| (a) In-home individualized skills and socialization
is:
(1) assistance with acquiring, retaining, and improving
self-help, socialization, and adaptive skills necessary to reside
and participate successfully in the community;
(2) the provision of age-appropriate activities that
enhance self-esteem and maximize functional level;
(3) reinforcement of skills or lessons taught:
(A) in school or other settings; or
(B) during the provision of any TxHmL Program service
or non-waiver service;
(4) the provision of personal assistance for an individual
who cannot manage personal care needs during the provision of in-home
individualized skills and socialization; and
(5) as determined by an assessment conducted by a registered
nurse, assistance with medications and the performance of tasks delegated
by a registered nurse in accordance with state law and rules, unless
a physician has delegated the task as a medical act under Texas Occupations
Code Chapter 157, as documented by the physician.
(b) One of the following criteria must be met for an
individual to receive in-home individualized skills and socialization:
(1) a physician must document that the individual's
medical condition justifies the provision of in-home individualized
skills and socialization;
(2) a licensed professional or behavioral supports
service provider must document that the individual's behavioral issues
justify the provision of in-home individualized skills and socialization;
or
(3) the individual must be 55 years of age or older
and request to receive in-home individualized skills and socialization.
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