Aging and Disability Services Council Sharon Swift Butterworth ...

individual may receive transition assistance services having a maximum cost of $2,500. This
service limit is not subject to an exception granted by DADS in accordance with §45.219 of this
division.
(d) Effective September 1, 2013, the following limits apply to an individual's services:
(1) for adaptive aids and dental treatment, a maximum combined cost of $10,000 during an
IPC period;
(2) for minor home modifications, $10,000 during the time period an individual is enrolled
in the CLASS Program, which may be paid in one or more IPC periods;
(3) for respite, 30 hours of in-home respite and out-of-home respite, combined, during an
IPC period; and
(4) the service limit for transition assistance services described in subsection (c) of this
section.
§45.219. Exception to Service Limits.
(a) Proposed enrollment, renewal, or revised IPC. If an individual, LAR, CMA, or DSA has
information demonstrating that exceeding a service limit described in §45.218(b) of this division
(relating to Service Limits) is necessary to meet the criteria described in §45.214(b) of this
division (relating to Development of Enrollment IPC), the CMA must request an exception to the
service limit in accordance with subsection (b) of this section.
(b) Requesting an exception.
(1) To request an exception to a service limit described in §45.218(b) of this division, a
CMA must:
(A) complete the Request for an Exception of Service Limit form, found at
www.dads.state.tx.us, in accordance with form instructions;
(B) include on the form a detailed explanation of why providing the service in excess of the
service limit is necessary to meet the criteria described in §45.214(b) of this division; and
(C) submit to DADS any additional information or documentation requested by DADS.
(2) The CMA must submit the completed Request for an Exception of Service Limit form
to DADS:
(A) for a proposed enrollment IPC, in accordance with §45.214(c)(2)(A)(iv) or (d)(2)(A)(iv)
of this division (relating to Development of Enrollment IPC); or
(B) for a proposed renewal or revised IPC, in accordance with §45.223(e) of this subchapter
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