Part 1.
TEXAS DEPARTMENT OF HUMAN SERVICES
Chapter 47.
CONTRACTING TO PROVIDE PRIMARY HOME CARE
The Texas Department of Human Services (DHS) adopts new §§47.1,
47.3, 47.5, 47.11, 47.21, 47.23, 47.25, 47.41, 47.43, 47.45, 47.47, 47.49,
47.61, 47.63, 47.65, 47.67, 47.69, 47.71, 47.73, 47.81, 47.83, 47.85, 47.87,
47.89, and 47.5902; and adopts the repeal of §§47.1901-47.1904,
47.2901-47.2905, 47.2908-47.2914, 47.3906-47.3908, 47.4902- 47.4905, 47.5902,
and 47.6902.
New §§47.3, 47.41, and 47.45 are adopted with changes to the
proposed text published in the February 6, 2004, issue of the
Texas Register
(29 TexReg 1169). New §§47.1, 47.5, 47.11,
47.21, 47.23, 47.25, 47.43, 47.47, 47.49, 47.61, 47.63, 47.65, 47.67, 47.69,
47.71, 47.73, 47.81, 47.83, 47.85, 47.87, 47.89, and 47.5902; and the repeals
of §§47.1901-47.1904, 47.2901-47.2905, 47.2908-47.2914, 47.3906-47.3908,
47.4902- 47.4905, 47.5902, and 47.6902 are adopted without changes to the
proposed text.
The new sections and repeals were undertaken as part of a DHS project to
rewrite agency rules in plain English to make them easier for contractors
and the public to use and understand. The addition of a rule concerning the
interdisciplinary team was included to address any service delivery issues
identified by the provider agency. In addition, language that duplicates licensure
requirements was eliminated in order to reduce redundancy.
DHS received three written comments from the Texas Association for Home
Care. A summary of the comments and DHS's responses follow.
Comment: Concerning §47.3(24), we suggest rewriting the definition
for variable service schedules. The purpose of creating the flexible schedule
was to allow for minor changes, which may routinely occur in delivering the
services (the discussion began with the use of telephony). The service plan
includes the service schedule as well as the total weekly hours authorized,
and this is signed by the client. To force the schedule to equal authorized
hours takes away the flexibility. An attendant who works a few minutes to
a couple of hours per week less than the authorized hours should be able to
be agreeable on the front end without the need for documentation at every
instance. With your proposed language, a provider using telephony would have
to document any time that the exact number of authorized hours were not delivered.
This language would set us back from what had already been agreed to in policy
for the flexible schedule and would make it impractical to utilize telephony.
Response: DHS agrees and changed the definition to read: "...A variable
service schedule states the number of hours of services to be delivered per
day or per week, not to exceed the authorized hours per week, and does not
otherwise specify any certain days, times of day, or time periods for delivery
of the services."
Comment: Concerning §47.3(25), we suggest adding language that initials
are not an acceptable substitute for a signature "unless initials have been
established as the person's official signature."
Response: DHS agrees and changed the section to include the requested wording.
Comment: Concerning §47.71(a)(4), we suggest expanding the definition
of an institution to include a correctional facility, such as a prison or
jail.
Response: DHS disagrees and did not change the section. DHS addresses this
possibility in §47.71(a)(2). Primary home care, community attendant,
and family care services cannot be provided in any setting or environment
where other sources are available to provide care, as stated in §48.2911(b)(6)
and §48.2918(b)(4).
In addition, DHS initiated a minor formatting change to the text of §47.41
and §47.45 to clarify the structure of the section.
Subchapter A. INTRODUCTION
40 TAC §§47.1, 47.3, 47.5
The new sections are adopted 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.
§47.3.Definitions.
The following words, terms, and phrases have the following meanings
when used in this chapter, unless the context clearly indicates otherwise:
(1)
Attendant--An employee of a provider agency who provides
the authorized tasks to the client.
(2)
Case manager--A Texas Department of Human Services (DHS)
employee who is responsible for case management activities. Activities include
eligibility determination, client registration, assessment and reassessment
of client's need, service plan development, and intercession on the client's
behalf.
