40 Tex. Admin. Code § 48.3901 - Application for Services
(a) Information
collected to determine eligibility for services, whether collected by DHS staff
or provider agencies, is confidential.
(b) The applicant is entitled to a
face-to-face interview during the department's determination of his eligibility
for CCAD services. A person who is already receiving services from the Texas
Department of Human Services (DHS) or for whom the Social Security
Administration has already verified that income/resources are below the CCAD
income/resource limit is not required to submit an application.
(c) Applicants or their representatives
applying for services provided with regard to income must sign an application
for assistance form. Non-Medicaid applicants or their representatives applying
for retroactive reimbursement for Medicaid-covered attendant services must also
sign an application for assistance form. The date of application is the date
the department receives the signed application. Applicants must provide
accurate information about income and resources.
(d) Eligibility for CCAD services for
income-eligible applicants is determined within 30 calendar days after a signed
application is received. For categorically-eligible applicants, eligibility
must be determined within 30 calendar days after either the client's assessment
or face-to-face contact with the worker, whichever comes first. If the
applicant withdraws from the program before an assessment is completed or a
face-to-face interview is conducted, no further action is necessary.
(e) Non-Medicaid applicants or their
representatives applying for Medicaid-covered attendant services may be
reimbursed for services provided up to three months prior to the month of
receipt of a completed, signed, and dated application.
(f) The client must report promptly any
changes in income, resources, or family size; loss of assistance grant or
Medicaid benefits; or other changes in functional ability or circumstances that
affect eligibility. The client is subject to fraud prosecution if he willfully
fails to report changes and continues to receive services for which he is not
eligible.
(g) A Medicaid-certified
applicant for CCAD-purchased services who requires a verbal referral is
eligible to receive CCAD-purchased services when his eligibility for Medicaid
is verified. A non-Medicaid certified applicant who meets the requirements for
a verbal referral is eligible to receive CCAD-purchased services while income
and resources are verified.
(1) To be
eligible, this applicant must:
(A) be a new
applicant for CCAD services;
(B)
appear to be eligible based on the declaration of income and resources on his
application for services or have possession of a current medical care
identification card; and
(C) meet
the age and need criteria for the CCAD service he requires.
(2) The eligibility period for
non-Medicaid applicants begins on the date of application.
(3) To continue receiving services, a
non-Medicaid applicant must provide within 30 days of the application date the
information needed to verify the applicant's income and resource
amounts.
Notes
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