TITLE 40.SOCIAL SERVICES AND ASSISTANCE

Part 1. TEXAS DEPARTMENT OF HUMAN SERVICES

Chapter 45. COMMUNITY LIVING ASSISTANCE AND SUPPORT SERVICES

Subchapter E. SUPPORT FAMILY SERVICES

The Texas Department of Human Services (DHS) proposes new Subchapter E, Support Family Services, consisting of Division 1, concerning introduction, §§45.501, 45.503, and 45.505; Division 2, concerning support family agency, §§45.521 - 45.525; and Division 3, concerning support families, §45.531 and §45.533, in its Community Living Assistance and Support Services chapter.

The purpose of the new rules is to add support family services (SFS) as a Community Living Assistance and Support Services (CLASS) waiver service. This new subchapter contains the eligibility rules and rules for provider agencies contracting to provide support family services. The goal of SFS is to assist children under 18 years of age to obtain or retain residence in a family home environment. If a child leaving a nursing facility cannot return to his natural home, SFS allows payment to an alternate family to care for him in another home. If a child currently enrolled in CLASS is at risk of institutionalization because his family can no longer support him physically or emotionally, SFS is available to avoid placement in an institution. The support family agency recruits, trains, and monitors families to be available to provide SFS to CLASS children. These rules include requirements for contracting and delivering SFS.

Gordon Taylor, Chief Financial Officer, has determined that, for the first five-year period the proposed new sections are in effect, there are no fiscal implications for state or local government as a result of enforcing or administering the sections. There is no net fiscal impact on state government because the cost of providing this service will be offset by a corresponding reduction in the cost of providing habilitation services.

Bettye M. Mitchell, Deputy Commissioner for Long Term Care, has determined that, for each year of the first five years the proposed new sections are in effect, the public benefit anticipated as a result of enforcing the sections is that children who receive services from the CLASS Program will have the option of accessing this new service to assist them in residing in a home environment in the community and to prevent institutionalization. There is no adverse economic effect on small or micro businesses as a result of enforcing or administering the new sections, because businesses of any size will be able to apply to be a contracted provider of these new services. There is no anticipated economic cost to persons who are required to comply with the proposed new sections. There is no anticipated effect on local employment in geographic areas affected by these new sections.

Questions about the content of this proposal may be directed to Pam Stroman at (512) 438-3078 in DHS's Community Care Provider Services section. Written comments on the proposal may be submitted to Supervisor, Rules Unit-127, Texas Department of Human Services E-205, P.O. Box 149030, Austin, Texas 78714-9030, within 30 days of publication in the Texas Register .

Under §2007.003(b) of the Government Code, DHS has determined that Chapter 2007 of the Government Code does not apply to these rules. The changes these rules make do not implicate a recognized interest in private real property. Accordingly, DHS is not required to complete a takings impact assessment regarding these rules.

These rules are proposed by DHS, subject to the subsequent transfer of rulemaking authority to HHSC. DHS is currently scheduled to transition sometime in 2004 into two successor agencies, the existing Texas Health and Human Services Commission (HHSC) and a new agency, the Texas Department of Aging and Disability Services (DADS).

This reorganization is mandated by House Bill 2292, 78th Legislature, Regular Session (2003). At the inception of operations at DADS, the authority to adopt all rules for the operation and provision of health and human services by DADS will reside with HHSC. These changes may result in the migration of these rules from one title of the Texas Administrative Code to another or other changes.

1. INTRODUCTION

40 TAC §§45.501, 45.503, 45.505

The new sections are proposed under the Human Resources Code, Chapters 22 and 32, which authorizes DHS to administer public and medical assistance programs, and under Government Code, §531.021, which provides the Texas Health and Human Services Commission with the authority to administer federal medical assistance funds.

The new sections affect the Human Resources Code, §§22.0001 - 22.040 and §§32.001 - 32.067; and the Government Code, §531.060.

§45.501.Purpose.

This subchapter establishes the requirements for:

(1) agencies contracting with the Texas Department of Human Services to provide support family services (SFS) to eligible Community Living Assistance and Support Services clients;

(2) SFS client eligibility; and

(3) support families participating in SFS.

§45.503.Contracting Requirements.

(a) The support family agency must contract with the Texas Department of Human Services (DHS) to provide support family services to eligible Community Living Assistance and Support Services clients.

(b) The support family agency must be licensed as:

(1) a child-placing agency through the Texas Department of Family and Protective Services; or

(2) a home and community support services agency licensed by DHS to provide home health services.

(c) The support family agency must meet all provisions described in this chapter and Chapter 49 of this title (relating to Contracting for Community Care Services).