(3)
Client--A Community Care for Aged and Disabled (CCAD) client,
as defined in Chapter 48 of this title (relating to Community Care for Aged
and Disabled), who is eligible to receive services under this chapter. References
in this chapter to "client" include the client's representative, unless the
context indicates otherwise.
(4)
Community attendant (CA) services--A service under the
Primary Home Care Program providing in-home attendant services to clients.
Clients receiving CA services must have a medical need for specific tasks.
CA services (formerly known as §1929(b) or frail elderly) are provided
under Title XIX of the federal Social Security Act (relating to Grants to
States for Medical Assistance Programs) at 42 U.S.C. §1396t (relating
to Home and community care for functionally disabled elderly individuals).
(5)
Contract--The formal, written agreement between DHS and
a provider agency to provide services to DHS clients eligible under this chapter
in exchange for reimbursement.
(6)
Contract manager--A DHS employee who is responsible for
the overall management of the contract with the provider agency.
(7)
Days--Any reference to days means calendar days, unless
otherwise specified in the text. Calendar days include weekends and holidays.
(8)
Family care (FC) services--A service under the Primary
Home Care Program providing in- home attendant services to eligible adults.
FC services are provided under Title XX of the federal Social Security Act
(relating to Block Grants to States for Social Services) at 42 U.S.C. §1397
et seq.
(9)
Imminent danger--An immediate, real threat to a person's
safety.
(10)
Medical need--A medical diagnosis that results in a need
for assistance with activities of daily living. For purposes of this chapter,
activities of daily living do not include services that must be provided or
supervised by licensed personnel.
(11)
Negotiated referral--A request from the case manager to
a provider agency to evaluate a person for service delivery, in which the
case manager determines that the person's needs require that services begin
on a particular date.
(12)
Non-priority--One of two types of eligibility status for
service delivery determined by the case manager. The other type of eligibility
status for service delivery is priority. A non-priority client does not meet
the criteria described in §48.2918(f) of this title (relating to Eligibility
for Primary Home Care). Services delivered to such a client may be referred
to as non-priority services, and an attendant who serves such a client may
be referred to as a non-priority attendant.
(13)
Practitioner--A physician currently licensed in Texas,
Louisiana, Arkansas, Oklahoma or New Mexico, a physician assistant currently
licensed in Texas, or a registered nurse approved by the Texas State Board
of Nurse Examiners to practice as an advanced practice nurse.
(14)
Practitioner's statement--A document such as the DHS Practitioner's
Statement of Medical Need form that includes:
(A)
a statement signed by a practitioner that the client has
a current medical need for assistance with personal care tasks and other activities
of daily living; and
(B)
certification that the provider agency verified with the
United States' Centers for Medicare and Medicaid Services that the practitioner
is not excluded from participation in Medicare or Medicaid.
(15)
Practitioner's statement date--The practitioner's statement
date is:
(A)
the later of the following:
(i)
the practitioner's signature date on the practitioner's
statement; or
(ii)
the date the provider agency receives the practitioner's
statement. If the provider agency fails to stamp the receipt date on the form,
the date of the practitioner's signature will be used to determine the practitioner's
statement date; or
(B)
the date of the practitioner's oral statement obtained
for a negotiated referral. The provider agency must document the practitioner's
oral statement date on the practitioner's written statement required in §47.47(c)(2)
of this chapter (relating to Medical Need Determination).
(16)
Primary Home Care Program--A DHS attendant care services
program. Community attendant (CA), primary home care (PHC), and family care
(FC) are the three types of services available under the Primary Home Care
Program.
(17)
Primary home care (PHC) services--A service under the
Primary Home Care Program providing in-home attendant services to clients.
Clients receiving PHC services must have a medical need for specific tasks.
PHC services are provided under Title XIX of the federal Social Security Act,
at 42 U.S.C. §1396a (relating to State plans for medical assistance).
(18)
Priority--One of two types of eligibility status for service
delivery determined by the case manager. The other type of eligibility status
for service delivery is non-priority. A priority client meets the criteria
described in §48.2918(f) of this title. Services delivered to such a
client may be referred to as priority services, and an attendant who serves
such a client may be referred to as a priority attendant.
(19)
Provider agency--A home and community support services
agency that contracts with DHS to provide services to clients in exchange
for reimbursement.
