26 Tex. Admin. Code § 275.63

Current through Reg. 49, No. 44; November 1, 2024

Section 275.63 - Individual Responsibilities in All CMPAS Service Delivery Options

An applicant, individual, or the LAR or representative of an applicant or individual must:

(1) obtain and submit a practitioner's statement to the assessor of need;

(2) negotiate with the assessor of need at an assessment or reassessment to determine which allowable tasks in §44.304 of this subchapter (relating to Allowable and Unallowable Tasks) are included in the individual's service plan;

(3) select, supervise, and release from service an attendant;

(4) train and supervise a personal attendant in the specifics of the delivery of services;

(5) certify the attendant's time worked on or after the last day of each recording period by:

(A) verifying, signing, dating, and submitting to the provider the attendant's time sheet; or

(B) if applicable, submitting appropriate certification of the attendant's time worked through a provider's electronic service delivery documentation system;

(6) notify the provider within 10 days after the date the individual begins receiving services under another HHSC program that duplicates the services provided under the CMPAS Program;

(7) submit any required co-payment to the provider as required by §44.501 of this chapter (relating to Determining an Individual's Co-payment);

(8) provide proof of income to the assessor of need upon request;

(9) obtain and submit to the assessor of need a proper physician's order and physician's or registered nurse's documentation for any delegated health-related task to be included in the service plan before the task is included in the service plan; and

(10) inform the provider and HHSC within 10 days after a change in the individual's:

(A) mailing or residence address;

(B) telephone number;

(C) physical condition that may affect the need for services;

(D) total monthly income, as calculated in accordance with §44.501(f) of this chapter;

(E) income exclusions, as described in §44.501(i) of this chapter; and

(F) monthly deductions, as described in §44.501(j) of this chapter.

26 Tex. Admin. Code § 275.63

The provisions of this §275.63 adopted to be effective October 1, 2013, 38 TexReg 6606; amended to be effective October 1, 2019, 44 TexReg 5106; transferred effective August 1, 2022, as published in the Texas Register July 8, 2022, 47 TexReg 3983