| (a) General orientation training. A program provider
must ensure that a program director and a service provider complete
a general orientation curriculum before assuming job duties and annually
thereafter.
(1) The general orientation curriculum must include
training on:
(A) the rights of an individual;
(B) confidentiality;
(C) the program provider's complaint process; and
(D) the DBMD Program and CFC, including the requirements
of this chapter and the DBMD Program services and CFC services specified
in §260.7 of this chapter (relating to Description of the DBMD
Program and CFC).
(2) A program provider must document:
(A) the name of the person who received the training
required by this subsection;
(B) the date the training was conducted; and
(C) the name of the person who conducted the training.
(b) Abuse, neglect, and exploitation training. A program
provider must:
(1) ensure that a program director, service provider,
staff person, and volunteer:
(A) are trained on and knowledgeable of:
(i) acts that constitute abuse, neglect, and exploitation;
(ii) signs and symptoms of abuse, neglect, and exploitation;
and
(iii) methods to prevent abuse, neglect, and exploitation;
(B) are instructed to report an allegation of abuse,
neglect, or exploitation of an individual as described in §260.219
of this subchapter (relating to Reporting Allegations of Abuse, Neglect,
or Exploitation of an Individual); and
(C) are provided with the instructions, in writing,
described in subparagraph (B) of this paragraph;
(2) conduct the activities described in paragraph (1)
of this subsection:
(A) within one year after the person's most recent
training on abuse, neglect, and exploitation and annually thereafter,
if the program director, service provider, staff person, or volunteer
was hired before July 1, 2019; or
(B) before assuming job duties and annually thereafter,
if the program director, service provider, staff person, or volunteer
is hired on or after July 1, 2019; and
(3) document:
(A) the name of the person who received the training
required by this subsection;
(B) the date the training was conducted; and
(C) the name of the person who conducted the training.
(c) Cardiopulmonary resuscitation and choking prevention
training. A program provider must ensure training on cardiopulmonary
resuscitation and choking prevention in accordance with this subsection.
(1) A program provider must ensure that a program director,
a case manager, an intervener, and a service provider of licensed
assisted living, licensed home health assisted living, day habilitation,
employment assistance, transportation provided as a residential habilitation
activity, respite, supported employment, and CFC PAS/HAB have current
certification in:
(A) cardiopulmonary resuscitation; and
(B) choking prevention.
(2) The training received to obtain the certification
must include an in-person evaluation by a qualified instructor of
the trainee's ability to perform the actions listed in paragraph (1)
of this subsection.
(3) A program provider must ensure that:
(A) a program director, a case manager, an intervener,
and a service provider of licensed assisted living, licensed home
health assisted living, day habilitation, employment assistance, transportation
provided as a residential habilitation activity, respite, and supported
employment have the certification described in paragraph (1) of this
subsection before assuming job duties; and
(B) a CFC PAS/HAB service provider has the certification
described in paragraph (1) of this subsection:
(i) within 90 calendar days after the original effective
date of this section, if the CFC PAS/HAB service provider was hired
on or before the original effective date of this section; or
(ii) before assuming job duties, if the CFC PAS/HAB
service provider is hired after the original effective date of this
section.
(4) A program provider must maintain a copy of the
certification required by paragraph (1) of this subsection. The certification
must be issued by the organization granting the certification.
(d) HHSC DBMD Computer Based Training.
(1) A program provider must ensure that a program director
and case manager complete the HHSC Deaf Blind with Multiple Disabilities
Waiver Computer Based Training and receive a score of at least 80
percent on the examination included in the training:
(A) within 90 days after October 1, 2019, and annually
thereafter, if the program director or case manager was hired before
October 1, 2019; or
(B) within 90 days after assuming job duties and annually
thereafter, if the program director or case manager is hired on or
after October 1, 2019.
(2) A program provider must maintain a copy of the
certification from the training required by this subsection, issued
by HHSC, showing that the person successfully completed the training.
(e) DBMD Program Case Management Training.
(1) A program provider must ensure that a program director
and case manager complete, within six months after assuming job duties,
the DBMD Program Case Management Training provided by HHSC or training
developed by the program provider. A program provider that develops
and conducts its own training must ensure that:
(A) the training addresses the following elements from
the HHSC DBMD Program Case Management Training:
(i) the DBMD Program service delivery model, which
includes:
(I) the role of the case manager and DBMD Program provider;
(II) the role of the service planning team;
(III) person-centered planning; and
(IV) the CDS option;
(ii) DBMD Program services, including how these services:
(I) complement other Medicaid services;
(II) supplement family supports and non-waiver services
available in the individual's community; and
(III) prevent admission to an institution;
(iii) DBMD Program process and procedures for:
(I) eligibility and enrollment;
(II) service planning, service authorization, and program
plans;
(III) access to non-waiver resources; and
(IV) complaint procedures and the fair hearing process;
and
(iv) rules, policies, and procedures about:
(I) prevention of abuse, neglect, and exploitation
of an individual;
(II) reporting abuse, neglect, and exploitation to
local and state authorities; and
(III) financial improprieties involving an individual;
and
(B) the staff person who develops and conducts the
training successfully completes the DBMD Program Case Management Training
provided by HHSC before developing or conducting training.
(2) A program provider must:
(A) for the training required by this subsection that
is provided by HHSC, maintain a copy of the certificate issued by
HHSC that the person completed the training; or
(B) for the training required by this subsection that
is developed and conducted by the program provider, maintain a copy
of a certificate or form letter issued by the program provider that
includes:
(i) the name of the person who received the training;
(ii) the date the training was conducted; and
(iii) the name of the person conducting the training.
(f) DBMD Program Service Provider Training.
(1) A program provider must ensure that:
(A) a case manager, within six months after assuming
job duties, completes the DBMD Program Service Provider Training as
described in paragraph (2) of this subsection;
(B) a program director, if providing intervener services,
licensed assisted living, licensed home health assisted living, case
management, day habilitation, employment assistance, nursing, specialized
nursing, transportation provided as a residential habilitation activity,
respite, supported employment, or CFC PAS/HAB to an individual, completes,
within six months after assuming job duties, the DBMD Program Service
Provider Training as described in paragraph (2) of this subsection;
Cont'd... |
