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RULE §260.501Definitions

The following words and terms, when used in this subchapter, have the following meanings, unless the context clearly indicates otherwise:

  (1) Calendar day--Any day, including weekends and holidays.

  (2) Case manager--A service provider of case management.

  (3) CFC--Community First Choice. A state plan option governed by Code of Federal Regulations, Title 42, Chapter 441, Subpart K, regarding Home and Community-Based Attendant Services and Supports State Plan Option (Community First Choice).

  (4) Community setting--A setting accessible to the general public within an individual's community.

  (5) Day habilitation--A DBMD Program service.

  (6) DBMD Program--The Deaf Blind with Multiple Disabilities Program.

  (7) DFPS--Texas Department of Family and Protective Services.

  (8) HHSC--The Texas Health and Human Services Commission.

  (9) Hospital--A public or private institution licensed or exempt from licensure in accordance with Texas Health and Safety Code (THSC) Chapters 13, 241, 261, or 552.

  (10) ID/RC Assessment--Intellectual Disability/Related Conditions Assessment. An HHSC form HHSC uses to determine the LOC for an individual.

  (11) Individual--A person seeking to enroll or who is enrolled in the DBMD Program.

  (12) Individualized skills and socialization--A DBMD Program service described in this subchapter. The two types of individualized skills and socialization are on-site individualized skills and socialization and off-site individualized skills and socialization.

  (13) Individualized skills and socialization provider--A legal entity licensed in accordance with Chapter 559, Subchapter H of this title (relating to Individualized Skills and Socialization Provider Requirements).

  (14) IPC--Individual Plan of Care. A written plan developed by an individual's service planning team and documented on the HHSC Individual Plan of Care form. An IPC:

    (A) documents:

      (i) the type and amount of each DBMD Program service and each CFC service, except for CFC support management, to be provided to the individual during an IPC year; and

      (ii) if an individual will receive CFC support management; and

    (B) is authorized by HHSC.

  (15) IPC period--The effective period of an enrollment IPC and a renewal IPC as follows:

    (A) for an enrollment IPC, the period of time from the effective date of the enrollment IPC, as described in the rules governing the DBMD Program, through the last calendar day of the 11th month after the month in which enrollment occurred; and

    (B) for a renewal IPC, a 12-month period of time starting on the effective date of a renewal IPC as described in the rules governing the DBMD Program.

  (16) IPP--Individual Program Plan. A written plan developed in accordance with the rules governing the DBMD Program and documented on an HHSC Individual Program Plan form.

  (17) LAR--Legally authorized representative. A person authorized by law to act on behalf of an individual with regard to a matter described in this chapter, and may include a parent, guardian, or managing conservator of a minor, or the guardian of an adult.

  (18) LOC--Level of care. A determination given to an individual as part of the eligibility determination process based on data submitted on the ID/RC Assessment.

  (19) Medicaid HCBS--Medicaid home and community-based services. Medicaid services provided to an individual in an individual's home and community, rather than in a facility.

  (20) Nursing facility--A facility licensed in accordance with THSC Chapter 242.

  (21) Program provider--A person that has a contract with HHSC to provide DBMD Program services, excluding a financial management services agency.

  (22) Service provider--A person who directly provides a DBMD Program service or a CFC service to an individual.

  (23) TAC--Texas Administrative Code. A compilation of state agency rules published by the Texas Secretary of State in accordance with Texas Government Code, Chapter 2002, Subchapter C.

Source Note: The provisions of this §260.501 adopted to be effective January 1, 2023, 47 TexReg 8681

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