(a) DADS reviews a proposed IPC to determine whether
to authorize the IPC.
(b) The service coordinator's agreement or disagreement,
as required by §9.166(e)(3) of this subchapter (relating to Renewal
and Revision of an IPC), with the proposed renewal or revised IPC
will be considered in DADS review of the proposed IPC.
(c) DADS may review supporting documentation specified
in §9.159(c) of this subchapter (relating to IPC) at any time
to determine if the type and amount of HCS Program services and CFC
services specified in a proposed IPC are appropriate. If requested
by DADS:
(1) the LIDDA must submit to DADS documentation supporting
a proposed initial IPC; and
(2) the program provider must submit to DADS documentation
supporting a proposed renewal or revised IPC.
(d) Before authorizing a proposed IPC that exceeds
100 percent of the estimated annualized average per capita cost for
ICF/IID Program services, DADS reviews the IPC to determine if the
type and amount of HCS Program services and CFC services specified
in the proposed IPC are appropriate and supported by documentation
specified in §9.159(c) of this subchapter. A proposed IPC with
such an IPC cost must be submitted to DADS with documentation supporting
the IPC, as described in §9.159(c) of this subchapter, before
the electronic transmission of the IPC. After reviewing the supporting
documentation, DADS may request additional documentation. DADS reviews
any additional documentation submitted in accordance with its request
and, for an applicant or individual who is eligible for the HCS Program,
electronically authorizes the proposed IPC or sends written notification
that the proposed IPC has been authorized with modifications.
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Source Note: The provisions of this §9.160 adopted to be effective June 1, 2010, 35 TexReg 4441; amended to be effective November 15, 2015, 40 TexReg 7827; amended to be effective March 20, 2016, 41 TexReg 1867 |