Current through Reg. 49, No. 38; September 20, 2024
(a) Local
planning.
(1) A LIDDA must conduct local
planning in accordance with THSC, §533.0352, and ensure involvement of the
local advisory committee and other stakeholders.
(2) A LIDDA must participate in the local
CRCG when an individual has complex needs and requires multiagency
services.
(3) A LIDDA must
coordinate with local agencies to build an integrated service delivery system
that ensures broad access to and information about community services,
identifies the LIDDA's safety net functions, and maximizes the utilization of
existing resources while avoiding duplication of effort and gaps in
services.
(b) Quality
management. A LIDDA must develop a quality management program to monitor the
performance of general revenue services providers and the LIDDA's compliance
with the performance contract.
(c)
Utilization management. A LIDDA must have:
(1) procedures describing how it authorizes
general revenue services; and
(2)
methods for evaluating the effectiveness of the authorization
procedures.
(d)
Information systems. A LIDDA must have information systems that:
(1) capture valid and reliable data;
and
(2) accurately report required
data to funding sources (for example, the Medicaid administration contractor,
DADS, and other state and local agencies).
(e) Network management. A LIDDA must develop
and manage a network of qualified providers that offer an array of general
revenue services described in the performance contract.
(1) If the LIDDA is a provider of general
revenue services, the LIDDA must have written procedures describing the
qualifications and expectations of staff members.
(2) If a provider of general revenue services
is a contractor of the LIDDA, the LIDDA must:
(A) ensure that the contract is procured and
complies with the requirements of Subchapter B of this chapter (relating to
Contracts Management for Local Authorities);
(B) have a process for resolving complaints
from contract providers; and
(C)
provide appropriate technical assistance and training to ensure that contract
providers understand their contractual obligations (for example, documentation
and billing).
(f) Consideration of public input, ultimate
cost-benefit, and client care issues. In accordance with THSC §533.035(c),
a LIDDA must consider public input, ultimate cost-benefit, and client care
issues to ensure individual choice and the best use of public money in:
(1) assembling a network of general revenue
services providers;
(2) making
recommendations relating to the most appropriate and available treatment
alternatives for individuals in the need of services and supports;
and
(3) procuring services for a
local service area, including a request for proposal or open-enrollment
procurement method.
(g)
Interest list management.
(1) A LIDDA must
contact individuals on the HCS Program interest list and the TxHmL Program
interest list as required by and in accordance with the performance
contract.
(2) A LIDDA must have
policies and procedures for:
(A) registering
individuals on the LIDDA's interest list for general revenue services that
complies with the requirements set forth in the Texas Government Code, §
531.0931,
related to military members and their dependents; and
(B) periodically contacting the individuals
on the interest list.
(h) Qualifications and availability of staff
members.
(1) Criminal history and registry
clearances. A LIDDA must conduct criminal history and registry clearances for
job and volunteer applicants in accordance with Chapter 4, Subchapter K, of
this title (relating to Criminal History and Registry Clearances).
(2) Availability of staff members. A LIDDA
must ensure the continuous availability of trained and qualified staff members
to ensure the provision of service coordination and general revenue
services.
(3) Qualifications of a
staff member who is a service coordinator. A LIDDA must ensure that a staff
member who is a service coordinator meets the qualifications set forth in
§2.559 of
this chapter (relating to Minimum Qualifications) contained in Subchapter L
(relating to Service Coordination for Individuals with an Intellectual
Disability).
(4) Qualifications of
a staff member other than a service coordinator.
(A) A LIDDA must ensure that a staff member
who is not a service coordinator and who directly provides general revenue
services is at least 18 years of age and:
(i)
has a high school diploma or a certificate recognized by a state as the
equivalent of a high school diploma; or
(ii) has documentation of a proficiency
evaluation of experience and competence to perform the job tasks that includes:
(I) written competency-based assessment of
the ability to document service delivery and observations of an individual;
and
(II) at least three personal
references from persons not related by blood or marriage that indicate the
ability to provide a safe, healthy environment for an individual.
(B) A LIDDA must:
(i) document the required education and work
experience for a staff member who is not a service coordinator and who directly
provides general revenue services and the supervisor of such staff member by
position classification, by position category, or by individual position;
and
(ii) ensure that a supervisor
of a staff member who is not a service coordinator and who directly provides
general revenue services has a minimum of one year experience working directly
with people with intellectual disability or other developmental disabilities
(for example, work experience, volunteer experience, or personal experience as
a family member).
(C) A
LIDDA must ensure that a staff member who is not a service coordinator and who
directly provides general revenue services and the supervisor of such staff
member have required state certification or licensure.
(5) Required competencies and skills relating
to health, safety, and support needs of individuals.
(A) A LIDDA must identify in writing the
required competencies and skills for a staff member by position classification,
position category, or individual position that meet the health, safety, and
support needs of individuals and include:
(i)
time frames and frequency for the staff member to demonstrate competency;
and
(ii) a method for measuring the
competency and skills of the staff member.
(B) A LIDDA must maintain documentation that
a staff member has demonstrated competencies and skills required by
subparagraph (A) of this paragraph.