Section 354.4005 - Personal Care Services that Require the Use of EVV(a) A program provider must ensure a service provider uses EVV to document the provision of the following personal care services by the program provider: (1) in the traditional Medicaid service model also referred to as fee-for-service, including for members enrolled in STAR who receive PCS through fee-for-service: (C) PCS provided under Texas Health Steps CCP, including SRO; and(D) PCS-Behavioral Health provided under Texas Health Steps CCP, including SRO;(2) in the CLASS Program:(3) personal attendant services provided through the Community Attendant Services Program, including SRO;(5) personal attendant services provided through the FC Program, including SRO;(6) in the HCBS-AMH Program: (A) supported home living; and(7) in the HCS Program: (C) in-home individualized skills and socialization provided to members with the residential type of "own/family home";(8) personal attendant services provided through the Primary Home Care Program, including SRO;(9) in the STAR Health Program:(A) CFC PAS, including SRO;(B) CFC HAB, including SRO; and(C) for a member in STAR Health MDCP: (i) in-home respite, with and without RN delegation, including SRO; and(ii) flexible family support, with and without RN delegation, including SRO;(10) in the STAR Kids Program:(A) CFC PAS, including SRO;(B) CFC HAB, including SRO; and(C) for a member in STAR Kids MDCP:(i) in-home respite, with and without RN delegation, including SRO; and(ii) flexible family support, with and without RN delegation, including SRO;(11) in the STAR+PLUS Program:(A) personal assistance services, including SRO;(B) CFC PAS, including SRO; and(C) CFC HAB, including SRO;(12) in the STAR+PLUS HCBS Program:(A) in-home respite care, including SRO;(B) protective supervision, including SRO;(C) personal assistance services, including SRO;(D) CFC PAS, including SRO; and(E) CFC HAB, including SRO;(13) in the STAR+PLUS MMP:(A) in-home respite care, including SRO;(B) protective supervision, including SRO;(C) personal assistance services, including SRO;(D) CFC PAS, including SRO; and(E) CFC HAB, including SRO;(14) in the TxHmL Program: (C) in-home individualized skills and socialization;(15) in-home respite provided in the YES Program; and(16) any other service required by federal or state mandates.(b) A CDS employer must ensure a service provider uses EVV to document the provision of the following personal care services through the CDS option: (1) in the traditional Medicaid service model also referred to as fee-for-service:(C) PCS provided under Texas Health Steps CCP; and(D) PCS-Behavioral Health provided under Texas Health Steps CCP;(2) in the CLASS Program: (3) personal attendant services provided through the Community Attendant Services Program;(5) personal attendant services provided through the FC Program;(7) personal attendant services provided through the Primary Home Care Program;(8) in the STAR Health Program: (C) for a member in STAR Health MDCP: (i) in-home respite, with and without RN delegation; and(ii) flexible family support, with and without RN delegation;(9) in the STAR Kids Program: (C) for a member in STAR Kids MDCP: (i) in-home respite, with and without RN delegation; and(ii) flexible family support, with and without RN delegation;(10) in the STAR+PLUS Program: (A) personal assistance services;(11) in the STAR+PLUS HCBS Program: (A) in-home respite care;(B) protective supervision;(C) personal assistance services;(12) in the STAR+PLUS MMP: (A) in-home respite care;(B) protective supervision;(C) personal assistance services;(13) in the TxHmL Program: (C) in-home individualized skills and socialization.1 Tex. Admin. Code § 354.4005
Adopted by Texas Register, Volume 45, Number 51, December 18, 2020, TexReg 9179, eff. 12/23/2020; Adopted by Texas Register, Volume 48, Number 49, December 8, 2023, TexReg 7171, eff. 1/1/2024