(a)A TAS [The] provider
[agency] must maintain service delivery documentation in
the individual's record, including [client file that
includes the]:
(1)the individual's name and Medicaid
number [of the client];
(2)the TAS provider's name and contract [
client Medicaid] number;
[(3)month of service delivery;]
[(4)provider agency name and contract
number;]
(3)[(5)] a [service
] description of the TAS delivered;
(4)[(6)] the date the
TAS was [services were] purchased;
(5)[(7)] the date the
TAS was [services were] delivered;
(6)[(8)] the total
monetary [dollar] amount of the TAS purchased [
purchase], including taxes and delivery fees;
(7)[(9)] the original purchase
receipts; and
(8)[(10)] the dated
signature of the employee or contractor [employee(s)]
who delivered the TAS [provided services].
(b)If a TAS provider does not complete
the delivery of TAS to the individual by the due date described in §62.33(b)
of this chapter (relating to Service Delivery), the TAS provider must
maintain the documentation required in §62.33(c)(1) of this chapter
in the individual's record.
The agency certifies that legal counsel has reviewed
the proposal and found it to be within the state agency's legal authority
to adopt.
Filed
with the Office of the Secretary of State on December 29, 2014
TRD-201406308 Lawrence Hornsby
General Counsel
Department of Aging and Disability Services
Earliest possible date of adoption: February 8, 2015
For further information, please call: (512)
438-4162
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