Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 264 - CONSUMER DIRECTED SERVICES OPTION
Subchapter C - ENROLLMENT AND RESPONSIBILITIES OF FINANCIAL MANAGEMENT SERVICES AGENCIES (FMSAS)
Section 264.313 - Individual Service Planning Process

Universal Citation: 26 TX Admin Code § 264.313

Current through Reg. 50, No. 13; March 28, 2025

(a) An FMSA may participate as a member of an individual's service planning team when requested by the individual or LAR and agreed to by the FMSA.

(b) Within three working days after receiving a request from an employer, DR, case manager, service coordinator, or HHSC, the FMSA must provide information related to an individual's participation in the CDS option.

(c) The FMSA must document and notify a case manager or service coordinator of issues or concerns related to an individual's participation in the CDS option, including:

(1) allegations of fraud;

(2) concerns about the individual's health, safety, or welfare;

(3) non-delivery or extended breaks in services;

(4) noncompliance with employer responsibilities;

(5) noncompliance with service back-up plans; or

(6) over or under utilization of services or funds allocated in the individual's service plan for delivery of services to the individual through the CDS option and in accordance with the requirements of the individual's program.

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