Section 259.275 - Requirements for Authorization to Purchase a Minor Home Modification(a) To purchase a minor home modification for an individual a CMA must: (1) ensure that the individual or LAR initiates a request for the minor home modification by completing Part A of the HHSC Request for Adaptive Aids, Medical Supplies and Minor Home Modifications form described in the Community Living Assistance and Support Services Provider Manual;(2) send the partially completed form to the DSA;(3) ensure that the individual's service planning team includes the cost of the specifications for the requested minor home modification, as described in §259.277 of this division (relating to Requirements for Specifications for a Minor Home Modification), not to exceed $200, in: (A) the individual's proposed enrollment IPC, proposed renewal IPC, or proposed revised IPC, as applicable; and(B) the individual's IPP; and(4) no later than 14 calendar days after completing the requirement described in paragraph (3) of this subsection, submit to HHSC: (A) the proposed enrollment IPC, proposed renewal IPC, or proposed revised IPC, described in paragraph (3)(A) of this subsection, as applicable; and(B) the individual's IPP described in paragraph (3)(B) of this subsection.(b) HHSC reviews the documentation described in subsection (a)(4) of this section and determines whether the proposed IPC is authorized in accordance with § 259.69 of this chapter (relating to HHSC's Review of a Proposed Enrollment IPC) or § 259.79 of this chapter (relating to Renewal and Revision of an IPC).(c) HHSC notifies a DSA, in the electronic billing system, of whether the proposed IPC is authorized. HHSC notifies a CMA, in writing, of whether the proposed IPC is authorized.(d) If HHSC approves the proposed IPC for payment of the specifications, the DSA must: (1) no later than 30 calendar days after the date HHSC approves the IPC, obtain the specifications regarding the minor home modification in accordance with §259.277 of this division and ensure that Part B of the HHSC Request for Adaptive Aids, Medical Supplies and Minor Home Modifications form is completed;(2) no later than 60 calendar days after obtaining the specifications: (A) if the minor home modification costs more than $1,000, obtain bids from vendors in accordance with §259.279 of this division (relating to Bid Requirements for a Minor Home Modification);(B) select a vendor to complete construction of the minor home modification; and(C) complete Part C of the HHSC Request for Adaptive Aids, Medical Supplies and Minor Home Modifications form and send the form to the CMA; and(3) before construction of the minor home modification: (A) obtain written approval for construction of the modification from the owner of the property in question, unless such approval is granted in an applicable lease agreement; and (B) ensure that the selected vendor obtains any required building permits.(e) A CMA must, no later than 14 calendar days after receipt of the form described in subsection (d)(2)(C) of this section: (1) complete Part D of the HHSC Request for Adaptive Aids, Medical Supplies and Minor Home Modifications form, evidencing that the criteria described in § 259.65(b) of this chapter (relating to Development of an Enrollment IPC) are met;(2) ensure that the individual's service planning team includes the cost of the minor home modification and the cost of the inspection of the minor home modification, not to exceed $150, in: (A) the individual's proposed enrollment IPC, proposed renewal IPC, or proposed revised IPC, as applicable; and(B) the individual's IPP; and(3) no later than 14 calendar days after completing the requirement described in paragraph (2) of this subsection, submit to HHSC: (A) the completed HHSC Request for Adaptive Aids, Medical Supplies, and Minor Home Modifications form; (B) the proposed enrollment IPC, proposed renewal IPC, or proposed revised IPC described in paragraph (2)(A) of this subsection, as applicable;(C) the individual's IPP described in paragraph (2)(B) of this subsection; and(D) documentation regarding bids as required by §259.279 of this division.(f) HHSC reviews the documentation described in subsection (e)(3) of this section and determines whether the proposed IPC is authorized in accordance with § 259.69 or § 259.79 of this chapter.(g) HHSC notifies a DSA, in the electronic billing system, of whether the proposed IPC is authorized. HHSC notifies a CMA, in writing, of whether the proposed IPC is authorized.(h) The DSA must direct the vendor to begin construction of the minor home modification no later than seven calendar days after one of the following, whichever is later: (1) the date HHSC approves the individual's proposed IPC; or(2) the effective date of the individual's proposed IPC as determined by the service planning team.(i) A DSA must, no later than seven business days after it receives information that the minor home modification is completed, conduct an in-person inspection of the minor home modification in accordance with §259.281 of this division (relating to Inspection of a Minor Home Modification).26 Tex. Admin. Code § 259.275
Adopted by Texas Register, Volume 48, Number 04, January 27, 2023, TexReg 0386, eff. 1/30/2023