(20)
Reckless behavior--Acting with conscious indifference
to the consequences.
(21)
Regional nurse--A DHS employee who is responsible for
authorizing a client to receive CA services.
(22)
Representative--The client's spouse, other responsible
party, or legal representative.
(23)
Routine referral--A request from the case manager to a
provider agency to evaluate a person for service delivery, in which the case
manager determines that the person's needs do not require a negotiated referral.
(24)
Service schedule--A schedule for delivering attendant
services that is agreed upon and signed by the client. A fixed service schedule
specifies certain days, times of day, or time periods for delivery of the
services. A variable service schedule states the number of hours of services
to be delivered per day or per week, not to exceed the authorized hours per
week, and does not otherwise specify any certain days, times of day, or time
periods for delivery of the services.
(25)
Signature--A person's name written in longhand or a mark
representing his or her name on a document to certify it is correct. Initials
are not an acceptable substitute for a signature, unless initials have been
established as the person's official signature.
(26)
Supervisor--A provider agency employee who:
(A)
coordinates the delivery of services in the client's service
plan;
(B)
supervises attendants; and
(C)
meets the requirements found in §97.404 of this title
(relating to Standards Specific to Agencies Licensed to Provide Personal Assistance
Services).
(27)
Unit of service--One hour of service delivered to a client.
(28)
Working days--Days DHS is open for business.
(29)
Written--Information recorded on paper or other legible
document. Written information may be sent by mail or fax, or hand-delivered.
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed with the Office of
the Secretary of State on May 10, 2004.
TRD-200403143
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §47.11
The new section is adopted 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 section affects the Human Resources Code, §§22.0001-22.040
and §§32.001-32.067.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403144
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §§47.21, 47.23, 47.25
The new sections are adopted 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.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403145
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §§47.41, 47.43, 47.45, 47.47, 47.49
The new sections are adopted 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.
§47.41.Allowable Tasks.
The Primary Home Care Program includes the following tasks:
(1)
Personal care tasks related to the care of the client's
physical health. These tasks include:
(A)
bathing, which is:
(i)
drawing water in sink, basin, or tub;
(ii)
hauling or heating water;
(iii)
laying out supplies;
(iv)
assisting in or out of tub or shower;
(v)
sponge bathing and drying;
(vi)
bed bathing and drying;
(vii)
tub bathing and drying; and
(viii)
providing standby assistance for safety;
(B)
dressing, which is:
(i)
dressing the client;
(ii)
undressing the client; and
(iii)
laying out clothes;
(C)
meal preparation, which is:
(i)
cooking a full meal;
(ii)
warming up prepared food;
(iii)
planning meals;
(iv)
helping prepare meals; and
(v)
cutting client's food for eating;
(D)
feeding/eating, which is:
(i)
spoon-feeding;
(ii)
bottle-feeding;
(iii)
assisting with using eating and drinking utensils and
adaptive devices. This does not include tube feeding; and
(iv)
providing standby assistance or encouragement;
(E)
exercise, which is walking with the client;
(F)
grooming/shaving/oral care, which is:
(i)
shaving;
(ii)
brushing teeth;
(iii)
shaving underarms and legs, when requested;
(iv)
caring for nails; and
(v)
laying out supplies;
(G)
routine hair/skin care, which is:
(i)
washing hair;
(ii)
drying hair;
(iii)
assisting with setting, rolling, or braiding hair. This
does not include styling, cutting, or chemical processing of hair;
(iv)
combing or brushing hair;
(v)
applying nonprescription lotion to skin;
(vi)
washing hands and face;
(vii)
applying makeup; and
(viii)
laying out supplies;
(H)
assistance with self-administered medications. This means
assistance with medication as defined in §97.2(10) of this title (relating
to Definitions);
(I)
toileting, which is:
(i)
changing diapers;
(ii)
changing colostomy bag or emptying catheter bag;
(iii)
assisting on or off bedpan;
(iv)
assisting with the use of a urinal;
(v)
assisting with feminine hygiene needs;
(vi)
assisting with clothing during toileting;
(vii)
assisting with toilet hygiene, including the use of toilet
paper and washing hands;
(viii)
changing external catheter;
(ix)
preparing toileting supplies and equipment. This does
not include preparing catheter equipment; and
(x)
providing standby assistance; and
(J)
transfer/ambulation, which is:
(i)
non-ambulatory movement from one stationary position to
another (transfer). This does not include carrying;
(ii)
adjusting or changing the client's position in a bed or
chair (positioning);
(iii)
assisting in rising from a sitting to a standing position;
(iv)
assisting in positioning for use of a walking apparatus;
(v)
assisting with putting on and removing leg braces and prostheses
for ambulation;
(vi)
assisting with ambulation or using steps;
(vii)
assisting with wheelchair ambulation; and
(viii)
providing standby assistance.
