(a) HHSC terminates an individual's HCS Program services
and CFC services if the individual does not meet the eligibility criteria
described in §263.101(a)(1) - (4), (6), (c), and (d) of this
chapter (relating to Eligibility Criteria for HCS Program Services
and CFC Services).
(b) If a service coordinator becomes aware that a situation
described in subsection (a) of this section exists, the service coordinator
must, as soon as practicable, convene a service planning team meeting
to discuss the situation. If after the meeting, the service coordinator
determines that the situation cannot be resolved, the service coordinator
must request that HHSC terminate the individual's services. To make
this request, the service coordinator must complete HHSC Request for
Termination of Services form and submit the form to HHSC.
(c) If HHSC receives a form from a service coordinator
requesting that HHSC terminate the individual's services, HHSC sends
written notice to the individual or LAR of the proposal to terminate
HCS Program services and CFC services. The notice includes the individual's
right to request a fair hearing in accordance with §263.801 of
this chapter (relating to Fair Hearing).
(d) If the individual or LAR requests a fair hearing
before the effective date of the termination of HCS Program services
and CFC services, as specified in the written notice, the program
provider must provide services to the individual in the amounts authorized
in the IPC while the appeal is pending.
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