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 3 - MEDICAID HOME HEALTH SERVICES
Section 354.1031 - General

(1) Allowed practitioner--An individual:

(2) Durable medical equipment (DME)--Equipment and appliances that are primarily and customarily used to serve a medical purpose, generally are not useful to an individual in the absence of a disability, illness or injury, can withstand repeated use, and can be reusable or removable.

(3) HHSC--The Texas Health and Human Services Commission or its designee.

(4) Home health aide--An individual who meets the Medicare home health agency personnel qualifications and training requirements established for home health aides in RSA 484.80.

(5) Home health aide services--Services which can be provided by a qualified home health aide, including those listed in RSA 484.80.

(6) Home health agency--A public or private agency or organization, licensed by the State of Texas to provide home health services and qualified to participate as a Medicare home health agency under 42 CFR, Part 484 , Subparts A - C (relating to Home Health Services).

(7) Home health services--Covered services, DME and supplies which are provided to a qualified Medicaid recipient at the recipient's place of residence by home health agency staff or providers of DME and supplies under RSA 440.70 and § 354.1037 of this division (relating to Written Plan of Care) and §354.1039 of this division (relating to Benefits and Limitations of Home Health Services).

(8) Intermittent--Home health aide or skilled nursing services provided less than on a daily basis, less than eight hours per day.

(9) Part-time--Home health aide or skilled nursing services provided any number of days per week, less than eight hours per day.

(10) Plan of care--A written regimen established and periodically reviewed by a physician or an allowed practitioner in consultation with home health agency staff, which meets the plan of care standards at RSA 484.60 and § 354.1037 of this division.

(11) Supplies--Health care related items that are required to address an individual's medical disability, illness, or injury and are: