| (a) The DBMD Program is a Medicaid waiver program approved
by CMS and operated by HHSC pursuant to §1915(c) of the Social
Security Act. It provides community-based services and supports to
an eligible individual as an alternative to the ICF/IID Program. DBMD
Program services are intended to:
(1) enhance the individual's integration into the community;
(2) maintain or improve the individual's independent
functioning, and
(3) prevent the individual's admission to an institution.
(b) HHSC limits the enrollment in the DBMD Program
to the number of individuals approved by CMS and funded by the State
of Texas.
(c) The DBMD Program offers the following services
approved by CMS:
(1) adaptive aids;
(2) residential assistance, provided as:
(A) licensed assisted living; or
(B) licensed home health assisted living;
(3) behavioral support;
(4) case management;
(5) chore services;
(6) day habilitation;
(7) dental treatment;
(8) dietary services;
(9) employment assistance;
(10) intervener services;
(11) minor home modifications;
(12) nursing;
(13) occupational therapy;
(14) orientation and mobility;
(15) physical therapy;
(16) residential habilitation;
(17) respite, provided as:
(A) in-home respite; or
(B) out-of-home respite;
(18) speech-language pathology;
(19) audiology;
(20) supported employment;
(21) TAS; and
(22) if the individual's IPC includes at least one
DBMD Program service to be delivered through the CDS option:
(A) FMS; and
(B) support consultation.
(d) A program provider may only provide and bill for
residential habilitation if the activity provided is transportation,
as described in §260.343(b)(1)(A)(ii)(I) of this chapter (relating
to Day Habilitation, Residential Habilitation, and CFC PAS/HAB).
(e) CFC is a state plan option governed by CFR, Title
42, Part 441, Subpart K, regarding Home and Community-Based Attendant
Services and Supports State Plan Option (Community First Choice) that
provides the following services to an individual:
(1) CFC PAS/HAB;
(2) CFC ERS; and
(3) CFC support management for an individual receiving
CFC PAS/HAB.
(f) A program provider with a contract enrollment date
on or after September 1, 2009, must serve all counties within an HHSC
region.
(g) A program provider with a contract enrollment date
before September 1, 2009, may continue to serve only the counties
specified in its contract. If such a program provider chooses to provide
services in additional counties, the program provider does not have
to serve all the counties within the HHSC region.
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