| (J) facilitating inclusion in community activities,
use of natural supports, social interaction, participation in leisure
activities, and development of socially valued behaviors; and
(K) habilitation, exclusive of individualized skills
and socialization;
(25) ensure that HCS host home/companion care is provided:
(A) by a host home/companion care provider who lives
in the residence in which no more than three individuals or other
persons receiving similar services are living at any one time; and
(B) in a residence in which the program provider does
not hold a property interest;
(26) ensure that host home/companion care is provided
in accordance with the individual's PDP, IPC, implementation plan,
and Appendix C of the HCS Program waiver application approved by CMS
and found on the HHSC website and includes the following elements:
(A) direct personal assistance with activities of daily
living (grooming, eating, bathing, dressing, and personal hygiene);
(B) assisting with meal planning and preparation;
(C) securing and providing transportation;
(D) assisting with housekeeping;
(E) assisting with ambulation and mobility;
(F) reinforcing professional therapy activities;
(G) assisting with medications and the performance
of tasks delegated by an RN;
(H) supervising of safety and security;
(I) facilitating inclusion in community activities,
use of natural supports, social interaction, participation in leisure
activities, and development of socially valued behaviors; and
(J) habilitation, exclusive of individualized skills
and socialization;
(27) ensure that supervised living is provided:
(A) in a four-person residence that is approved in
accordance with §565.23(i) of this chapter (relating to Residential
Requirements) or a three-person residence;
(B) by a service provider who provides services and
supports as needed by the individuals residing in the residence and
is present in the residence and able to respond to the needs of the
individuals during normal sleeping hours; and
(C) only with approval by the HHSC commissioner or
designee for the initial six months and one six-month extension and
only with approval by the HHSC Executive Commissioner after such 12-month
period, if provided to an individual under 22 years of age;
(28) ensure that supervised living is provided in accordance
with the individual's PDP, IPC, implementation plan, and Appendix
C of the HCS Program waiver application approved by CMS and found
on the HHSC website and includes the following elements:
(A) direct personal assistance with activities of daily
living (grooming, eating, bathing, dressing, and personal hygiene);
(B) assisting with meal planning and preparation;
(C) securing and providing transportation;
(D) assisting with housekeeping;
(E) assisting with ambulation and mobility;
(F) reinforcing professional therapy activities;
(G) assisting with medications and the performance
of tasks delegated by an RN;
(H) supervising of individuals' safety and security;
(I) facilitating inclusion in community activities,
use of natural supports, social interaction, participation in leisure
activities, and development of socially valued behaviors; and
(J) habilitation, exclusive of individualized skills
and socialization;
(29) ensure that residential support is provided:
(A) in a four-person residence that is approved in
accordance with §565.23(i) of this chapter or in a three-person
residence;
(B) by a service provider who is present in the residence
and awake whenever an individual is present in the residence;
(C) by service providers assigned on a daily shift
schedule that includes at least one complete change of service providers
each day; and
(D) only with approval by the HHSC commissioner or
designee for the initial six months and one six-month extension and
only with approval by the HHSC Executive Commissioner after such 12-month
period, if provided to an individual under 22 years of age;
(30) ensure that residential support is provided in
accordance with the individual's PDP, IPC, implementation plan, and
Appendix C of the HCS Program waiver application approved by CMS and
found on the HHSC website, and includes the following elements:
(A) direct personal assistance with activities of daily
living (grooming, eating, bathing, dressing, and personal hygiene);
(B) assisting with meal planning and preparation;
(C) securing and providing transportation;
(D) assisting with housekeeping;
(E) assisting with ambulation and mobility;
(F) reinforcing professional therapy activities;
(G) assisting with medications and the performance
of tasks delegated by an RN;
(H) supervising of individuals' safety and security;
(I) facilitating inclusion in community activities,
use of natural supports, social interaction, participation in leisure
activities, and development of socially valued behaviors; and
(J) habilitation, exclusive of individualized skills
and socialization;
(31) if making a recommendation to the service planning
team that the individual receive residential support, document the
reasons for the recommendation, which may include:
(A) the individual's medical condition;
(B) a behavior displayed by the individual that poses
a danger to the individual or to others; or
(C) the individual's need for assistance with activities
of daily living during normal sleeping hours;
(32) ensure that respite is available on a 24-hour
increment or any part of that increment to individuals living in their
family homes;
(33) ensure that respite is provided in accordance
with the individual's PDP, IPC, implementation plan, and Appendix
C of the HCS Program waiver application approved by CMS and found
on the HHSC website; and:
(A) includes:
(i) training in self-help and independent living skills;
(ii) providing room and board when respite is provided
in a setting other than the individual's normal residence;
(iii) assisting with:
(I) ongoing provision of needed waiver services; and
(II) securing and providing transportation; and
(B) is only provided:
(i) to individuals who are not receiving residential
support, supervised living, or host home/companion care; and
(ii) when the unpaid caregiver is temporarily unavailable
to provide supports;
(34) provide respite in the residence of an individual
or in other locations, including residences in which host home/companion
care, supervised living, or residential support is provided or in
a respite facility or camp, that:
(A) meets HCS Program requirements and is an environment
that ensures the health and safety of the individual; and
(B) if respite is provided:
(i) in the residence of another individual, the program
provider must obtain permission from that individual or LAR and ensure
that the respite visit will cause no threat to the health, safety,
or welfare of either individual;
(ii) in a respite facility, the program provider must
obtain written approval from the local fire authority having jurisdiction
stating that the facility and its operation meet the local fire ordinances
before initiating services in the facility if more than three individuals
receive services in the facility at any one time; or
(iii) in a camp setting, the program provider must
ensure the camp is accredited by the American Camp Association;
(iv) in a home and community-based setting, the setting
must comply with §263.501(b) of this title (relating to Requirements
for Home and Community-Based Settings);
(35) ensure that employment assistance:
(A) is provided to an individual to help the individual
locate competitive employment in the community;
(B) consists of a service provider:
(i) identifying an individual's employment preferences,
job skills, and requirements for a work setting and work conditions;
(ii) locating prospective employers offering employment
compatible with an individual's identified preferences, skills, and
requirements;
Cont'd... |
