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TITLE 40SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 2LOCAL AUTHORITY RESPONSIBILITIES
SUBCHAPTER LSERVICE COORDINATION FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY
RULE §2.555Funding Service Coordination

(a) Service coordination may be funded by:

  (1) personal funds or third-party insurance other than Medicaid;

  (2) Medicaid targeted case management; or

  (3) general revenue.

(b) Service coordination funded by Medicaid targeted case management:

  (1) may be provided only to an individual who is a Medicaid recipient and only if:

    (A) the individual meets at least one of the criteria described in §2.554(a)(1)(A) - (D) of this subchapter (relating to Eligibility); or

    (B) the individual meets the criteria described in §2.554(a)(1)(E) or (a)(2) of this subchapter and the service coordination is provided during the last 180 days before the individual transitions to community-based services from the ICF/IID or nursing facility; and

  (2) may not be provided to an individual:

    (A) who resides in an institution for mental diseases; or

    (B) who is enrolled in a Medicaid waiver program other than the HCS or TxHmL Program.


Source Note: The provisions of this §2.555 adopted to be effective June 1, 2010, 35 TexReg 4439; amended to be effective March 20, 2016, 41 TexReg 1864

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