(a) A plan of care must be developed for each designated
resident in accordance with §368.204 of this chapter (relating
to Process for Service Initiation) and reviewed and revised for each
designated resident whenever the designated resident's needs for services
and supports change, but no less than annually, in accordance with §368.302
of this subchapter (relating to Renewal and Revision of a Plan of
Care).
(b) A plan of care must specify the frequency, amount,
and duration of each IHSS to be provided for a designated resident,
as well as non-PASRR services and supports to be provided during the
plan year. Each service in the plan of care must:
(1) be necessary to help the designated resident partially
or fully attain, maintain or improve skills, or slow or prevent a
decline in skills;
(2) not be available for the designated resident through
any other source, including other state plan services, governmental
programs, private insurance, or other resources; and
(3) be supported by at least one outcome in the HSP
as necessary to enable community integration and maximize independence.
(c) Before submission to HHSC, the required SPT members
must sign and date a designated resident's plan of care, indicating
agreement that the services recommended in the plan of care meet the
requirements of subsection (b) of this section and will be delivered
by the service provider agency.
(d) HHSC reviews a submitted initial, revised, or renewal
plan of care and authorizes or denies the IHSS on the plan of care.
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