(a) When a designated resident moves from one NF to
another NF within the same contract area and the same local service
area without an intervening hospital stay, the habilitation coordinator
must determine whether the designated resident, or LAR on the designated
resident's behalf, wants to select a new service provider agency or
continue receiving IHSS from the current service provider agency.
(b) If the designated resident or LAR elects to have
IHSS delivered by the current service provider agency:
(1) the habilitation coordinator must document the
designated resident's or LAR's choice and ensure the service provider
agency is invited to the SPT meeting;
(2) the designated resident may continue receiving,
or suspend, any authorized IHSS that was delivered at the transferring
NF until:
(A) the receiving NF has convened the initial IDT meeting;
(B) the IHSS assessments have been reviewed in accordance
with §368.302 of this chapter (relating to Renewal and Revision
of a Plan of Care); and
(C) HHSC has authorized the IHSS to be delivered at
the receiving NF; and
(3) at the initial IDT meeting:
(A) the IDT reviews the designated resident's IHSS;
(B) the IDT may request a new assessment for any IHSS;
(C) the habilitation coordinator develops an initial
plan of care and obtains signatures from the required parties; and
(D) the habilitation coordinator revises the HSP as
necessary.
(c) If the designated resident chooses to select a
new service provider agency:
(1) the habilitation coordinator and new service provider
agency must comply with §368.203 of this chapter (relating to
Process for Provider Selection) and §368.204 of this chapter
(relating to Process for Service Initiation);
(2) the new service provider agency must ensure IHSS
are not delivered until HHSC has authorized the IHSS on the plan of
care; and
(3) the previous service provider agency must respond
to the habilitation coordinator's requests for information or documentation
related to the designated resident's IHSS within three business days
of the request.
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