Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 277 - Contracting to Provide Primary Home Care
Subchapter E - SERVICE REQUIREMENTS
Section 277.73 - Annual Reauthorization for the CAS Program

Universal Citation: 26 TX Admin Code § 277.73

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

(a) Reauthorization request.

(1) Upon receipt of the annual HHSC Authorization for Community Care Services form, a provider must request annual reauthorization for the CAS Program.

(2) The provider must send the following to the regional nurse to obtain annual reauthorization:
(A) HHSC's Authorization for Community Care Services form received from the case worker; and

(B) a signed statement indicating whether the supervisor agrees or disagrees with the tasks and hours indicated on HHSC's Authorization for Community Care Services form, and if the supervisor disagrees, the statement must provide the specific reasons for disagreeing with the hours and tasks on this form.

(b) Reauthorization request due date. A provider must submit the information described in subsection (a)(2) of this section to the regional nurse within 14 days after one of the following dates, whichever is later:

(1) the referral date on HHSC's Authorization for Community Care Services form; or

(2) the date the provider receives HHSC's Authorization for Community Care Services form, unless the provider fails to stamp the receipt date on the form, in which case the referral date will be used to determine timeliness.

(c) Authorization determination. HHSC makes the authorization determination and notifies the provider before the annual reauthorization is due.

(d) Documentation of annual reauthorization. A provider must maintain documentation of the written request for reauthorization for the CAS Program in the individual's file.

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