Current through Reg. 49, No. 38; September 20, 2024
(a) A program
provider must ensure an individual receives an adaptive aid, other than a
medically necessary supply or device:
(1)
costing less than $500 within 14 business days after one of the following
dates, whichever is later:
(A) the date HHSC
approves the proposed IPC that includes the recommended adaptive aid;
or
(B) the effective date of the
individual's IPC as determined by the service planning team; and
(2) costing $500 or more within 30
business days after one of the following dates, whichever is later:
(A) the date HHSC approves the proposed IPC
that includes the recommended adaptive aid; or
(B) the effective date of the individual's
IPC as determined by the service planning team.
(b) For an adaptive aid that is a medically
necessary supply or device listed in the Deaf Blind with Multiple
Disabilities Program Manual, a program provider must ensure an
individual receives the medical supply as follows:
(1) for a medically necessary supply or
device that is not immediately needed by the individual, within five business
days after one of the following dates, whichever is later:
(A) the date HHSC approves the proposed IPC
that includes the recommended medically necessary supply or device;
or
(B) the effective date of the
individual's IPC as determined by the service planning team; and
(2) for a medically necessary
supply or device that is immediately needed by the individual, within two
business days after the date HHSC approves the IPC that includes the
recommended medically necessary supply or device.
(c) If a program provider is unable to meet
the delivery time frames described in subsections (a) or (b) of this section, a
program provider may deliver the adaptive aid at a later date if:
(1) the reason for the delay is:
(A) beyond the program provider's control;
and
(B) not caused directly by the
program provider;
(2) a
program provider notifies the individual or LAR and HHSC, orally and in
writing, of the delay and provides a revised delivery date; and
(3) a program provider provides the notice to
the individual or LAR and HHSC on or before the expiration of the delivery time
frames described in subsections (a) or (b) of this section.
(d) A program provider must
document the time and date of the oral notice described in subsection (c)(2) of
this section in an individual's record and retain a copy of the written notice
in the individual's record.
