| (1) A provider who provides day habilitation or individualized
skills and socialization services in-house or who contracts with a
related party to provide day habilitation or individualized skills
and socialization services will report job trainer and job coach compensation
and hours on the required cost report items (e.g., hours, salaries
and wages, payroll taxes, employee benefits/insurance/workers' compensation,
contract labor costs, and personal vehicle mileage reimbursement).
Day habilitation costs cannot be combined and reported in one cost
report item.
(2) A provider who contracts with a non-related party
to provide day habilitation or individualized skills and socialization
services will report its payments to the contractor in a single cost
report item as directed in the instructions for the cost report or
Attendant Compensation Report as described in subsection (i)(3) and
(4) of this section. HHSC will allocate 50 percent of reported payments
to the attendant compensation cost area for inclusion with other allowable
day habilitation or individualized skills and socialization services
attendant costs in order to determine the total attendant compensation
spending for day habilitation or individualized skills and socialization
services as described in subsection (t) of this section.
(3) The provider must ensure access to any and all
records necessary to verify information submitted to HHSC on Attendant
Compensation Reports and cost reports functioning as an Attendant
Compensation Report.
(4) HHSC will require each ICF/IID, HCS, and TxHmL
provider specifying their wish to have day habilitation or individualized
skills and socialization services participate in the attendant compensation
rate enhancement to certify during the enrollment process that it
will comply with the requirements of paragraphs (1) - (3) of this
subsection.
(hh) New contracts within existing component codes.
For ICF/IID, HCS, and TxHmL, new contracts within existing component
codes will be assigned a level of participation equal to the existing
component code's level of participation effective on the start date
of the contract as recognized by HHSC or its designee.
(ii) Disclaimer. Nothing in these rules should be construed
as preventing providers from compensating attendants at a level above
that funded by the enhanced attendant compensation rate.
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| Source Note: The provisions of this §355.112 adopted to be effective June 25, 2000, 25 TexReg 5867; amended to be effective September 1, 2001, 26 TexReg 6291; amended to be effective January 1, 2003, 27 TexReg 11915; amended to be effective September 1, 2003, 28 TexReg 7301; amended to be effective April 1, 2004, 29 TexReg 3173; amended to be effective July 14, 2004, 29 TexReg 6622; amended to be effective January 19, 2006, 31 TexReg 285; amended to be effective October 28, 2007, 32 TexReg 7461; amended to be effective November 8, 2009, 34 TexReg 7593; amended to be effective September 1, 2010, 35 TexReg 5015; amended to be effectiveDecember 13, 2010, 35 TexReg 10943; amended to be effective September 1, 2011, 36 TexReg 3705; amended to be effective April 1, 2012, 37 TexReg 2068; amended to be effective November 25, 2012, 37 TexReg 9086; amended to be effective September 1, 2013, 38 TexReg 5433; amended to be effective September 1, 2014, 39 TexReg 5881; amended to be effective August 1, 2017, 42 TexReg 3359; amended to be effective March 1, 2018, 43 TexReg 339; amended to be effective January 1, 2019, 43 TexReg 8581; amended to be effective September 2, 2019, 44 TexReg 4691; amended to be effective June 25, 2020, 45 TexReg 4177; amended to be effective January 10, 2021, 46 TexReg 299; amended to be effective September 1, 2023, 48 TexReg 4611 |
