Texas Administrative Code
Title 1 - ADMINISTRATION
Part 15 - TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Chapter 354 - MEDICAID HEALTH SERVICES
Subchapter A - PURCHASED HEALTH SERVICES
Division 27 - COMMUNITY FIRST CHOICE
Section 354.1367 - Person-Centered Service Plan
Universal Citation: 1 TX Admin Code ยง 354.1367
Current through Reg. 49, No. 38; September 20, 2024
(a) Compliance with federal law. A person-centered service planning process is provided in accordance with RSA 441.540.
(b) Person-centered service plan facilitators. A person-centered service plan facilitator must complete HHSC-approved training on person-centered service planning by June 1, 2017, or within two years of hire date. Person-centered plan facilitators include:
(1) those that conduct the functional
assessment for CFC in the DBMD and CLASS waiver programs;
(2) LIDDAs in the HCS, TxHmL, and STAR+PLUS
programs;
(3) MCOs in the STAR+PLUS
and STAR Health programs; and
(4)
DSHS case workers.
(c) Development of the person-centered service plan. The person-centered service plan is created simultaneously and in conjunction with the functional needs assessment.
(1) The person-centered service
planning meeting is conducted face-to-face and occurs at a time and location
convenient to the individual receiving services.
(2) The person-centered service plan is
developed by the service planning team, which consists of the individual, the
individual's LAR, the person-centered service plan facilitator, and any other
individuals selected by the individual or the individual's LAR. The provider
may be a participant on the person-centered service planning team. Other
program rules may require certain other participants (for example, the program
director or a registered nurse designated by the program provider in
DBMD).
(3) As the individual's
functional needs are assessed simultaneously, the person-centered service plan
facilitator works with the individual to identify the individual's goals,
needs, and preferences with regard to his or her services.
(4) The person-centered service plan
facilitator ensures consideration of information from the individual or LAR to
determine any risks that might exist to the health and welfare of the
individual as a result of living in the community, and identifies and documents
in the person-centered service plan those services that are critical to the
health and welfare of the individual for which a backup plan must be
developed.
(5) The person-centered
service plan incorporates cultural considerations of the individual.
(6) The person-centered service plan includes
documentation on whether the individual has chosen to receive services through
Consumer Directed Services or the Service Responsibility Option.
(7) The person-centered service plan is
finalized and agreed to in writing by the individual and signed by all persons
and providers responsible for its implementation.
(8) The person-centered service plan and
functional needs assessment must be made available to the direct service
providers delivering CFC services.
(9) The person-centered service plan reflects
that the setting in which the individual lives meets the criteria outlined in
RSA
441.530 and is chosen by the
individual.
(10) The
person-centered service plan is reviewed and revised by the person-centered
service planning team:
(A) at least
annually;
(B) upon reassessment of
functional need;
(C) when the
individual's circumstances or needs change significantly; or
(D) at the request of the individual or
legally authorized representative through contact with the individual's
person-centered plan facilitator.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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