(2)
Home management tasks that support the client's health
and safety. These tasks include:
(A)
cleaning, which is:
(i)
cleaning up after the client's personal care tasks;
(ii)
emptying and cleaning the client's bedside commode;
(iii)
cleaning the client's bathroom;
(iv)
changing the client's bed linens and making the client's
bed;
(v)
cleaning floor of living areas used by client;
(vi)
dusting areas used by client;
(vii)
carrying out the trash and setting out garbage for pick
up;
(viii)
cleaning stovetop and counters;
(ix)
washing the client's dishes; and
(x)
cleaning refrigerator and stove;
(B)
laundry, which is:
(i)
doing hand wash;
(ii)
gathering and sorting;
(iii)
loading and unloading machines in residence;
(iv)
using Laundromat machines;
(v)
hanging clothes to dry;
(vi)
folding and putting away clothes; and
(C)
shopping, which is:
(i)
preparing a shopping list;
(ii)
going to the store and purchasing or picking up items;
(iii)
picking up medication; and
(iv)
storing the client's purchased items.
(3)
Escort. Escort includes the following:
(A)
accompanying the client outside the home to support the
client in living in the community;
(B)
arranging for transportation. The provider agency may also
choose to directly provide transportation; however, direct client transportation
is not reimbursed under the Primary Home Care Program;
(C)
accompanying the client to a clinic, doctor's office, or
location for medical diagnosis or treatment; and
(D)
waiting in the doctor's office or clinic with a client
when necessary due to client's condition or distance from home.
§47.45.Pre-Initiation Activities.
(a)
Pre-initiation activities. The supervisor must complete
the following activities for each referral:
(1)
Conduct an evaluation.
(A)
The evaluation must be a single document that includes
the person's self-report of:
(i)
the dates and reasons for any hospitalization within the
last three months; and
(ii)
the assistance needed for the person to achieve activities
of daily living, including any assistive devices or medical equipment used
by the person.
(B)
If the provider agency determines during the evaluation
that the client exhibits reckless behavior that results in imminent danger
to the health and safety of the client, the provider agency must convene an
Interdisciplinary Team meeting as described in §47.49 of this chapter
(relating to Interdisciplinary Team) to discuss the barriers to service delivery.
(2)
Develop a service plan. The service plan must be a single
document that:
(A)
is agreed upon and signed by the client and the provider
agency;
(B)
indicates the location of service delivery. The provider
agency must:
(i)
make a reasonable effort to deliver services at a location
outside the client's home, if requested by the client; and
(ii)
maintain written justification if the client's request
was not granted; and
(C)
includes the following:
(i)
the tasks the client will receive.
(I)
The provider agency must ensure that at least one personal
care task is authorized by the Texas Department of Human Services (DHS), scheduled,
and provided.
(II)
Recipients of family care services are not required to
receive any personal care tasks.
(III)
The provider agency must ensure the tasks the client
will receive do not duplicate any services received from any other source;
(ii)
the total weekly hours of service DHS authorizes the client
to receive;
(iii)
the service schedule;
(iv)
frequency of supervisory visits; and
(v)
a statement that:
(I)
the Primary Home Care Program only provides the tasks allowable
in the program as described in §47.41 of this chapter (relating to Allowable
Tasks) and agreed to on the service plan; and
(II)
the provider agency is not responsible for meeting the
applicant's needs other than tasks allowed under the Primary Home Care Program.
(3)
Obtain a practitioner's statement as described in §47.47
of this chapter (relating to Medical Need Determination). This paragraph does
not apply to family care services.
(b)
Service plan differences.
