Current through Reg. 49, No. 38; September 20, 2024
(a) To purchase a
minor home modification for an individual a CMA must:
(1) ensure that the individual or LAR
initiates a request for the minor home modification by completing Part A of the
HHSC Request for Adaptive Aids, Medical Supplies and Minor Home Modifications
form described in the Community Living Assistance and Support Services
Provider Manual;
(2) send
the partially completed form to the DSA;
(3) ensure that the individual's service
planning team includes the cost of the specifications for the requested minor
home modification, as described in §259.277 of this division (relating to
Requirements for Specifications for a Minor Home Modification), not to exceed
$200, in:
(A) the individual's proposed
enrollment IPC, proposed renewal IPC, or proposed revised IPC, as applicable;
and
(B) the individual's IPP;
and
(4) no later than 14
calendar days after completing the requirement described in paragraph (3) of
this subsection, submit to HHSC:
(A) the
proposed enrollment IPC, proposed renewal IPC, or proposed revised IPC,
described in paragraph (3)(A) of this subsection, as applicable; and
(B) the individual's IPP described in
paragraph (3)(B) of this subsection.
(b) HHSC reviews the documentation described
in subsection (a)(4) of this section and determines whether the proposed IPC is
authorized in accordance with §
259.69 of this chapter (relating
to HHSC's Review of a Proposed Enrollment IPC) or §
259.79 of this chapter (relating
to Renewal and Revision of an IPC).
(c) HHSC notifies a DSA, in the electronic
billing system, of whether the proposed IPC is authorized. HHSC notifies a CMA,
in writing, of whether the proposed IPC is authorized.
(d) If HHSC approves the proposed IPC for
payment of the specifications, the DSA must:
(1) no later than 30 calendar days after the
date HHSC approves the IPC, obtain the specifications regarding the minor home
modification in accordance with §259.277 of this division and ensure that
Part B of the HHSC Request for Adaptive Aids, Medical Supplies and Minor Home
Modifications form is completed;
(2) no later than 60 calendar days after
obtaining the specifications:
(A) if the
minor home modification costs more than $1,000, obtain bids from vendors in
accordance with §259.279 of this division (relating to Bid Requirements
for a Minor Home Modification);
(B)
select a vendor to complete construction of the minor home modification;
and
(C) complete Part C of the HHSC
Request for Adaptive Aids, Medical Supplies and Minor Home Modifications form
and send the form to the CMA; and
(3) before construction of the minor home
modification:
(A) obtain written approval for
construction of the modification from the owner of the property in question,
unless such approval is granted in an applicable lease agreement; and
(B) ensure that the selected
vendor obtains any required building permits.
(e) A CMA must, no later than 14 calendar
days after receipt of the form described in subsection (d)(2)(C) of this
section:
(1) complete Part D of the HHSC
Request for Adaptive Aids, Medical Supplies and Minor Home Modifications form,
evidencing that the criteria described in §
259.65(b) of this
chapter (relating to Development of an Enrollment IPC) are met;
(2) ensure that the individual's service
planning team includes the cost of the minor home modification and the cost of
the inspection of the minor home modification, not to exceed $150, in:
(A) the individual's proposed enrollment IPC,
proposed renewal IPC, or proposed revised IPC, as applicable; and
(B) the individual's IPP; and
(3) no later than 14 calendar days
after completing the requirement described in paragraph (2) of this subsection,
submit to HHSC:
(A) the completed HHSC
Request for Adaptive Aids, Medical Supplies, and Minor Home Modifications form;
(B) the proposed enrollment IPC,
proposed renewal IPC, or proposed revised IPC described in paragraph (2)(A) of
this subsection, as applicable;
(C)
the individual's IPP described in paragraph (2)(B) of this subsection;
and
(D) documentation regarding
bids as required by §259.279 of this
division.
(f)
HHSC reviews the documentation described in subsection (e)(3) of this section
and determines whether the proposed IPC is authorized in accordance with §
259.69 or §
259.79 of this chapter.
(g) HHSC notifies a DSA, in the electronic
billing system, of whether the proposed IPC is authorized. HHSC notifies a CMA,
in writing, of whether the proposed IPC is authorized.
(h) The DSA must direct the vendor to begin
construction of the minor home modification no later than seven calendar days
after one of the following, whichever is later:
(1) the date HHSC approves the individual's
proposed IPC; or
(2) the effective
date of the individual's proposed IPC as determined by the service planning
team.
(i) A DSA must, no
later than seven business days after it receives information that the minor
home modification is completed, conduct an in-person inspection of the minor
home modification in accordance with §259.281 of this division (relating
to Inspection of a Minor Home Modification).
