of care, includes:
(1) a list of the designated resident's
outcomes identified in the HSP that will be addressed using IHSS;
(2) specific objectives to address the
outcomes required by paragraph (1) of this subsection that are:
(A) observable, measurable, and
outcome-oriented; and
(B) derived
from assessments;
(3) a
target date for completion of each objective;
(4) the frequency, amount, and duration of
IHSS needed to complete each objective; and
(5) the signature and date of the designated
resident, LAR, and service provider agency.
(c) The service provider agency must develop
an implementation plan for each IHSS within 14 calendar days after the initial,
annual, or any other SPT meeting during which changes are made and send the
implementation plan to the habilitation coordinator upon completion.
(d) Annually, and when an IHSS is added or
changed, the service provider agency must review each implementation plan and
make any necessary updates.
(e)
Before delivering an IHSS, the service provider agency must:
(1) receive authorization from HHSC to
deliver the IHSS during the plan year in accordance with the current plan of
care; and
(2) confirm that the
designated resident is a Medicaid recipient.
(f) The service provider agency must initiate
an IHSS within five calendar days after the service authorization has been
added to Medicaid Eligibility Service Authorization Verification.
Notes
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