| (a) If a service coordinator receives information that
an individual wants to transfer to a different program provider or
FMSA, or that an LAR wants the individual to transfer to a different
program provider or FMSA, the service coordinator must:
(1) if the information was received from the individual
or LAR, document the date the information was received in the individual's
record;
(2) if the information was received from a person other
than the individual or LAR, within three business days after the information
was received:
(A) contact the individual or LAR to confirm whether
the individual wants to transfer or the LAR wants the individual to
transfer to a different program provider or FMSA; and
(B) if the service coordinator makes the confirmation
described in subparagraph (A) of this paragraph, document such confirmation
in the individual's record; and
(3) within three business days after receiving information
from the individual or LAR that the individual wants to transfer or
the LAR wants the individual to transfer to a different program provider
or FMSA or making the confirmation described in paragraph (2)(A) of
this subsection:
(A) explain to the individual or LAR that the individual
may transfer to a program provider whose enrollment has not reached
its service capacity in the HHSC data system or FMSA of the individual's
or LAR's choice; and
(B) provide the individual or LAR the names and contact
information of all program providers or FMSAs in the geographic location
preferred by the individual or LAR.
(b) After the individual or LAR selects a different
program provider or FMSA, the service coordinator must coordinate
with the individual, LAR, the transferring program provider or FMSA,
and the receiving program provider or FMSA to determine a transfer
effective date that is:
(1) not earlier than the date of the meeting described
in subsection (c)(2) of this section; and
(2) agreed to by the service coordinator, the individual
or LAR, and the receiving program provider.
(c) On or before the transfer effective date, the service
coordinator must:
(1) take action to complete the HHSC Request for Transfer
of Waiver Program Services form in accordance with the TxHmL Handbook;
(2) convene a meeting with the individual or LAR and
the receiving program provider or receiving FMSA to develop a transfer
IPC;
(3) send the individual's IPC, ID/RC Assessment, and
PDP to the receiving program provider or the receiving FMSA;
(4) if the individual is transferring to a different
program provider, request the following records of the individual
from the transferring program provider;
(A) pertinent medication records and medical information;
(B) Medicaid card;
(C) Medicare information, if applicable;
(D) the ICAP assessment booklet and computer scoring
sheet;
(E) trust fund/financial records and any money due
the individual;
(F) behavior support plan, if applicable;
(G) guardianship information, if applicable; and
(H) any other pertinent information to ensure health
and safety or continuity of services;
(5) within two business days after receipt of the records
requested in accordance with paragraph (4) of this subsection, send
the records to the receiving program provider; and
(6) if, within three business days after requesting
that the program provider provide records as described in paragraph
(4) of this subsection, the service coordinator does not receive all
of the records requested, notify HHSC that the records were not received.
(d) Within 10 business days after the transfer effective
date, the service coordinator must:
(1) complete data entry into the HHSC data system in
accordance with the TxHmL Handbook after the activities described
in subsection (c) of this section are completed; and
(2) send the transfer IPC and HHSC Request for Transfer
of Waiver Program Services form to HHSC.
|
