Part 1.
TEXAS DEPARTMENT OF HUMAN SERVICES
Chapter 20.
COST DETERMINATION PROCESS
40 TAC §20.112
The Texas Department of Human Services (DHS) proposes to
amend §20.112, concerning attendant compensation rate enhancement, in
its Cost Determination Process chapter. The purpose of the amendment is to
expand the definition of an attendant in the Residential Care (RC) and Community
Based Alternatives Assisted Living/Residential Care (CBA AL/RC) programs
to include drivers as attendants. The amendment will help RC and CBA AL/RC
providers meet their spending requirements, since additional staff salaries
will be counted toward their actual attendant spending. The amendment also
corrects references to the CBA AL/RC program so they are consistent throughout
the rule.
Gordon Taylor, Chief Financial Officer, has determined that, for the first
five-year period the proposed section is in effect, there are no fiscal implications
for state or local government as a result of enforcing or administering the
section.
Bettye M. Mitchell, Deputy Commissioner for Long Term Care, has determined
that, for each year of the first five years the section is in effect, the
public benefit anticipated as a result of enforcing the section is that RC
and CBA AL/RC providers will have a greater probability of meeting their spending
requirement, which will result in fewer providers facing recoupment of enhanced
funds. There is no adverse economic effect on small or micro businesses as
a result of enforcing or administering the section, because the proposed section
has no impact on the funding of the enhancement program overall. There is
no anticipated economic cost to persons who are required to comply with the
proposed section. There is no anticipated effect on local employment in geographic
areas affected by this section.
Questions about the content of this proposal may be directed to Carolyn
Pratt by telephone at (512) 491-1359, or by fax at (512) 491-1998, in Texas
Health and Human Services Commission (HHSC) Rate Analysis. Written comments
on the proposal may be submitted to Ms. Pratt by fax at (512) 491-1998 or
by mail at HHSC Rate Analysis, Mail Code H-400, 1100 West 49th Street, Austin,
TX 78756-3101, within 30 days of publication in the
Texas Register
.
Under Government Code, §2007.003(b), 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 Leg., R.S. (2003).
At the inception of operations of DADS, the authority to adopt all rules for
the operation and provision of health and human services by DADS will lie
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.
The amendment is proposed under the Human Resources Code, Chapter
22, which authorizes DHS to administer public assistance programs.
The amendment implements the Human Resources Code, §§22.0001-22.040.
§20.112.Attendant Compensation Rate Enhancement.
(a)
(No change.)
(b)
Definition of attendant. An attendant is the unlicensed
caregiver providing direct assistance to the clients with Activities of Daily
Living (ADL) and Instrumental Activities of Daily Living (IADL).
(1)
In the case of DAHS, RC, and
CBA
AL/RC programs,
the attendant may perform some nonattendant functions. In such cases, the
attendant must perform attendant functions at least 80% of his or her total
time worked. Staff in these settings not providing attendant services at least
80% of their total time worked are not considered attendants. Time studies
must be performed in accordance with §20.105(b)(2)(B)(i) for staff in
the DAHS, RC and
CBA
AL/RC programs that are not full-time attendants
but perform attendant functions to determine if a staff member meets this
80% requirement. Failure to perform the time studies for these staff will
result in the staff not being considered to be attendants.
(2)
(No change.)
(3)
An attendant also includes a driver in the DAHS
, RC,
and CBA AL/RC programs
[
(4)
An attendant also includes medication aides in the RC and
CBA
AL/RC program.
(c)-(l)
(No change.)
(m)
Determination of attendant compensation rate component
for nonparticipating contracts. For each of the programs identified in subsection
(a) of this section, DHS or its designee will calculate an attendant compensation
rate component for nonparticipating contracts as follows.
(1)-(2)
(No change.)
(3)
For each contract included in the cost report database
used to determine rates in effect on September 1, 1999, divide the result
from paragraph (2) of this subsection by the corresponding units of service.
Provider projected costs per unit of service are rank-ordered from low to
high, along with the provider's corresponding units of service. For DAHS,
the median cost per unit of service is selected. For all other programs, the
units of service are summed until the median unit of service is reached. The
corresponding projected cost per unit of service is the weighted median cost
component. The result is multiplied by 1.044 for all programs in subsection
(a) of this section except for RC and
CBA
AL/RC, which is multiplied
by 1.07. The result is the attendant compensation rate component for nonparticipating
contracts.
(4)
(No change.)
(n)-(dd)
(No 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 April 16, 2004.
TRD-200402527
Carey Smith
Deputy Commissioner, Legal Services
Texas Department of Human Services
Earliest possible date of adoption: May 30, 2004
For further information, please call: (512) 438-3734
The Texas Department of Human Services (DHS) proposes to repeal §§61.9001-
61.9013; and proposes new §§61.1-61.16, concerning volunteers who
assist DHS in carrying out its programs, in its Community Services--Volunteer
Services chapter. The purpose of the repeals and new sections is to reorganize
and rewrite DHS's rules governing its volunteer services program in plain
English to make them easier for the public to navigate and understand. The
new sections contain substantially the same information as the current rules,
with the addition of a purpose statement and definitions. The new sections
provide (1) guidance on how volunteers are recruited, trained, and supervised;
(2) information on the kinds of service DHS volunteers provide and how those
services may be provided; (3) reimbursement guidelines; and (4) methods for
volunteer recognition.
Gordon Taylor, Chief Financial Officer, has determined that, for the first
five-year period the proposed sections are in effect, there are no fiscal
implications for state or local government as a result of enforcing or administering
the sections.
Jerry Wallace, Assistant Deputy Commissioner for Regional Operations, has
determined that, for each year of the first five years the sections are in
effect, the public benefit anticipated as a result of enforcing the sections
is that the rules for volunteers will be easier for the public to understand.
There is no adverse economic effect on small or micro businesses, or on businesses
of any size, as a result of enforcing or administering the sections, because
the rules impose no economic requirements but rather state DHS's expectations
and limits that apply to anyone who chooses to volunteer. There is no anticipated
economic cost to persons who are required to comply with the proposed sections.
There is no anticipated effect on local employment in geographic areas affected
by these sections.
Questions about the content of this proposal may be directed to Connie
Williams, at (512) 438-5217 in DHS's Community Services-Volunteer Services
section. Written comments on the proposal may be submitted to Supervisor,
Rules Unit-094, 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 HHSC and a new agency, the
Texas Department of Aging and Disability Services (DADS).
This reorganization is mandated by House Bill 2292, 78th Leg., R.S. (2003).
At the inception of operations of DADS, the authority to adopt all rules for
the operation and provision of health and human services by DADS will lie
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.
program
].
Chapter 61.
COMMUNITY SERVICES--VOLUNTEER SERVICES