Aging and Disability Services Council Sharon Swift Butterworth ...

financial eligibility as required by §45.302(1) of this chapter (relating to Mandatory Participation
Requirements of an Individual); and
(3) ensure that the case manager documents in the individual's record the progress toward
completing a Medicaid application and enrollment into CLASS Program services.
(c) If an individual or LAR does not submit a Medicaid application to HHSC within 30
calendar days of the case manager's initial face-to-face, in-home visit as required by §45.302(1)
of this chapter, but is making good faith efforts to complete the application, the CMA may
extend, in 30-calendar day increments, the time frame in which the application must be
submitted to HHSC, except as provided in paragraph (1) of this subsection.
(1) The CMA may not grant an extension that results in a time period of more than 365
calendar days from the date of the case manager's initial face-to-face, in-home visit.
(2) The CMA must ensure that the case manager documents each extension in the
individual's record.
(d) If an individual or LAR does not submit a Medicaid application to HHSC as required by
§45.302(1) of this chapter and is not making good faith efforts to complete the application, the
CMA must request, in writing, that DADS withdraw the offer of a program vacancy made to the
individual in accordance with §45.211(d)(3) of this subchapter (relating to Written Offer of a
CLASS Program Vacancy).
(e) If DSAs serving the catchment area in which the individual resides are not willing to
provide CLASS Program services to an individual because they have determined that they
cannot ensure the individual's health and safety, the CMA must provide to DADS, in writing, the
specific reasons the DSAs have determined that they cannot ensure the individual's health and
safety.
(f) If the individual is receiving institutional services and anticipates needing transition
assistance services, the case manager must, before the effective date of the enrollment IPC:
(1) provide the individual or LAR with a list of provider agencies of transition assistance
services; and
(2) using the Transition Assistance Services Assessment and Authorization form as
described in the CLASS Provider Manual, assist the individual or LAR to:
(A) identify the individual's essential needs for transition assistance services; and
(B) provide estimated amount of transition assistance services needed by the individual.
(g) A DSA must, after receiving notice from DADS that an individual selected the DSA as a
program provider:
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