| (58) Intellectual Disability/Related Conditions Assessment
(ID/RC Assessment)--A form used by HHSC for level of care (LOC) determination
and level of need (LON) assignment.
(59) Intermittent survey--A review by HHSC of a program
provider, which may originate from a complaint, that is not an initial
certification survey, a recertification survey, or a follow-up survey,
to determine if the program provider complies with the certification
standards.
(60) IPC cost--Estimated annual cost of HCS Program
services included on an IPC.
(61) IPC year--A 12-month time period starting on the
date an initial or renewal IPC begins. A revised IPC does not change
the begin or end date of an IPC year.
(62) Isolated--The scope of a violation that has affected
a very limited number of individuals or that has occurred only occasionally.
(63) Legally authorized representative (LAR)--A person
authorized by law to act on behalf of a person in a matter described
in this subchapter, and may include a parent, guardian, or managing
conservator of a minor, or the guardian of an adult.
(64) Level of care (LOC)--A determination given to
an individual as part of the eligibility determination process based
on data submitted on the ID/RC Assessment.
(65) Level of need (LON)--An assignment given by HHSC
to an individual upon which reimbursement for host home/companion
care, supervised living, residential support, and individualized skills
and socialization is based.
(66) Licensed vocational nurse (LVN)--A person licensed
to practice vocational nursing in accordance with Texas Occupations
Code Chapter 301.
(67) Local intellectual and developmental disability
authority (LIDDA)--An entity designated by the HHSC Executive Commissioner,
in accordance with Texas Health and Safety Code §533A.035.
(68) Managed care organization--This term has the meaning
set forth in Texas Government Code §536.001.
(69) Means of escape--A continuous and unobstructed
path of travel from an occupied portion of a building to an outside
area.
(70) Mechanical restraint--A mechanical device, material,
or equipment used to control an individual's behavior by restricting
the ability of the individual to freely move part or all of the individual's
body.
(71) Medical Assistance Only Medicaid (MAO Medicaid)--A
type of Medicaid for which an applicant or individual qualifies financially
for Medicaid assistance but does not receive Supplemental Security
Income benefits.
(72) Microboard--A program provider:
(A) that is a non-profit corporation:
(i) that is created and operated by no more than 10
persons, including an individual;
(ii) the purpose of which is to address the needs of
the individual and directly manage the provision of HCS Program services
or CFC services; and
(iii) in which each person operating the corporation
participates in addressing the needs of the individual and directly
managing the provision of HCS Program services or CFC services; and
(B) that has a service capacity designated in the HHSC
data system of no more than three individuals.
(73) Military family member--A person who is the spouse
or child (regardless of age) of:
(A) a military member; or
(B) a former military member.
(74) Military member--A member of the United States
military serving in the Army, Navy, Air Force, Marine Corps, Coast
Guard, or Space Force on active duty who has declared and maintains
Texas as the member's state of legal residence in the manner provided
by the applicable military branch.
(75) Natural supports--Unpaid persons, including family
members, volunteers, neighbors, and friends, who assist an individual.
(76) Neglect--A negligent act or omission that caused
physical or emotional injury or death to an individual or placed an
individual at risk of physical or emotional injury or death.
(77) Nursing facility--A facility licensed in accordance
with Texas Health and Safety Code Chapter 242.
(78) Pattern--The scope of a violation that is not
widespread but represents repeated failures by the program provider
to comply with certification standards and the failures:
(A) are found throughout the services provided by the
program provider; or
(B) involve or affect the same individuals, service
providers, or volunteers.
(79) Permanency planning--A philosophy and planning
process that focuses on the outcome of family support for an applicant
or individual under 22 years of age by facilitating a permanent living
arrangement in which the primary feature is an enduring and nurturing
parental relationship.
(80) Permanency Planning Review Screen--A screen in
the HHSC data system, completed by a LIDDA, that identifies community
supports needed to achieve an applicant's or individual's permanency
planning outcomes and provides information necessary for approval
to provide supervised living or residential support to the applicant
or individual.
(81) Person-directed plan (PDP)--A written plan, based
on person-directed planning and developed with an applicant or individual
in accordance with the HHSC Person-Directed Plan form and discovery
tool found on the HHSC website, that describes the supports and services
necessary to achieve the desired outcomes identified by the applicant
or individual (and LAR on the applicant's or individual's behalf)
and ensure the applicant's or individual's health and safety.
(82) Person-directed planning--An ongoing process that
empowers the applicant or individual (and the LAR on the applicant's
or individual's behalf) to direct the development of a PDP. The process:
(A) identifies supports and services necessary to achieve
the applicant's or individual's outcomes;
(B) identifies existing supports, including natural
supports and other supports available to the applicant or individual
and negotiates needed services system supports;
(C) occurs with the support of a group of people chosen
by the applicant or individual (and the LAR on the applicant's or
individual's behalf); and
(D) accommodates the applicant's or individual's style
of interaction and preferences.
(83) Physical abuse--Any of the following:
(A) an act or failure to act performed knowingly, recklessly,
or intentionally, including incitement to act, that caused physical
injury or death to an individual or placed an individual at risk of
physical injury or death;
(B) an act of inappropriate or excessive force or corporal
punishment, regardless of whether the act results in a physical injury
to an individual;
(C) the use of a restraint on an individual in a manner
that is not in compliance with federal and state laws, rules, and
regulations; or
(D) seclusion.
(84) Physical restraint--Any manual method used to
control an individual's behavior, except for physical guidance or
prompting of brief duration that an individual does not resist, that
restricts:
(A) the free movement or normal functioning of all
or a part of the individual's body; or
(B) normal access by an individual to a portion of
the individual's body.
(85) Plan of correction--A plan documented on the HHSC
Plan of Correction form that includes the corrective action that a
program provider will take for each violation identified on a final
survey report.
(86) Plan of removal--A written plan that describes
the action a program provider will take to remove an immediate threat
that HHSC identifies.
(87) Post 45-day follow-up survey--A follow-up survey
conducted at least 46 calendar days after the exit conference of the
survey in which the violation requiring corrective action was identified.
(88) Post-move monitoring visit--A visit conducted
by the service coordinator in accordance with the Intellectual and Developmental Disability Preadmission
Screening and Resident Review (IDD-PASRR) Handbook.
(89) Pre-enrollment minor home modifications--Minor
home modifications, as described in the HCS
Program Billing Requirements, completed before an applicant
is discharged from a nursing facility, an ICF/IID, or a GRO and before
the effective date of the applicant's enrollment in the HCS Program.
(90) Pre-enrollment minor home modifications assessment--An
assessment performed by a licensed professional as required by the HCS Program Billing Requirements to determine
the need for pre-enrollment minor home modifications.
(91) Pre-move site review--A review conducted by the
service coordinator in accordance with HHSC's IDD-PASRR
Handbook.
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