Aging and Disability Services Council Sharon Swift Butterworth ...

and minor home modifications and also deletes references to a requisition fee for adaptive aids,
medical supplies, and minor home modifications. The amendments also clarify HCSSA
qualifications associated with providing CBA services under the personal assistance services
category of licensure. The proposed amendments also revise initial training requirements for an
attendant.
SECTION-BY-SECTION SUMMARY
The proposed amendment to §48.6002 adds definitions of denial, ISP, HCSSA, LVN, reduction,
RN, and workday. The definitions will improve the clarity of the subchapter.
The proposed amendment to §48.6003 provides that to be eligible for the CBA Program, an
individual must have an ISP with a cost for CBA Program services at or below the
reimbursement rate that would have been paid for that same individual to receive nursing facility
services as of August 31, 2010. The amendment also provide that an individual’s ISP may
include a maximum of $300 per ISP year for repair and maintenance of a minor home
modification and substitute "Nursing Facility Risk Criteria Scoring Form" as the name of the
form used to assess whether an individual is at risk of nursing facility placement. The
amendments clarify the eligibility criteria for the CBA Program.
The proposed amendment to §48.6006 provides that if an ISP includes a service that exceeds a
limit described in §48.6084, the home and community support services agency must provide
information to DADS supporting the need for the service to exceed the limit.
The proposed amendment to §48.6010 describes the circumstances permitting an individual to
request a fair hearing and references HHSC’s uniform fair hearing rules.
The proposed amendment to §48.6026 clarifies HCSSA qualifications associated with providing
CBA services under the personal assistance services category of licensure.
The proposed amendment to §48.6052 restructures the section to clarify the procedures a
HCSSA must follow to request an adaptive aid for an individual, updates terminology to be
consistent with current DADS usage, and removes references to reimbursement for developing
specifications for an adaptive aid.
The proposed amendment to §48.6068 restructures the section to clarify the procedures a
HCSSA must follow to request a minor home modification for an individual, updates
terminology to be consistent with current DADS usage, and removes references to
reimbursement for developing specifications for a minor home modification.
The proposed amendment to §48.6078 removes references to a specifications fee as a billable
activity.
The proposed amendment to §48.6084 establishes service limits, effective through August 31,
2013, for certain CBA Program services, and establishes that service limits for certain CBA
Program services that were in effect before December 2, 2011, will continue to be in effect as of
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