The program provider must provide pre-enrollment minor home
modifications and a pre-enrollment minor home modifications assessment
in accordance with this subsection.
(1) The program provider must:
(A) complete a pre-enrollment minor home modifications
assessment in accordance with the Home and
Community-based Services (HCS) Program Billing Requirements;
(B) provide pre-enrollment minor home modifications
to an applicant for whom the program provider receives from the service
coordinator a completed Pre-enrollment Minor Home Modifications/Assessments
Authorization form authorized by the Texas Health and Human Services
Commission (HHSC), as described in §263.104(k)(8)(C) of this
title (relating to Process for Enrollment of Applicants);
(C) provide to the applicant the specific pre-enrollment
minor home modifications identified on the form;
(D) provide the pre-enrollment minor home modifications
for the applicant within the monetary amount identified on the form;
(E) ensure pre-enrollment minor home modifications
and pre-enrollment minor home modifications assessments are provided
in accordance with Appendix C of the HCS Program waiver application
approved by the Centers for Medicare and Medicaid Services (CMS) and
found on the HHSC website; and
(F) complete the pre-enrollment minor home modifications
at least two days before the date of the applicant's discharge from
the nursing facility, intermediate care facility for individuals with
an intellectual disability or related conditions (ICF/IID), or general
residential operation (GRO) unless the delay in completion is beyond
the control of the program provider.
(2) If the program provider does not complete pre-enrollment
minor home modifications in accordance with paragraph (1) of this
subsection, the program provider must:
(A) document:
(i) a description of the pending modifications;
(ii) the reason for the delay;
(iii) the date the program provider anticipates it
will complete the pending modifications or specific reasons why the
program provider cannot anticipate a completion date; and
(iv) a description of the program provider's ongoing
efforts to complete the modifications; and
(B) at least two days before the date of the applicant's
discharge from the nursing facility, ICF/IID, or GRO, provide the
information described in subparagraph (A) of this paragraph to:
(i) the applicant or legally authorized representative
(LAR); and
(ii) the service coordinator.
(3) Within one business day after completion of the
pre-enrollment minor home modifications, the program provider must
notify the service coordinator and the applicant or LAR that the modifications
have been completed.
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