| (a) HHSC terminates an individual's HCS Program services
and CFC services if any of the following situations exists:
(1) the individual is admitted to one of the facilities
listed in §263.705(a)(1) - (9) of this subchapter (relating to
Suspension of HCS Program Services and CFC Services):
(A) for more than 270 consecutive calendar days; and
(B) HHSC has not extended the individual's suspension
in accordance with §263.705(h) of this subchapter;
(2) the service coordinator or program provider has
factual information confirming the death of the individual;
(3) the service coordinator or program provider receives
a clear written statement signed by the individual or LAR that the
individual no longer wants HCS Program services;
(4) the individual's whereabouts are unknown, and the
post office returns mail directed to the individual by the service
coordinator or program provider without indicating a forwarding address;
or
(5) HHSC establishes that the individual has been accepted
for Medicaid services by another state.
(b) If a service coordinator becomes aware that a situation
described in subsection (a) of this section exists, 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 termination of 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).
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