(1)
The provider agency must orally notify the case manager
when the initial service plan developed by the provider agency:
(A)
has more hours than authorized on DHS's Authorization for
Community Care Services form; or
(B)
has no personal care tasks. This subparagraph does not
apply to family care services.
(2)
The provider agency must discuss the difference in the
service plan with the case manager.
(3)
The provider agency must provide services according to
the existing service plan, until the provider agency receives a new DHS Authorization
for Community Care Services form.
(4)
The provider agency must maintain the following documentation
regarding the service plan difference in the client file:
(A)
the specific difference in the service plan; and
(B)
the decision regarding the difference.
(c)
Pre-initiation activities due date. The provider agency
must complete the pre-initiation activities as follows:
(1)
for routine referrals, within 14 days after one of the
following dates, whichever is later:
(A)
the referral date (Item 1) on DHS's Authorization for Community
Care Services form; or
(B)
the date the provider agency receives DHS's Authorization
for Community Care Services form. If the provider agency fails to stamp the
receipt date on the form, the referral date (Item 1) will be used to determine
timeliness; and
(2)
for negotiated referrals, by the service initiation date
negotiated with the case manager.
(d)
Delay in pre-initiation activities.
(1)
The provider agency must document any failure to complete
the pre-initiation activities for routine referrals by the due date, including:
(A)
the reason for the delay, which must be beyond the control
of the provider agency;
(B)
either the date the provider agency anticipates it will
complete the pre-initiation activities or specific reasons why the provider
agency cannot anticipate a completion date; and
(C)
a description of the provider agency's ongoing efforts
to complete pre-initiation activities.
(2)
The provider agency must orally notify the case manager
of any failure to complete the pre- initiation activities for negotiated referrals
before the negotiated service initiation date. Oral notice means directly
speaking with the case manager and does not include a message left by voice
mail. The case manager may refer the client to another provider agency.
(e)
Documentation of pre-initiation activities.
(1)
The provider agency may combine the evaluation and service
plan into a single document, but each item must be clearly identifiable.
(2)
The provider agency must maintain documentation of the
pre-initiation activities in the client file.
This agency hereby certifies that the adoption has been
reviewed by legal counsel and found to be a valid exercise of the agency's
legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403146
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §§47.61, 47.63, 47.65, 47.67, 47.69, 47.71, 47.73
The new sections are adopted 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.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403147
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §§47.81, 47.83, 47.85, 47.87, 47.89, 47.5902
The new sections are adopted 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.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403148
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
Subchapter A. GENERAL PROVISIONS AND SERVICES
40 TAC §§47.1901 - 47.1904
The repeals are adopted 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 repeals affect the Human Resources Code, §§22.0001-22.040
and §§32.001- 32.067.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403149
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §§47.2901 - 47.2905, 47.2908 - 47.2914
The repeals are adopted 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 repeals affect the Human Resources Code, §§22.0001-22.040
and §§32.001- 32.067.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403150
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §§47.3906 - 47.3908
The repeals are adopted 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 repeals affect the Human Resources Code, §§22.0001-22.040
and §§32.001- 32.067.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403151
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
40 TAC §§47.4902 - 47.4905
The repeals are adopted 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 repeals affect the Human Resources Code, §§22.0001-22.040
and §§32.001- 32.067.
This agency hereby certifies that the adoption has been reviewed
by legal counsel and found to be a valid exercise of the agency's legal authority.
Filed
with the Office of the Secretary of State on May 10, 2004.
TRD-200403152
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Effective date: June 1, 2004
Proposal publication date: February 6, 2004
For further information, please call: (512) 438-3734
Subchapter B. PROVIDER AGENCY CONTRACTS
Subchapter C. STAFF REQUIREMENTS
Subchapter D. SERVICE PLAN DEVELOPMENT
Subchapter E. SERVICE REQUIREMENTS
Subchapter F. CLAIMS PAYMENT AND DOCUMENTATION
Chapter 47.
PRIMARY HOME CARE
Subchapter B. SERVICE REQUIREMENTS
Subchapter C. CLAIMS PAYMENT
Subchapter D. PROVIDER CONTRACTS
Subchapter E. SUPPORT DOCUMENTS