| (a) Renewal and Revision of an IPC. At least annually,
and before the expiration of an individual's IPC, the individual's
IPC must be renewed and revised in accordance with this subsection
and HHSC's instructions.
(1) At least 30 but no more than 90 calendar days before
the expiration of an individual's IPC, the service coordinator must:
(A) notify the service planning team that the individual's
PDP must be reviewed and updated;
(B) convene a meeting with the service planning team
to:
(i) review and update the individual's PDP and develop
a renewal IPC; and
(ii) if CFC PAS/HAB is included on the PDP, complete
the HHSC HCS/TxHmL CFC PAS/HAB Assessment form to determine the number
of CFC PAS/HAB hours the individual needs;
(C) ensure the individual or LAR signs the finalized
PDP; and
(D) use the HHSC Understanding Program Eligibility
and Services form to provide an individual or LAR both an oral and
a written explanation of:
(i) the eligibility requirements for the TxHmL Program
as described in §262.101(a) of this chapter (relating to Eligibility
Criteria for TxHmL Program Services and CFC Services);
(ii) if the individual's PDP includes CFC services:
(I) the eligibility requirements for CFC services as
described in §262.101(b) of this chapter to individuals who do
not receive MAO Medicaid; and
(II) the eligibility requirements for CFC services
as described in §262.101(c) of this chapter to individuals who
receive MAO Medicaid;
(iii) all TxHmL Program services as described in §262.5
of this chapter (relating to Description of TxHmL Program Services)
and all CFC services as described in §262.6 of this chapter (relating
to Description of CFC Services);
(iv) the reasons TxHmL Program services may be terminated
as described in §262.507 of this chapter (relating to Termination
of TxHmL Program Services and CFC Services with Advance Notice) and §262.508
of this chapter (relating to Termination of TxHmL Program Services
and CFC Services without advance notice) or suspended as described
in §262.505 of this chapter (relating to Suspension of TxHmL
Program Services and CFC Services); and
(v) if the individual's PDP includes CFC services,
the reasons CFC services may be terminated as described §262.507
of this chapter and §262.508 of this chapter or suspended as
described in §262.505 of this chapter.
(2) The HHSC HCS/TxHmL CFC PAS/HAB Assessment form
required by paragraph (1)(B)(ii) of this subsection must be completed
in person with the individual unless the following conditions are
met, in which case the form may be completed by videoconferencing
or telephone:
(A) the service coordinator gives the individual the
opportunity to complete the form in person in lieu of completing it
by videoconferencing or telephone and the individual agrees to the
form being completed by videoconferencing or telephone; and
(B) the individual receives appropriate in-person support
during the completion of the form by videoconferencing or telephone.
(3) The service coordinator must convene a meeting
with the service planning team to develop a revised IPC and update
the PDP if:
(A) a new service is being added to or a current service
is being removed from the IPC; or
(B) the amount of a service is being increased or decreased
and requires the addition of, removal of, or a change to an outcome
in the PDP.
(4) The service coordinator must ensure that the updated
finalized PDP is signed by the individual or LAR.
(5) If the amount of an existing service on an IPC
is being increased or decreased or a requisition fee is added or removed
and the addition of, removal of, or a change to an outcome in the
PDP is not required, the service coordinator is not required to convene
a meeting with the service planning team to develop a revised IPC,
but must document the reasons for the revised IPC.
(6) A service coordinator must:
(A) sign and date the renewal or revised IPC;
(B) ensure that the individual or LAR signs and dates
the renewal or revised IPC and provides the signed and dated IPC to
the service coordinator in person, electronically, by fax, or by United
States mail;
(C) ensure that the program provider signs and dates
the renewal or revised IPC demonstrating agreement that the services
will be provided to the individual;
(D) after the renewal or revised IPC is signed and
dated, enter information from the renewal or revised IPC in the HHSC
data system and electronically submit the information to HHSC;
(E) ensure that the information entered in the HHSC
data system and electronically submitted to HHSC is identical to the
information on the original signed and dated renewal or revised IPC;
and
(F) keep the original signed and dated renewal or revised
IPC in the individual's record.
(7) The service coordinator, within 10 calendar days
after the PDP is updated, must send a copy of the following to the
program provider, the individual or LAR and, if applicable, the FMSA:
(A) the updated PDP;
(B) the renewal or revised IPC; and
(C) if CFC PAS/HAB is included on the PDP, the completed
HHSC HCS/TxHmL CFC PAS/HAB Assessment form.
(8) The program provider must convene a meeting with
the individual or LAR to develop, before the effective date of the
renewal IPC or revised IPC:
(A) an implementation plan for:
(i) TxHmL Program services, except for community support,
that is based on the individual's PDP and renewal IPC; and
(ii) CFC services, except for CFC support management,
that is based on the individual's PDP, and renewal or revised IPC,
and if CFC PAS/HAB is included on the PDP, the completed HHSC HCS/TxHmL
CFC PAS/HAB Assessment form; and
(B) a transportation plan, if community support is
included on the PDP.
(b) If an individual or LAR requests support management
during an IPC year, the service coordinator must revise the IPC as
described in subsection (a)(3) of this section.
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