(a) A program provider must ensure an individual receives
an adaptive aid, other than a medically necessary supply or device:
(1) costing less than $500 within 14 business days
after one of the following dates, whichever is later:
(A) the date HHSC approves the proposed IPC that includes
the recommended adaptive aid; or
(B) the effective date of the individual's IPC as determined
by the service planning team; and
(2) costing $500 or more within 30 business days after
one of the following dates, whichever is later:
(A) the date HHSC approves the proposed IPC that includes
the recommended adaptive aid; or
(B) the effective date of the individual's IPC as determined
by the service planning team.
(b) For an adaptive aid that is a medically necessary
supply or device listed in the Deaf Blind
with Multiple Disabilities Program Manual, a program provider
must ensure an individual receives the medical supply as follows:
(1) for a medically necessary supply or device that
is not immediately needed by the individual, within five business
days after one of the following dates, whichever is later:
(A) the date HHSC approves the proposed IPC that includes
the recommended medically necessary supply or device; or
(B) the effective date of the individual's IPC as determined
by the service planning team; and
(2) for a medically necessary supply or device that
is immediately needed by the individual, within two business days
after the date HHSC approves the IPC that includes the recommended
medically necessary supply or device.
(c) If a program provider is unable to meet the delivery
time frames described in subsections (a) or (b) of this section, a
program provider may deliver the adaptive aid at a later date if:
(1) the reason for the delay is:
(A) beyond the program provider's control; and
(B) not caused directly by the program provider;
(2) a program provider notifies the individual or LAR
and HHSC, orally and in writing, of the delay and provides a revised
delivery date; and
(3) a program provider provides the notice to the individual
or LAR and HHSC on or before the expiration of the delivery time frames
described in subsections (a) or (b) of this section.
(d) A program provider must document the time and date
of the oral notice described in subsection (c)(2) of this section
in an individual's record and retain a copy of the written notice
in the individual's record.
|