(a) Reauthorization request.
(1) Upon receipt of the annual HHSC Authorization for
Community Care Services form, a provider must request annual reauthorization
for the CAS Program.
(2) The provider must send the following to the regional
nurse to obtain annual reauthorization:
(A) HHSC's Authorization for Community Care Services
form received from the case worker; and
(B) a signed statement indicating whether the supervisor
agrees or disagrees with the tasks and hours indicated on HHSC's Authorization
for Community Care Services form, and if the supervisor disagrees,
the statement must provide the specific reasons for disagreeing with
the hours and tasks on this form.
(b) Reauthorization request due date. A provider must
submit the information described in subsection (a)(2) of this section
to the regional nurse within 14 days after one of the following dates,
whichever is later:
(1) the referral date on HHSC's Authorization for Community
Care Services form; or
(2) the date the provider receives HHSC's Authorization
for Community Care Services form, unless the provider fails to stamp
the receipt date on the form, in which case the referral date will
be used to determine timeliness.
(c) Authorization determination. HHSC makes the authorization
determination and notifies the provider before the annual reauthorization
is due.
(d) Documentation of annual reauthorization. A provider
must maintain documentation of the written request for reauthorization
for the CAS Program in the individual's file.
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Source Note: The provisions of this §47.73 adopted to be effective June 1, 2004, 29 TexReg 5113; amended to be effective June 1, 2009, 34 TexReg 2802; amended to be effective October 1, 2019, 44 TexReg 5138 |