| (a) Access. A LIDDA must have a place of business reasonably
accessible to the residents of the local service area where an individual
can request services and supports. The LIDDA must assist an individual
for whom it is the designated LIDDA with accessing such services and
supports.
(b) Screening.
(1) A LIDDA must develop and implement policies and
procedures related to screening an individual seeking services and
supports that address:
(A) providing an oral and written explanation of services
and supports to the individual and LAR or actively involved person
and family member using DADS-approved documents;
(B) gathering and documenting information to determine
a need for services and supports;
(C) triaging immediate needs to be responsive to a
crisis situation;
(D) determining whether a request can be met with resources
at the LIDDA or whether the individual will be directed to alternate
resources in the community;
(E) assisting the individual or LAR in identifying
services and supports preferences, documenting those preferences on
the DADS-approved form, and maintaining a copy of the documentation;
and
(F) if the services and supports preferred by the individual
or LAR are not available:
(i) assisting the individual or LAR in gaining access
to alternative services and supports and registering the individual's
name on the appropriate interest lists;
(ii) documenting efforts undertaken by the LIDDA to
obtain the requested services and supports, including the names and
addresses of programs and facilities to which the individual or LAR
was referred; and
(iii) documenting the services and supports for which
the individual is waiting.
(2) If the individual or LAR is seeking residential
services, the LIDDA must develop and implement policies and procedures
that address:
(A) providing to the individual, LAR, and, unless the
LAR is a family member, at least one family member (if possible) both
an oral and written explanation of the residential services and supports
for which the individual may be eligible, including:
(i) as required by THSC, §533.038(d):
(I) state supported living centers;
(II) community ICFs/IID;
(III) waiver services under §1915(c) of the Social
Security Act; and
(IV) other community-based services and supports;
(ii) as required by THSC, §533.038(g)(1), a copy
of the DADS-approved publication relating to residential options for
individuals with an intellectual disability or related condition;
and
(iii) as required by THSC, §533.038(g)(2), information
relating to whether appropriate residential services are available
in each program for which the individual may be eligible, including
state supported living centers, community ICFs/IID, waiver services,
or other services located nearest to the residence of the individual;
and
(B) if an individual is under 22 years of age, providing
to the LAR an explanation of permanency planning.
(c) Intake. A LIDDA must develop and implement policies
and procedures related to intake that address:
(1) determining if an individual seeking services and
supports is a member of the LIDDA priority population in accordance
with Chapter 5, Subchapter D, of this title (relating to Diagnostic
Assessment), and eligible for general revenue services;
(2) determining an individual's eligibility for service
coordination in accordance with §2.554 of this chapter (relating
to Eligibility) contained in Subchapter L (relating to Service Coordination
for Individuals with an Intellectual Disability), and documenting
a description of the individual's preferences and needs using a person-directed
planning process that is consistent with DADS Person
Directed Planning Guidelines;
(3) conducting a financial assessment as required by
Subchapter C of this chapter (relating to Charges for Community Services)
and assisting an individual with applying for Medicaid benefits, Supplemental
Security Income, or Social Security Disability Income, if appropriate;
(4) providing an explanation of rights of individuals
with an intellectual disability in accordance with Chapter 4, Subchapter
C of this title (relating to Rights of Individuals with an Intellectual
Disability); and
(5) providing information to the individual and LAR
about the LIDDA complaint, notification, and appeal processes in accordance
with Subchapter A of this chapter (relating to Local Authority Notification
and Appeal).
(d) Service coordination.
(1) A LIDDA must offer an individual service coordination
if the individual:
(A) is eligible for Medicaid and service coordination;
or
(B) is not eligible for Medicaid, but is eligible for
service coordination and will be enrolled in general revenue services
other than service coordination.
(2) A LIDDA must designate a staff member to authorize
and monitor an individual's service need in accordance with the performance
contract if the individual:
(A) is not eligible for service coordination; and
(B) will be enrolled in a general revenue service other
than service coordination.
(e) Enrollment into general revenue services.
(1) A LIDDA must develop and implement policies and
procedures related to enrollment into general revenue services that
address:
(A) developing a written plan of services and supports
that uses a person-directed planning process and includes:
(i) current services and supports, including existing
natural supports;
(ii) outcomes to be achieved by the individual and
the general revenue services to be provided to the individual;
(iii) any assessment to be conducted after enrollment;
(iv) the reason for each general revenue service to
be provided; and
(v) the amount and duration of each general revenue
service to be provided; and
(B) authorizing the provision of the general revenue
services identified in the plan.
(2) Except for the provision of respite in an emergency,
the LIDDA may not provide general revenue services unless authorized
in accordance with the policies and procedures required by paragraph
(1) of this subsection.
(f) Enrollment activities for the ICF/IID, HCS, and
TxHmL programs.
(1) A LIDDA must enroll an individual in the ICF/IID,
HCS, or TxHmL program, in accordance with the performance contract
and DADS rules relating to those programs.
(2) A LIDDA must conduct permanency planning for an
individual under 22 years of age who is enrolling in an HCS Program
residential setting or an ICF/IID in accordance with the performance
contract and DADS rules relating to those programs.
(g) Enrollment activities for Community First Choice
(CFC). A LIDDA must conduct enrollment activities for an individual
who is referred to the LIDDA by a Medicaid managed care organization
and who is enrolling in CFC in accordance with the performance contract
and the LIDDA contract with the Medicaid managed care organization.
(h) Commitment or admission to a state supported living
center (SSLC).
(1) A LIDDA must perform its responsibilities related
to an individual's commitment or admission to an SSLC in accordance
with Subchapter F of this chapter (relating to Continuity of Services--State
Facilities).
(2) A LIDDA must conduct permanency planning for an
individual under 22 years of age who resides in an SSLC in accordance
with §2.283 of this chapter (relating to MRA and State MR Facility
Responsibilities) contained in Subchapter F (relating to Continuity
of Services--State Facilities), and the performance contract.
(i) Safety net functions. A LIDDA must develop policies
and procedures related to safety net functions that reflect the priorities
of its local planning efforts and are responsive to the needs of its
local service area.
(j) PASRR Evaluations. A LIDDA must conduct Pre-admission
Screening and Resident Review (PASRR) Evaluations as required by Chapter
17 of this title (relating to Pre-admission Screening and Resident
Review (PASRR)) and the performance contract.
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