(a) Developing a plan of services and supports. If
the designated LIDDA determines an individual is eligible for and
desires service coordination, the LIDDA must develop a plan of services
and supports for the individual using person-directed planning that
is consistent with DADS Person Directed Planning
Guidelines.
(1) For the HCS and TxHmL Programs, the person-directed
plan (PDP), as defined in §9.153 and §9.553 of this title
(relating to Definitions), qualifies as a plan of services and supports.
(2) For an individual receiving CFC services through
an MCO, a completed HHSC form "Community First Choice Assessment"
qualifies as a plan of services and supports.
(b) Provision of service coordination.
(1) A LIDDA must ensure that service coordination:
(A) is provided to the individual in accordance with
the individual's plan of services and supports; and
(B) is not provided by a staff person who is a relative
of the individual or who has the same residence as the individual.
(2) A LIDDA may provide crisis prevention and management
to the individual without having first identified the need for such
services in the individual's plan of services and supports.
(3) If, as a result of monitoring, the service coordinator
identifies a concern with implementation of the plan of services and
supports, a LIDDA must ensure the concern is communicated to the
entity providing the services and supports and attempts are made to
resolve the concern.
(c) Revising the plan of services and supports.
(1) A LIDDA must ensure that a service coordinator
revises an individual's plan of services and supports if:
(A) the individual's needs change; or
(B) the individual, LAR or actively involved person,
service provider, or other person provides relevant information indicating
revision of the plan is appropriate.
(2) A LIDDA must ensure that a service coordinator
revises the plan using person-directed planning that is consistent
with DADS Person Directed Planning Guidelines.
(d) Minimum contact.
(1) A LIDDA must ensure that a service coordinator
meets face-to-face with an individual in accordance with one of the
following, whichever is the most frequent:
(A) at least once every 90 days; or
(B) for the minimum number of face-to-face contacts
required by:
(i) rules or other requirements of the program or services
in which the individual is enrolled; or
(ii) a contract between DADS and the LIDDA.
(2) The face-to-face contact must involve at least
one of the four components listed in the definition of "service coordination"
in §2.553 of this subchapter (relating to Definitions).
(e) Individuals enrolled in the TxHmL Program. In addition
to the requirements in this subchapter, a LIDDA must ensure service
coordination is provided to individuals enrolled in the TxHmL Program
in accordance with Chapter 9, Subchapter N of this title (relating
to Texas Home Living (TxHmL) Program and Community First Choice (CFC))
and Chapter 41 of this title (relating to Consumer Directed Services
Option)).
(f) Individuals enrolled in the HCS Program. In addition
to the requirements in this subchapter, a LIDDA must ensure service
coordination is provided to individuals enrolled in the HCS Program
in accordance with Chapter 9, Subchapter D, of this title (relating
to Home and Community-based Services (HCS) Program and Community
First Choice (CFC)) and Chapter 41 of this title.
|
Source Note: The provisions of this §331.11 adopted to be effective August 31, 2004, 29 TexReg 8313; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8841; amended to be effective August 1, 2005, 30 TexReg 4334; amended to be effective June 1, 2010, 35 TexReg 4439; amended to be effective March 20, 2016, 41 TexReg 1864; transferred effective July 1, 2022, as published in the Texas Register June 3, 2022, 47 TexReg 3275 |