| (a) A program provider must ensure a service provider
uses EVV to document the provision of the following home health care
services by the program provider on or after January 1, 2024:
(1) in the traditional Medicaid service model also
referred to as fee-for-service, for a member who does not reside in
a nursing facility, an ICF/IID, or an IMD, the following services
when provided in the residence of the member:
(A) any nursing service, other than PDN;
(B) occupational therapy; and
(C) physical therapy;
(2) in the CLASS Program, for a member who does not
receive support family services or continued family services, the
following services when provided in the residence of the member:
(A) any nursing service;
(B) occupational therapy; and
(C) physical therapy;
(3) in the DBMD Program, for a member who does not
receive licensed assisted living or licensed home health assisted
living, the following services when provided in the residence of the
member:
(A) any nursing service;
(B) occupational therapy; and
(C) physical therapy;
(4) in the HCS Program, for a member whose residential
type is "own/family home," the following services when provided in
the residence of the member:
(A) any nursing service;
(B) occupational therapy; and
(C) physical therapy;
(5) in the HCBS-AMH Program, for a member who does
not receive host home/companion care, supervised living services,
or assisted living services, the following services when provided
in the residence of the member:
(A) nursing - RN; and
(B) nursing - LVN;
(6) in the STAR Program, the following services when
provided in the residence of the member:
(A) home health nursing;
(B) occupational therapy;
(C) physical therapy; and
(D) personal care services provided by a home health
aide under the supervision of an RN, occupational therapist, or physical
therapist;
(7) in the STAR Health Program, the following services
when provided in the residence of the member:
(A) home health nursing, other than PDN;
(B) occupational therapy;
(C) physical therapy; and
(D) personal care services provided by a home health
aide under the supervision of an RN, occupational therapist, or physical
therapist;
(E) nursing delegation and supervision of PCS and CFC
tasks; and
(F) for a member in STAR Health MDCP, the following
services when provided in the residence of the member:
(i) RN delegation and supervision of personal care
services and CFC tasks, other than PDN;
(ii) flexible family supports services performed by
RN or an LVN; and
(iii) in-home respite performed by RN or an LVN;
(8) in the STAR Kids Program, the following services
when provided in the residence of the member:
(A) home health nursing, other than PDN;
(B) occupational therapy;
(C) physical therapy;
(D) personal care services provided by a home health
aide under the supervision of an RN, occupational therapist, or physical
therapist;
(E) nursing delegation and supervision of PCS and CFC
tasks; and
(F) for a member in STAR Kids MDCP, the following services
when provided in the residence of the member:
(i) RN delegation and supervision of personal care
services and CFC tasks, other than PDN;
(ii) flexible family supports services performed by
an RN or LVN; and
(iii) in-home respite performed by an RN or LVN;
(9) in the STAR+PLUS Program, the following services
when provided in the residence of the member:
(A) home health nursing;
(B) occupational therapy;
(C) physical therapy; and
(D) personal care services provided by a home health
aide under the supervision of an RN, occupational therapist, or physical
therapist;
(10) in the STAR+PLUS HCBS Program, for members not
receiving adult foster care, assisted living services - single occupancy,
assisted living services - double occupancy, or assisted living services
- non-apartment, the following services when provided in the residence
of the member:
(A) home health nursing, including SRO;
(B) occupational therapy, including SRO;
(C) physical therapy, including SRO; and
(D) personal care services provided by a home health
aide under the supervision of an RN, occupational therapist, or physical
therapist, including SRO;
(11) in the STAR+PLUS MMP, for members not receiving
adult foster care, assisted living services - single occupancy, assisted
living services - double occupancy, or assisted living services -
non-apartment, the following services when provided in the residence
of the member:
(A) home health nursing, including SRO;
(B) occupational therapy, including SRO;
(C) physical therapy, including SRO; and
(D) personal care services provided by a home health
aide under the supervision of an RN, occupational therapist, or physical
therapist, including SRO;
(12) in the TxHmL Program, the following services when
provided in the residence of the member:
(A) any nursing service;
(B) occupational therapy; and
(C) physical therapy; and
(13) any other service required by federal or state
mandates.
(b) A CDS employer must ensure a service provider uses
EVV to document the provision of the following home health care services
using the CDS option on or after January 1, 2024:
(1) in the CLASS Program, the following services when
provided in the residence of the member:
(A) any nursing service;
(B) occupational therapy; and
(C) physical therapy;
(2) in the HCS Program, for a member whose residential
type is "own/family home," the following services when provided in
the residence of the member:
(A) any nursing service;
(B) occupational therapy; and
(C) physical therapy;
(3) in the STAR Health Program for a member in STAR
Health MDCP, the following services when provided in the residence
of the member:
(A) flexible family supports services performed by
any RN or any LVN; and
(B) in-home respite performed by any RN or any LVN;
(4) in the STAR Kids Program for a member in STAR Kids
MDCP, the following services when provided in the residence of the
member:
(A) flexible family supports services performed by
any RN or any LVN; and
(B) in-home respite performed by any RN or any LVN;
(5) in the STAR+PLUS Program, the following services
when provided in the residence of the member:
(A) home health nursing;
(B) occupational therapy;
(C) physical therapy; and
(D) personal care services provided by a home health
aide under the supervision of an RN, occupational therapist, or physical
therapist;
(6) in the STAR+PLUS HCBS Program, the following services
when provided in the residence of the member:
(A) home health nursing;
(B) occupational therapy;
(C) physical therapy; and
(D) home health aide services as an extension of physical
therapy, occupational therapy, or nursing services;
(7) in the STAR+PLUS MMP, the following services when
provided in the residence of the member:
(A) home health nursing;
(B) occupational therapy;
(C) physical therapy; and
(D) home health aide services as an extension of physical
therapy, occupational therapy, or nursing services; and
(8) in the TxHmL Program, the following services when
provided in the residence of the member:
(A) any nursing service;
(B) occupational therapy; and
(C) physical therapy.
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