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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 263HOME AND COMMUNITY-BASED SERVICES (HCS) PROGRAM AND COMMUNITY FIRST CHOICE (CFC)
SUBCHAPTER AGENERAL PROVISIONS
RULE §263.6Description of CFC Services

(a) CFC services are described in this subsection and in the Medicaid State Plan approved by CMS and available on the HHSC website.

  (1) CFC PAS/HAB:

    (A) consists of:

      (i) personal assistance services that provide assistance to an individual in performing ADLs and IADLs based on the individual's person-centered service plan, including:

        (I) non-skilled assistance with the performance of the ADLs and IADLs;

        (II) household chores necessary to maintain the home in a clean, sanitary, and safe environment;

        (III) escort services, which consist of accompanying and assisting an individual to access services or activities in the community, but do not include transporting an individual; and

        (IV) assistance with health-related tasks; and

      (ii) habilitation that provides assistance to an individual in acquiring, retaining, and improving self-help, socialization, and daily living skills and training the individual on ADLs, IADLs, and health-related tasks, such as:

        (I) self-care;

        (II) personal hygiene;

        (III) household tasks;

        (IV) mobility;

        (V) money management;

        (VI) community integration, including how to get around in the community;

        (VII) use of adaptive equipment;

        (VIII) personal decision making;

        (IX) reduction of challenging behaviors to allow individuals to accomplish ADLs, IADLs, and health-related tasks; and

        (X) self-administration of medication; and

    (B) does not include transporting the individual, which means driving the individual from one location to another.

  (2) CFC support management provides training to an individual or LAR on how to select, manage, and dismiss an unlicensed service provider of CFC PAS/HAB, as described in the HCS Handbook, if:

    (A) the individual is receiving CFC PAS/HAB; and

    (B) the individual or LAR requests to receive CFC support management.

  (3) CFC ERS consists of backup systems and supports used to ensure continuity of services and supports, including electronic devices and an array of available technology, personal emergency response systems, and other mobile communication devices and is provided only to an individual who:

    (A) lives alone, who is alone for significant parts of the day, or has no regular caregiver for extended periods of time; and

    (B) would otherwise require extensive routine supervision.

(b) CFC PAS/HAB and CFC ERS are not available to an individual who is receiving:

  (1) host home/companion care;

  (2) supervised living; or

  (3) residential support.


Source Note: The provisions of this §263.6 adopted to be effective March 1, 2023, 48 TexReg 1080

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