| (a) The following limits apply to an individual's HCS
Program services:
(1) for adaptive aids, $10,000 during an IPC year;
(2) for dental treatment, $2,000 during an IPC year;
(3) for minor home modifications and pre-enrollment
minor home modifications combined:
(A) $7,500 during the time the individual is enrolled
in the HCS Program, which may be paid in one or more IPC years; and
(B) after reaching the $7,500 limit described in subparagraph
(A) of this paragraph, a maximum of $300 for repair and maintenance
during the IPC year;
(4) for respite, 300 hours during an IPC year; and
(5) for TAS:
(A) $2,500 if the applicant's proposed initial IPC
does not include residential support, supervised living, or host home/companion
care; or
(B) $1,000 if the applicant's proposed initial IPC
includes residential support, supervised living, or host home/companion
care.
(b) An individual may receive TAS only once in the
individual's lifetime.
(c) A program provider may request, in accordance with
the HCS Program Billing Guidelines, authorization
of a requisition fee:
(1) for dental treatment that is in addition to the
$2,000 service limit described in subsection (a)(2) of this section;
or
(2) for a minor home modification that is in addition
to the $7,500 service limit described in subsection (a)(3)(A) of this
section.
|
| Source Note: The provisions of this §9.192 adopted to be effective December 1, 2011, 36 TexReg 8043; amended to be effective September 1, 2014, 39 TexReg 6516; amended to be effective November 15, 2015, 40 TexReg 7827; amended to be effective March 20, 2016, 41 TexReg 1867 |
