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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 261INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM--CONTRACTING
SUBCHAPTER EELIGIBILITY, ENROLLMENT AND REVIEW
RULE §261.244Applicant Enrollment in the ICF/MR Program

    (A) complete the Permanency Planning Review Screen in CARE before an applicant is admitted to a facility unless the MRA is not given prior notice of the admission;

    (B) keep a copy of the Permanency Planning Review Approval Status View Screen from CARE in the applicant's record; and

    (C) provide a copy of the permanency plan to the program provider, the applicant, and the LAR.

(g) If an applicant is under 22 years of age, the MRA must inform the applicant and LAR that they may request a volunteer advocate to assist in permanency planning. The applicant or LAR may:

  (1) select a person who is not employed by or under contract with the MRA or a program provider; or

  (2) request the MRA to designate a volunteer advocate.

(h) If an applicant or LAR requests that the MRA designate a volunteer advocate or the MRA cannot locate the LAR, the MRA must attempt to designate a volunteer advocate to assist in permanency planning who is, in order of preference:

  (1) an adult relative who is actively involved with the applicant;

  (2) a person who:

    (A) is part of the applicant's natural support network; and

    (B) is not employed by or under contract with the MRA or a program provider; or

  (3) a person or a child advocacy organization representative who:

    (A) is knowledgeable about community services and supports;

    (B) is familiar with the permanency planning philosophy and processes; and

    (C) is not employed by or under contract with the MRA or a program provider.

(i) If the MRA is unable to locate a volunteer advocate locally, the MRA must request assistance from a statewide advocacy organization in identifying an available volunteer advocate who meets the requirements described in subsection (h) of this section. If the statewide advocacy organization is unable to assist the MRA in identifying a volunteer advocate, the MRA must document all efforts to designate a volunteer advocate in accordance with subsection (h) of this section.

(j) If DADS notifies an MRA that it has authorized an applicant's LOC, the MRA must immediately notify the applicant or LAR of such authorization and provide the selected program provider with copies of all enrollment documentation and associated supporting documentation including relevant assessment results and recommendations and the applicant's ICAP booklet and, if available, the applicant's service plan.

(k) To request an applicant's enrollment as permitted by subsection (b) of this section, a program provider must ensure that the applicant has a current LOC.

  (1) If an applicant does not have a current LOC, the program provider must complete and electronically submit an MR/RC Assessment to DADS.

  (2) If the program provider submits an MR/RC Assessment, DADS notifies the program provider electronically if the LOC is authorized or sends written notification to the program provider and the applicant or LAR if the LOC is denied.

(l) An applicant's enrollment is complete if:

  (1) DADS has authorized an LOC for the applicant;

  (2) the Social Security Administration has determined that the applicant is eligible for SSI or the Health and Human Services Commission determines the applicant is financially eligible for Medicaid;

  (3) the program provider has electronically submitted a completed Client Movement Form to DADS; and

  (4) admission to the facility has been approved by the DADS commissioner or designee for the applicant who is under 22 years of age, based on information submitted as described in subsection (f) of this section.

(m) A program provider must maintain a paper copy of the completed MR/RC Assessment with all the necessary signatures and documentation supporting the recommended LOC and LON.


Source Note: The provisions of this §261.244 adopted to be effective September 1, 2001, 26 TexReg 5384; amended to be effective March 31, 2002, 27 TexReg 2475; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8841; amended to be effective September 1, 2006, 31 TexReg 6795; transferred effective October 1, 2020, as published in the Texas Register August 28, 2020, 45 TexReg 6127

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