| (38) Health-related tasks--Specific tasks related to
the needs of an individual, which can be delegated or assigned by
a licensed health care professional under state law to be performed
by a service provider of CFC PAS/HAB. This includes tasks delegated
by an RN; health maintenance activities, that may not require delegation;
and activities assigned to a service provider of CFC PAS/HAB by a
licensed physical therapist, occupational therapist, or speech-language
pathologist.
(39) HHSC--The Texas Health and Human Services Commission.
(40) Hospital--A public or private institution licensed
or exempt from licensure in accordance with Texas Health and Safety
Code (THSC) Chapters 13, 241, 261, or 552.
(41) IADLs--Instrumental activities of daily living.
Activities related to living independently in the community, including
meal planning and preparation; managing finances; shopping for food,
clothing, and other essential items; performing essential household
chores; communicating by phone or other media; and traveling around
and participating in the community.
(42) ICAP--Inventory for Client and Agency Planning.
An instrument designed to assess a person's needs, skills, and abilities.
(43) ICF/IID--Intermediate care facility for individuals
with an intellectual disability or related conditions. An ICF/IID
is a facility in which ICF/IID Program services are provided and that
is:
(A) licensed in accordance with THSC Chapter 252; or
(B) certified by HHSC, including a state supported
living center.
(44) ICF/IID Program--The Intermediate Care Facilities
for Individuals with an Intellectual Disability or Related Conditions
Program, which provides Medicaid-funded residential services to individuals
with an intellectual disability or related conditions.
(45) ID/RC Assessment--Intellectual Disability/Related
Conditions Assessment. A form used by HHSC for level of care determination
and level of need assignment.
(46) Implementation plan--A written document developed
by a program provider for an individual, for each HCS Program service,
except supported home living, and for each CFC service, except CFC
support management, on the individual's IPC to be provided by the
program provider. An implementation plan includes:
(A) a list of outcomes identified in the person-directed
plan that will be addressed using HCS Program services and CFC services;
(B) specific objectives to address the outcomes required
by subparagraph (A) of this paragraph that are:
(i) observable, measurable, and outcome-oriented; and
(ii) derived from assessments of the individual's strengths,
personal goals, and needs;
(C) a target date for completion of each objective;
(D) the number of units of HCS Program services and
CFC services needed to complete each objective;
(E) the frequency and duration of HCS Program services
and CFC services needed to complete each objective; and
(F) the signature and date of the individual, LAR,
and the program provider.
(47) In person or in-person--Within the physical presence
of another person who is awake. In person or in-person does not include
using videoconferencing or a telephone.
(48) Individual--A person enrolled in the HCS Program.
(49) Initial IPC--The first IPC for an individual developed
before the individual's enrollment into the HCS Program.
(50) Inpatient chemical dependency treatment facility--A
facility licensed in accordance with THSC Chapter 464, Facilities
Treating Persons with a Chemical Dependency.
(51) Intellectual disability--This term has the meaning
set forth in §304.102 of this title.
(52) IPC--Individual plan of care. A written plan that:
(A) states:
(i) the type and amount of each HCS Program service
and each CFC service, except for CFC support management, to be provided
to the individual during an IPC year;
(ii) the services and supports to be provided to the
individual through resources other than HCS Program services or CFC
services, including natural supports, medical services, and educational
services; and
(iii) if an individual will receive CFC support management;
and
(B) is authorized by HHSC.
(53) IPC cost--Estimated annual cost of HCS Program
services included on an IPC.
(54) IPC year--The effective period of an initial IPC
and renewal IPC as described in this paragraph.
(A) Except as provided in subparagraph (B) of this
paragraph, the IPC year for an initial and renewal IPC is a 365-calendar
day period starting on the begin date of the initial or renewal IPC.
(B) If the begin date of an initial or renewal IPC
is March 1 or later in a year before a leap year or January 1 - February
28 of a leap year, the IPC year for the initial or renewal IPC is
a 366-calendar day period starting on the begin date of the initial
or renewal IPC.
(C) A revised IPC does not change the begin or end
date of an IPC year.
(55) LAR--Legally authorized representative. A person
authorized by law to act on behalf of another person with regard to
a matter described in this chapter, including a parent, guardian,
or managing conservator of a minor; a guardian of an adult; an agent
appointed under a power of attorney; or a representative payee appointed
by the Social Security Administration. An LAR, such as an agent appointed
under a power of attorney or representative payee appointed by the
Social Security Administration, may have limited authority to act
on behalf of a person.
(56) LIDDA--Local intellectual and developmental disability
authority. An entity designated by the executive commissioner of HHSC,
in accordance with THSC §533A.035.
(57) LOC--Level of care. A determination given to an
applicant or individual as part of the eligibility determination process
based on data submitted on the ID/RC Assessment.
(58) LON--Level of need. An assignment given by HHSC
to an individual upon which reimbursement for host home/companion
care, supervised living, residential support, in-home day habilitation,
and day habilitation is based.
(59) Managed care organization--This term has the meaning
set forth in Texas Government Code §536.001.
(60) MAO Medicaid--Medical Assistance Only Medicaid.
A type of Medicaid by which an applicant or individual qualifies financially
for Medicaid assistance but does not receive Supplemental Security
Income (SSI) benefits.
(61) Medicaid HCBS--Medicaid home and community-based
services. Medicaid services provided to an individual in an individual's
home and community, rather than in a facility.
(62) Mental health facility--A facility licensed in
accordance with THSC Chapter 577, Private Mental Hospitals and Other
Mental Health Facilities.
(63) Military family member--A person who is the spouse
or child (regardless of age) of:
(A) a military member; or
(B) a former military member.
(64) Military member--A member of the United States
military serving in the Army, Navy, Air Force, Marine Corps, Coast
Guard, or Space Force on active duty who has declared and maintains
Texas as the member's state of legal residence in the manner provided
by the applicable military branch.
(65) Natural supports--Unpaid persons, including family
members, volunteers, neighbors, and friends, who voluntarily assist
an individual to achieve the individual's identified goals.
(66) Neglect--A negligent act or omission that caused
physical or emotional injury or death to an individual or placed an
individual at risk of physical or emotional injury or death.
(67) Nursing facility--A facility licensed in accordance
with THSC Chapter 242.
(68) PDP--Person-directed plan. A plan developed with
an applicant or individual and LAR using an HHSC form that:
(A) describes the supports and services necessary to
achieve the desired outcomes identified by the applicant or individual
and LAR and to ensure the applicant's or individual's health and safety;
and
(B) includes the setting for each service, which must
be selected by the individual or LAR from setting options.
(69) Performance contract--A written agreement between
HHSC and a LIDDA for the performance of delegated functions, including
those described in THSC §533A.035.
(70) Permanency planner--A person who:
(A) develops a permanency plan using the HHSC Permanency
Planning Instrument for Children Under 22 Years of Age form; and
Cont'd... |
