(B) the individual receives appropriate in-person support
during the completion of the form by videoconferencing or telephone.
(5) The service coordinator, within 10 calendar days
after the PDP is updated, must send a copy of the following to the
program provider, the individual or LAR and, if applicable, the FMSA:
(A) the updated PDP; and
(B) if CFC PAS/HAB was updated on the PDP, a copy of
the updated HHSC HCS/TxHmL CFC PAS/HAB Assessment form.
(6) Within seven calendar days after the program provider
enters the information from the revised IPC in the HHSC data system
and electronically submits the information to HHSC as required by
subsection (e)(1)(C) of this section, the service coordinator must
comply with the requirements in subsection (e)(2) of this section.
(7) The program provider must provide HCS Program services
and CFC services in accordance with:
(A) an implementation plan that is based on:
(i) the individual's PDP;
(ii) the revised IPC; and
(iii) if CFC PAS/HAB is included on the PDP, the completed
HHSC HCS/TxHmL CFC PAS/HAB Assessment form; and
(B) the revised transportation plan, if revised in
accordance with paragraph (3)(F)(ii) of this subsection.
(c) Revision of an IPC before delivery of services.
Except as provided by subsection (d) of this section, if an individual's
service planning team and program provider determine that the IPC
must be revised to add a new HCS Program service or CFC service or
change the amount of an existing service, the program provider must
revise the IPC in accordance with subsection (b) of this section before
the delivery of a new or increased service.
(d) Emergency provision of services and revision of
an IPC.
(1) If an emergency necessitates the provision of an
HCS Program service or CFC service to ensure the individual's health
and safety and the service is not on the IPC or exceeds the amount
on the IPC, the program provider may provide the service before revising
the IPC. The program provider must, within one business day after
providing the service:
(A) document:
(i) the circumstances that necessitated providing the
new HCS Program service or CFC service or the increase in the amount
of the existing HCS Program service or CFC service; and
(ii) the type and amount of the service provided;
(B) notify the service coordinator of the emergency
provision of the service and that the IPC must be revised; and
(C) upon request, provide a copy of the documentation
required by subparagraph (A) of this paragraph to the service coordinator.
(2) Within seven calendar days after providing the
service:
(A) the service planning team and the program provider
must develop a revised IPC;
(B) the service planning team must update the PDP and,
if appropriate, complete the HHSC HCS/TxHmL CFC PAS/HAB Assessment
form if adding CFC PAS/HAB to the IPC, or update the HHSC HCS/TxHmL
CFC PAS/HAB Assessment form if changing the amount of CFC PAS/HAB
on the IPC;
(C) the program provider must:
(i) revise the implementation plan that is based on
the individual's PDP and revised IPC; and
(ii) develop or revise a transportation plan, if supported
home living is added to or modified on the PDP or IPC; and
(D) the program provider must comply with the requirements
in subsection (e)(1) of this section.
(3) Within seven calendar days after the program provider
enters the information from the revised IPC in the HHSC data system
and electronically submits the information to HHSC as required by
subsection (e)(1)(C) of this section, the service coordinator must
comply with the requirements in subsection (e)(2) of this section.
(4) The program provider must provide HCS Program services
and CFC services in accordance with:
(A) an implementation plan that is based on the individual's
PDP and the revised IPC; and
(B) the transportation plan developed or revised in
accordance with paragraph (2)(C)(ii) of this subsection.
(e) Submitting a renewal and revised IPC to HHSC. A
renewal or revised IPC must be submitted to HHSC in accordance with
this subsection.
(1) A program provider must:
(A) sign and date the renewal or revised IPC;
(B) ensure that the individual or LAR signs and dates
the renewal or revised IPC and provides the signed and dated IPC to
the service coordinator in person, electronically, by fax, or by United
States mail;
(C) after the renewal or revised IPC is signed and
dated, enter information from the renewal or revised IPC in the HHSC
data system and electronically submit the information to HHSC;
(D) ensure that the information entered in the HHSC
data system and electronically submitted is identical to the information
on the original signed and dated renewal or revised IPC;
(E) within three calendar days after entering the information
in the HHSC data system and electronically submitting the information,
ensure the service coordinator receives a copy of the original signed
and dated renewal or revised IPC; and
(F) keep the original signed and dated renewal or revised
IPC in the individual's record.
(2) The service coordinator must review the information
entered and submitted in the HHSC data system from the original signed
and dated renewal or revised IPC and:
(A) enter the service coordinator's name and date in
the HHSC data system; and
(B) enter in the HHSC data system whether the service
coordinator agrees or disagrees that the requirements described in §263.301(c)
of this subchapter have been met.
(3) If the service coordinator disagrees with how the
IPC was entered in the HHSC data system, the service coordinator and
program provider must resolve the disagreement.
(4) If the service coordinator disagrees with the IPC
for a reason other than how the IPC was entered in the HHSC data system,
the service coordinator must notify the individual, LAR, HHSC and
the program provider of the service coordinator's disagreement in
accordance with HHSC instructions.
(f) Revision of an IPC to include CFC support management.
If an individual or LAR requests CFC support management during an
IPC year, the service coordinator or the program provider must revise
the IPC as described in the HCS Handbook.
(g) Renewal and revision of an IPC when all services
are through the CDS option. For an individual who is receiving all
services through the CDS option and, therefore, does not have a program
provider, the service coordinator must:
(1) perform the functions of the program provider described
in this section; and
(2) is not required to comply with subsection (e)(2)
of this section.
|