Current through Reg. 49, No. 38; September 20, 2024
(a) A
LIDDA must comply with §
303.302
of this title (relating to LIDDA, LMHA, and LBHA Responsibilities Related to
the PASRR Process).
(b) At the
initial IDT meeting, the habilitation coordinator, in conjunction with the IDT,
must:
(1) review the IHSS recommended on the
PE and identify which IHSS:
(A) the designated
resident, or LAR on the designated resident's behalf, wants to receive;
and
(B) the IDT agrees the
designated resident should receive;
(2) verify that identified IHSS are required
by the designated resident's NF baseline or comprehensive care plan;
and
(3) develop an HSP in
accordance with §
303.601(b)(2)
of this title (relating to Habilitation Coordination for a Designated
Resident).
(c) Within
seven calendar days of receiving the designated resident's NF baseline or
comprehensive care plan in accordance with § 368.203(a)(5) of this
subchapter (relating to Process for Provider Selection), the service provider
agency must:
(1) ensure an individual service
provider who meets the qualifications in § 368.406 of this chapter
(relating to Provider Qualifications) completes an assessment for each IHSS on
the NF baseline or comprehensive care plan, using HHSC forms; and
(2) send each assessment to the habilitation
coordinator.
(d) The
habilitation coordinator must:
(1) within 14
calendar days of sending the designated resident's NF baseline or comprehensive
care plan to the service provider agency, convene an SPT meeting to:
(A) discuss the assessments and recommended
frequency, amount, and duration for each IHSS for which an assessment was
conducted;
(B) develop an initial
plan of care, using HHSC forms, in accordance with § 368.301 of this
chapter (relating to Plan of Care) and HHSC's IDD PASRR Handbook; and
(C) revise the HSP in accordance with §
368.302 of this chapter (relating to Renewal and Revision of a Plan of
Care);
(2) ensure all
required parties sign and date the initial plan of care in accordance with form
instructions; and
(3) submit the
initial plan of care, including all assessments, to HHSC within three business
days after the SPT meeting and:
(A) retain the
original initial plan of care in the designated resident's LIDDA record;
and
(B) send a copy of the initial
plan of care to each member of the SPT.
(e) If HHSC denies an IHSS for a designated
resident, HHSC implements the fair hearings process in accordance with §
368.602 of this chapter (relating to Fair Hearings).
(f) If HHSC authorizes an IHSS for a
designated resident, the service provider agency must initiate IHSS in
accordance with § 368.401 of this chapter (relating to Service Initiation
and Delivery).
