Current through Reg. 50, No. 13; March 28, 2025
(a) The ratio of
service providers of off-site individualized skills and socialization to
persons receiving services off-site must be:
(1) no higher than one service provider of
off-site individualized skills and socialization to eight individuals with an
LON 1 or an LON 5 without an enhanced staffing rate and other persons receiving
off-site individualized skills and socialization or a similar service
(1:8);
(2) no higher than one
service provider of off-site individualized skills and socialization to two
individuals with an LON 8 or an LON 6 and other persons receiving off-site
individualized skills and socialization or a similar service (1:2);
(3) no higher than one service provider of
individualized skills and socialization to two individuals with an LON 1 or an
LON 5 with the level one enhanced staffing rate and other persons receiving
off-site individualized skills and socialization or a similar service
(1:2);
(4) no higher than one
service provider of off-site individualized skills and socialization to one
individual with an LON 1, LON 5, LON 8, or LON 6 with the level two enhanced
staffing rate and other persons receiving off-site individualized skills and
socialization or a similar service (1:1); and
(5) no higher than one service provider of
off-site individualized skills and socialization to one individual with an LON
9 and other persons receiving off-site individualized skills and socialization
or a similar service (1:1).
(b) A ratio described in subsection (a) of
this section may include individuals with different LONs and other persons
receiving off-site individualized skills and socialization or a similar
service. If the ratio includes individuals with different LONs or other persons
receiving off-site individualized skills and socialization or a similar
service, the ratio must be one of the following, whichever is the lowest
staffing ratio:
(1) the staffing ratio for the
individual with highest level of need;
(2) the staffing ratio required by §
262.917(a) of
this title (relating to Staffing Ratios for Off-Site Individualized Skills and
Socialization), if a person in the TxHmL Program is one of the persons
represented in the ratio; or
(3)
the staffing ratio required by §
260.507(a) of
this title (relating to Staffing Ratios), if a person in the DBMD Program is
one of the persons represented in the ratio.
(c) A service provider of off-site
individualized skills and socialization assigned to the individuals represented
in a ratio in subsection (a) of this section must provide services only to the
individuals and other persons represented in the ratio.
