| (a) When a designated resident moves from a NF in one
local service area to a NF in a different contract area and a different
local service area without an intervening hospital stay, the transferring
LIDDA must:
(1) within three business days of learning that the
designated resident will move or has moved:
(A) notify the service provider agency and determine
whether the service provider agency has a contract in the new local
service area;
(B) determine whether the designated resident wants
to select a new service provider agency or continue receiving IHSS
from the current service provider agency, if the service provider
agency has a contract in the new local service area; and
(C) notify the receiving LIDDA of the move date and
whether the designated resident must select a new service provider
agency;
(2) send the receiving LIDDA:
(A) all assessments, including the PE;
(B) the HSP and individual profile form;
(C) the current plan of care; and
(D) any other information requested by the receiving
LIDDA;
(3) terminate the current plan of care effective on
the move date, if the designated resident must select a new service
provider agency; and
(4) terminate the habilitation coordination service
authorization in accordance with the Habilitation Coordination Billing
Guidelines.
(b) When the designated resident moves to the NF in
a new local service area, the receiving LIDDA must:
(1) comply with Chapter 303 of this title (relating
to Preadmission Screening and Resident Review (PASRR)) and follow
processes described in the IDD PASRR Handbook;
(2) if the designated resident must choose a new service
provider agency, ensure the designated resident or LAR selects a new
service provider agency in accordance with §368.203 of this chapter
(relating to Process for Provider Selection); and
(3) initiate IHSS at the NF in accordance with §368.204
of this chapter (relating to Process for Service Initiation).
(c) If the service provider agency has a contract in
the new local service area and the designated resident or LAR elects
to receive IHSS from the same service provider agency, the service
provider agency may continue to deliver IHSS in accordance with §368.502(b)
of this subchapter (relating to Transfer between Nursing Facilities
in the Same Contract Area and Local Service Area).
(d) If the designated resident selects a new service
provider agency:
(1) the new service provider agency must ensure IHSS
are not delivered until HHSC has authorized the IHSS on the plan of
care; and
(2) the previous service provider agency must respond
to the transferring or receiving LIDDA's requests for information
or documentation related to the designated resident's IHSS within
three business days of the request.
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