Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 260 - DEAF BLIND WITH MULTIPLE DISABILITIES (DBMD) PROGRAM AND COMMUNITY FIRST CHOICE (CFC) SERVICES
Subchapter F - SERVICE DESCRIPTIONS AND REQUIREMENTS
Division 3 - REQUIREMENTS FOR OTHER DBMD PROGRAM SERVICES
Section 260.337 - Case Management
Universal Citation: 26 TX Admin Code ยง 260.337
Current through Reg. 49, No. 38; September 20, 2024
(a) A program provider must ensure that case management is provided in accordance with an individual's IPP, IPC, and Appendix C of the DBMD Program waiver application approved by CMS and available on the HHSC website, including:
(1) initiating and overseeing the process of
assessment and reassessment of the individual's LOC;
(2) initiating and overseeing the process of
the review of service plans at enrollment, annually, and as needed, including
if requested by the individual or LAR;
(3) observing the individual in the
individual's home and determining the intent and level of the individual's
communication;
(4) if necessary,
determining from the individual's non-verbal communication, the individual's
likes and dislikes;
(5) leading the
service planning team to use the person-centered planning process to develop a
service plan that optimizes the opportunities for the individual to use the
individual's abilities and to integrate in community settings;
(6) using the individual's knowledge of sign
language and other communication systems to make the individual as aware as
possible of the individual's service plan and options;
(7) communicating with service planning team
members to ensure that the service plan is carried out appropriately;
(8) monitoring the success of the service
plan by observing the individual at home and in the community;
(9) monitoring the provision of services
included in the service plan on an ongoing basis; and
(10) monitoring services that assist the
individual in gaining access to needed waiver and other state plan services,
including medical, social, educational, and non-wavier services.
(b) The only activities that a program provider may bill as case management are:
(1) an in-person, email, phone call, or text
message contact with an individual;
(2) an in-person, email, phone call, or text
message contact with the LAR, primary caregiver, or an actively involved person
regarding the individual's services;
(3) a phone call, text message, email,
letter, or meeting with HHSC or community resources regarding the individual's
services; and
(4) working with
service providers regarding the individual, including:
(A) reviewing services, goals, and outcomes,
as described in the individual's IPC and IPP;
(B) providing the training described in
§
260.205(g) of
this chapter (relating to Training);
(C) monitoring training strategies used by
service providers to carry out the goals and outcomes described in the IPP;
and
(D) activities performed as a
member of the service planning team.
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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