Aging and Disability Services Council Sharon Swift Butterworth ...
Aging and Disability Services Council Sharon Swift Butterworth ...
Aging and Disability Services Council Sharon Swift Butterworth ...
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SUBJEC CT: Agend da Item No. : 7d<br />
Recomm mendation to propose new w sections an nd amendmeents<br />
to 40 TAAC<br />
Chapter 9, Subchapteer<br />
D,<br />
Home an nd Communi ity-Based Se ervices (HCS S) Program; Chapter 45, Communityy<br />
Living<br />
Assistanc ce <strong>and</strong> Support<br />
<strong>Services</strong> (CLASS); Chapter C 48, SSubchapter<br />
JJ,<br />
Communiity<br />
Based<br />
Alternati ives (CBA) Program; P <strong>and</strong> d Chapter 51 1, Medicallyy<br />
Dependent Children Prrogram<br />
(MDDCP)<br />
BACKG GROUND:<br />
TO:<br />
DATE:<br />
Federal requ uirement<br />
<strong>Aging</strong> annd<br />
<strong>Disability</strong>y<br />
<strong>Services</strong> <strong>Council</strong><br />
Memmbers<br />
Septembber<br />
14, 2011<br />
FROM: : Chris Traaylor<br />
Commisssioner<br />
Legislaative<br />
requireement<br />
X<br />
Other<br />
These am mendments <strong>and</strong> a new sect tions are for four Medicaaid<br />
waiver prrograms<br />
appproved<br />
by thhe<br />
Centers for f Medicare e & Medicaid<br />
<strong>Services</strong> (C CMS) <strong>and</strong> ooperated<br />
by tthe<br />
Department<br />
of <strong>Aging</strong>g<br />
<strong>and</strong><br />
<strong>Disability</strong> y <strong>Services</strong> (D DADS) in ac ccordance with w Section 1915(c) of thhe<br />
Social Seecurity<br />
Act too<br />
provide services s to in ndividuals in n the commu unity as a cosst-effective<br />
aalternative<br />
too<br />
living in either<br />
a nursing g facility or an a ICF/MR.<br />
The Hom me <strong>and</strong> Comm munity-based<br />
<strong>Services</strong> (H HCS) Prograam<br />
<strong>and</strong> the CCommunity<br />
Living<br />
Assistanc ce <strong>and</strong> Support<br />
<strong>Services</strong> (CLASS) Program<br />
servve<br />
children an <strong>and</strong> adults wiith<br />
intellectuual<br />
<strong>and</strong> deve elopmental disabilities. d<br />
The Com mmunity Based<br />
Alternatives<br />
(CBA) program p servves<br />
individuuals<br />
over 21 yyears<br />
of age who<br />
are elderl ly or have di isabilities.<br />
The Med dically Depen ndent Childr ren Program m (MDCP) prrovides<br />
suppports<br />
to the fa families <strong>and</strong><br />
primary caregivers c of<br />
children an nd young adu ults up to 211<br />
years of agge<br />
who are mmedically<br />
dependen nt.<br />
DADS is s proposing the t amendments<br />
<strong>and</strong> new w sections too<br />
implement cost containnment<br />
strateggies<br />
contained d in the 2012 2-2013 Gene eral Appropr riations Act (Article II, SSpecial<br />
Provvisions,<br />
Sectiion<br />
17, Hous se Bill 1, 82n nd Legislatur re, Regular Session, S 20111).<br />
The amen ndments <strong>and</strong> d new section ns establish new limits ffor<br />
selected sservices.<br />
Forr<br />
each servicce,<br />
other than<br />
for CLASS<br />
specialized d therapies, the service llimit<br />
is basedd<br />
on the 90thh<br />
percentile of<br />
paid units<br />
for individ duals who rec ceived the se ervice duringg<br />
state fiscall<br />
year (SFY) ) 2010. For
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