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TITLE 40SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 44CONSUMER MANAGED PERSONAL ATTENDANT SERVICES
SUBCHAPTER BELIGIBILITY AND SERVICE PLANS
RULE §44.206Service Plan and Co-payment Disagreements

(a) Service plan disagreements. If a provider and individual disagree on the number of hours of service or service tasks to be on the individual's service plan:

  (1) the provider must offer the individual orally and in writing an informal dispute resolution (IDR) process through a meeting of the individual's IDT; and

  (2) if the individual disagrees with the provider's decision after going through the IDR process, the individual may request a fair hearing as provided in §44.503 of this chapter (relating to Fair Hearing).

(b) Co-payment disagreements. If a provider and individual disagree on the amount of the individual's co-payment:

  (1) the provider must offer the individual orally and in writing an IDR process through a meeting of the individual's IDT; and

  (2) if the individual disagrees with the provider's decision after going through the IDR process, the individual may request a fair hearing as provided in §44.503 of this chapter.


Source Note: The provisions of this §44.206 adopted to be effective October 1, 2013, 38 TexReg 6606

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