§45.505.Client Eligibility.

(a) To be eligible for support family services, the child must be:

(1) under 18 years of age; and

(2) a Community Living Assistance and Support Services client.

(b) The child who receives support family services is not authorized to receive:

(1) habilitation services, except as provided by the support family; or

(2) funding or reimbursement for transportation expenses.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on May 3, 2004.

TRD-200402965

Carey Smith

Deputy Commissioner, Legal Services

Texas Department of Human Services

Earliest possible date of adoption: June 13, 2004

For further information, please call: (512) 438-3734


2. SUPPORT FAMILY AGENCY

40 TAC §§45.521 - 45.525

The new sections are proposed under the Human Resources Code, Chapters 22 and 32, which authorizes DHS to administer public and medical assistance programs, and under Government Code, §531.021, which provides the Texas Health and Human Services Commission with the authority to administer federal medical assistance funds.

The new sections affect the Human Resources Code, §§22.0001 - 22.040 and §§32.001 - 32.067; and the Government Code, §531.060.

§45.521.Support Family Agency Functions.

The support family agency must provide ongoing recruitment, support, training, and monitoring of its support family services (SFS) including:

(1) ensuring that support families are available to serve eligible children;

(2) helping children transition from institutional services to SFS;

(3) supporting children in support families to prevent placement breakdown or institutionalization;

(4) providing an alternative support family when the child's placement with a support family is no longer available or appropriate;

(5) establishing a safe and permanent placement for the child as authorized by the interdisciplinary team (IDT);

(6) training the support family to complete tasks the IDT assigns and as documented on the individual service plan and the individual program plan of the individual child; and

(7) monitoring and reporting to the case manager about the child's placement, as often as needed but at least monthly, as outlined in §45.524(5) of this subchapter (relating to Ongoing Support) and §45.525 of this subchapter (relating to Monthly Monitoring).

§45.522.Pre-Placement Activities.

(a) Upon referral from the Community Living Assistance and Support Services (CLASS) case manager for support family services, the support family agency must:

(1) meet with the child and the child's parents or legally authorized representative;

(2) identify the activities and supports necessary to meet the child's needs;

(3) obtain any evaluations, written records, or other necessary information about the child;

(4) determine the criteria for a support family that will meet the specific needs of the child;

(5) locate a support family; and

(6) keep the CLASS case manager informed of placement progress.

(b) Before placement, the support family agency must:

(1) ensure that the support family obtains the required verification through a child-placing agency licensed by the Texas Department of Family and Protective Services;

(2) provide orientation, training, or both to the support family in the specific tasks the child needs;

(3) introduce the child's parents or legally authorized representative, the support family, and the child to each other in person; and

(4) obtain the child's parents' or legally authorized representative's agreement to the placement.

(c) The support family agency must facilitate written agreements and authorizations between the child's parents or legally authorized representative, the support family, and the support family agency. The written documents must include:

(1) designation of who will participate in decisions about services, including any necessary delegation of authority for decisions by the legally responsible party;

(2) documentation of how visits between the child and the child's parents or legally authorized representative will be arranged;

(3) designation of who has the authority to make health care decisions for the child, such as consenting to medical treatment, including any necessary delegation of this authority by the person with the legal responsibility to make health care decisions;

(4) preferences agreed upon for:

(A) religious issues;

(B) cultural practices;

(C) problem resolution processes; and

(D) the type and amount of involvement by the child's parents or legally authorized representative;

(5) plans for routine and emergency communication and information exchange, including both oral and written communication; and

(6) documentation of the financial responsibilities of all parties.

§45.523.Placement.

Upon completion of the authorizations and agreements listed in §45.522(c) of this subchapter (relating to Pre-Placement Activities), the support family, the child's parents or legally authorized representative, and the support family agency must:

(1) participate in the initial interdisciplinary team to develop:

(A) the transition plan;

(B) the individual service plan;

(C) the individual program plan; and

(D) non-waiver resources;

(2) provide copies of the agreements and authorizations listed in §45.522(c) of this subchapter to the Community Living Assistance and Support Services case manger;

(3) provide orientation, training, or both to the support family in the specific tasks the child needs; and

(4) assume the responsibility for moving the child and his possessions into the support family home.

§45.524.Ongoing Support.

