| (a) HCS Program services are described in this section
and in Appendix C of the HCS Program waiver application approved by
CMS and available on the HHSC website.
(1) Adaptive aids are devices, controls, or items that
are necessary to address specific needs identified in an individual's
service plan. Adaptive aids enable an individual to maintain or increase
the ability to perform ADLs or the ability to perceive, control, or
communicate with the environment in which the individual lives.
(2) Audiology is the provision of audiology as defined
in the Texas Occupations Code Chapter 401.
(3) Speech and language pathology is the provision
of speech-language pathology as defined in the Texas Occupations Code
Chapter 401.
(4) Occupational therapy is the provision of occupational
therapy as described in the Texas Occupations Code Chapter 454.
(5) Physical therapy is the provision of physical therapy
as defined in the Texas Occupations Code Chapter 453.
(6) Dietary services are the provision of nutrition
services as defined in the Texas Occupations Code Chapter 701.
(7) Behavioral support is the provision of specialized
interventions that:
(A) assist an individual to increase adaptive behaviors
to replace or modify maladaptive or socially unacceptable behaviors
that prevent or interfere with the individual's inclusion in home
and family life or community life; and
(B) improve an individual's quality of life.
(8) Social work is the provision of social work as
defined in Texas Occupations Code Chapter 505.
(9) Cognitive rehabilitation therapy is assistance
to an individual in learning or relearning cognitive skills that have
been lost or altered as a result of damage to brain cells/chemistry
in order to enable the individual to compensate for the lost cognitive
functions, including reinforcing, strengthening, or reestablishing
previously learned patterns of behavior, or establishing new patterns
of cognitive activity or compensatory mechanisms for impaired neurological
systems.
(10) Day habilitation is assistance with acquiring,
retaining, or improving self-help, socialization, and adaptive skills
provided in a location other than the residence of an individual.
Day habilitation does not include in-home day habilitation.
(11) In-home day habilitation is assistance with acquiring,
retaining, or improving self-help, socialization, and adaptive skills
provided in an individual's residence.
(12) Dental treatment is:
(A) emergency dental treatment;
(B) preventive dental treatment;
(C) therapeutic dental treatment; and
(D) orthodontic dental treatment, excluding cosmetic
orthodontia.
(13) Minor home modifications are physical adaptations
to an individual's home to address specific needs identified by an
individual's service planning team and include pre-enrollment minor
home modifications which are modifications completed before an applicant
is discharged from a nursing facility, an ICF/IID, or a GRO and before
the effective date of the applicant's enrollment in the HCS Program.
(14) Licensed vocational nursing is the provision of
licensed vocational nursing as defined in the Texas Occupations Code
Chapter 301.
(15) Registered nursing is the provision of professional
nursing as defined in the Texas Occupations Code Chapter 301.
(16) Specialized registered nursing is the provision
of registered nursing to an individual who has a tracheostomy or is
dependent on a ventilator.
(17) Specialized licensed vocational nursing is the
provision of licensed vocational nursing to an individual who has
a tracheostomy or is dependent on a ventilator.
(18) Supported home living is transportation of an
individual with a residential type of "own/family home."
(19) Host home/companion care is residential assistance
provided in a residence that is owned or leased by the service provider
of host home/companion care or the individual and is not owned or
leased by the program provider. The service provider of host home/companion
care must live in the same residence as the individual receiving the
service.
(20) Supervised living is residential assistance provided
in a three-person residence or four-person residence in which service
providers are present in the residence and are able to respond to
the needs of individuals during normal sleeping hours.
(21) Residential support is residential assistance
provided in a three-person residence or four-person residence in which
service providers are present and awake in the residence whenever
an individual is present in the residence.
(22) Respite is temporary relief for an unpaid caregiver
in a location other than the individual's home for an individual who
has a residential type of "own/family home."
(23) In-home respite is temporary relief for an unpaid
caregiver in the individual's home for an individual who has a residential
type of "own/family home."
(24) Employment assistance is assistance to help an
individual locate paid employment in the community.
(25) Supported employment is assistance, in order to
sustain competitive employment, to an individual who, because of a
disability, requires intensive, ongoing support to be self-employed,
work from home, or perform in a work setting at which individuals
without disabilities are employed.
(26) TAS is assistance to an applicant in setting up
a household in the community before being discharged from a nursing
facility, an ICF/IID, or a GRO and before enrolling in the HCS Program
and consists of:
(A) for an applicant whose initial IPC does not include
residential support, supervised living, or host home/companion care:
(i) paying security deposits required to lease a home,
including an apartment, or to establish utility services for a home;
(ii) purchasing essential furnishings for a home, including
a table, a bed, chairs, window blinds, eating utensils, and food preparation
items;
(iii) paying for expenses required to move personal
items, including furniture and clothing, into a home;
(iv) paying for services to ensure the health and safety
of the applicant in a home, including pest eradication, allergen control,
or a one-time cleaning before occupancy; and
(v) purchasing essential supplies for a home, including
toilet paper, towels, and bed linens; and
(B) for an applicant whose initial IPC includes residential
support, supervised living, or host home/companion care:
(i) purchasing bedroom furniture;
(ii) purchasing personal linens for the bedroom and
bathroom; and
(iii) paying for allergen control.
(b) The services described in this subsection are for
an individual who is receiving at least one HCS Program service through
the CDS option.
(1) FMS is a service defined in 40 TAC §41.103
(relating to Definitions).
(2) Support consultation is a service defined in 40
TAC §41.103.
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