Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 263 - HOME AND COMMUNITY-BASED SERVICES (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC)
Subchapter D - DEVELOPMENT AND REVIEW OF AN IPC
Section 263.304 - Service Limits
Universal Citation: 26 TX Admin Code § 263.304
Current through Reg. 50, No. 13; March 28, 2025
(a) The following limits apply to an individual's HCS Program services:
(1) for adaptive aids, $10,000 during an IPC
year;
(2) for dental treatment,
$2,000 during an IPC year;
(3) for
minor home modifications and pre-enrollment minor home modifications combined:
(A) $7,500 during the time the individual is
enrolled in the HCS Program, which may be paid in one or more IPC years;
and
(B) a maximum of $300 for
repair and maintenance during an IPC year;
(4) for respite and in-home respite combined,
300 hours during an IPC year;
(5)
for day habilitation and in-home day habilitation combined, 260 units during an
IPC year;
(6) for TAS:
(A) $2,500 if the applicant's initial IPC
does not include residential support, supervised living, or host home/companion
care; or
(B) $1,000 if the
applicant's initial IPC includes residential support, supervised living, or
host home/companion care; and
(7) for employment readiness and
individualized skills and socialization combined:
(A) 1560 hours during an IPC year;
(B) six hours per calendar day; and
(C) five days per calendar
week.
(b) An individual may receive TAS only once in the individual's lifetime.
(c) A program provider may request, in accordance with the HCS Program Billing Requirements, authorization of a requisition fee:
(1) for
dental treatment that is in addition to the $2,000 service limit described in
subsection (a)(2) of this section;
(2) for a minor home modification that is in
addition to the $7,500 service limit described in subsection (a)(3)(A) of this
section; or
(3) for an adaptive aid
that is in addition to the $10,000 service limit described in subsection (a)(1)
of this section.
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