Aging and Disability Services Council Sharon Swift Butterworth ...

(A) conducted by an RN as a nursing service; and
(B) conducted by an occupational therapist, physical therapist, or speech, hearing, and
language therapist as a therapy service.
(3) If an appropriate professional other than those listed in paragraph (2) of this subsection
is required to provide an assessment for computer assistive technology, environmental controls,
or augmentative communication devices, the actual cost of an assessment or a follow-up
orientation or training visit is reimbursed, up to a maximum of $500. The CBA provider must
maintain documentation to support the cost of providing an assessment and conducting a followup
orientation or training visit. [end addition]
[begin deletion] (2) obtain a minimum of three written bids if not using price lists or price
quotes as identified under subsection (a)(4) of this section, and document the reason for the
selection including cost, delivery time of item, record of quality services, access to loaners
during repairs, repair history, and warranties. [end deletion]
§48.6068. Cost-Effective Purchases of Minor Home Modifications.
[begin addition] (a) [end addition] The [begin addition] HCSSA [end addition] [begin
deletion] Home and Community Support Services (HCSS) agency [end deletion] must:
(1) determine and document the needs and preferences of the [begin addition] individual
[end addition] [begin deletion] participant [end deletion] for the minor home modification;
(2) document the necessity for the minor home modification;
(3) obtain written specifications for any minor home modification project expenditure
costing $1,000 or more which will be used to procure bids and inspect the completed job;[begin
deletion]. Written specifications must be obtained from an individual with experience in home
modifications. These specifications are reimbursable as part of the invoice cost of a minor home
modification up to a maximum of $200. The provider must maintain documentation to support
the cost for developing the specifications. The individual who developed the specifications may
bid on the completion of the minor home modification; [end deletion]
(4) obtain a minimum of three written bids based on the written specifications for any
project expenditure costing $1,000 or more;
(5) select a bidder to provide the modification and document the reason for selecting the
bid including cost, completion time of modification, record of quality service, timely response to
repair requests, and warranties; and
(6) inspect the minor home modification for completion, compliance with the written
specifications, if applicable, [begin deletion] and [end deletion] quality of workmanship [begin
addition], and compliance with Texas Accessibility Standards [end addition] within seven [begin
addition] DADS workdays after [end addition] [begin deletion] Texas Department of Human
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