After the child is placed into the support family, the support family agency must:

(1) ensure continued compliance with §45.503 of this subchapter (relating to Contracting Requirements);

(2) provide the support family with information on how to contact support family agency staff at any time;

(3) ensure accurate documentation of service delivery in accordance with the individual service plan;

(4) assist the support family and the child in accessing school and preschool services;

(5) provide monthly progress notes to the Community Living Assistance and Support Services (CLASS) case manager, including monthly summaries of:

(A) habilitation activities;

(B) socialization activities;

(C) use of non-waiver services; and

(D) other services included on the individual program plan;

(6) provide additional training to the support family as identified by the interdisciplinary team (IDT);

(7) participate in the IDT meetings as requested by the CLASS case manager, the child's parents or legally authorized representative, the support family agency, or the direct services agency; and

(8) provide to the CLASS case manager documentation of any changes to the agreements or authorizations listed in §45.522(c) of this subchapter (relating to Pre-Placement Activities) within seven days of when the change occurs.

§45.525.Monthly Monitoring.

(a) The support family agency must visit the support family's home at least once a month to verify that:

(1) placement remains beneficial to client;

(2) the environment remains healthy and safe; and

(3) the rights of the child are being protected. In order to ensure that the child's rights are being protected, the support family agency must verify that:

(A) there is no evidence of child abuse or neglect;

(B) the child participates in community functions;

(C) the child has adequate personal belongings; and

(D) there are no restrictions on the child's personal property, including money.

(b) The support family agency must document each monthly visit, including verification of each item listed in subsection (a) of this section, and submit this documentation to the Community Living Assistance and Support Services (CLASS) case manager within seven days of the visit.

(c) The support family agency must inform the CLASS case manager of any changes needed to the individual program plan within five days of the date the agency became aware of the need for change.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on May 3, 2004.

TRD-200402966

Carey Smith

Deputy Commissioner, Legal Services

Texas Department of Human Services

Earliest possible date of adoption: June 13, 2004

For further information, please call: (512) 438-3734


3. SUPPORT FAMILIES

40 TAC §45.531, §45.533

The new sections are proposed under the Human Resources Code, Chapters 22 and 32, which authorizes DHS to administer public and medical assistance programs, and under Government Code, §531.021, which provides the Texas Health and Human Services Commission with the authority to administer federal medical assistance funds.

The new sections affect the Human Resources Code, §§22.0001 - 22.040 and §§32.001 - 32.067; and the Government Code, §531.060.

§45.531.Support Family Requirements.

(a) The support family must be:

(1) an independent foster family verified by the Texas Department of Family and Protective Services (DFPS) and contracted with a Community Living Assistance and Support Services direct service agency; or

(2) verified by a child-placing agency licensed by DFPS.

(b) The support family must not provide services to more than three unrelated children at any one time in their home.

(c) The support family must ensure that:

(1) the child participates in age-appropriate community activities; and

(2) the support family home environment is healthy and safe for the child.

(d) The support family must provide service in a residence that the support family owns or leases. The residence must be a typical residence in the neighborhood and meet the needs of the child and the child's parents or legally authorized representative.

§45.533.Support Family Duties.

(a) The support family must provide services to the Community Living Assistance and Support Services client as authorized on the individual service plan (ISP) and defined in the individual program plan, including:

(1) direct personal assistance with activities of daily living (such as grooming, eating, bathing, dressing, and personal hygiene);

(2) assistance with meal planning and preparation;

(3) assistance with housekeeping;

(4) assistance with communication and mobility;

(5) reinforcement of behavioral, educational, and therapeutic activities;

(6) assistance with medications and the performance of tasks delegated by a registered nurse;

(7) supervision for the child's safety;

(8) transportation related to routine family activities;

(9) assistance with participation in community activities; and

(10) habilitation.

(b) The support family must:

(1) allow the client's family members and friends access to the client without arbitrary restrictions, unless exceptional conditions are justified by the client's interdisciplinary team (IDT), documented in the ISP, and approved by the Texas Department of Human Services;

(2) assist a school-age client in receiving educational services in a six-hour-per-day program five days a week provided by the local school district;

(3) ensure that no client receives educational services at a state school/state center educational setting, unless contraindications are documented with justification by the IDT;

(4) ensure that a preschool-age client receives an early childhood education with appropriate activities and services, including small group and individual play with peers without disabilities, unless contraindications are documented with justification;

(5) provide clients with age-appropriate activities that enhance self-esteem and maximize functional level; and

(6) ensure the client receives medical care prescribed by a physician, including:

(A) doctors' appointments;

(B) medications;

(C) evaluations, therapies, and treatment; and

(D) lab work and other medical tests.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on May 3, 2004.

TRD-200402967

Carey Smith

Deputy Commissioner, Legal Services

Texas Department of Human Services

Earliest possible date of adoption: June 13, 2004

For further information, please call: (512) 438-3734