| (a) An individual may receive a maximum of 30 days
of in-home and out-of-home respite combined, during an IPC period.
(b) A DSA must ensure that:
(1) in-home respite is provided in the individual's
residence or the residence of a relative or friend that is not one
of the settings listed in paragraph (2) of this subsection;
(2) out-of-home respite is provided in one of the following
settings:
(A) an agency foster home;
(B) a nursing facility;
(C) an ICF/IID;
(D) an approved outdoor camp accredited by the American
Camping Association;
(E) the residence of another person receiving a Medicaid
waiver service; or
(F) an ALF; and
(3) the setting in which out-of-home respite is provided
is:
(A) acceptable to the individual or LAR; and
(B) an accessible, safe, and comfortable environment
for the individual and promotes the individual's health and welfare.
(c) If a DSA provides out-of-home respite in a residence
described in subsection (b)(2)(E) of this section, the DSA must:
(1) obtain written approval from each person residing
in the residence who is receiving a Medicaid waiver service, or LAR,
for the provision of respite in the residence; and
(2) ensure that no more than four persons receiving
a Medicaid waiver service are residing in the residence.
(d) The maximum amount HHSC approves as payment to
a DSA for all dental treatment and adaptive aids combined for an individual
is $10,000 per IPC period.
(e) A DSA must follow the process for requesting authorization
to purchase dental treatment described in the Community
Living Assistance and Support Services Provider Manual.
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