TITLE 40.SOCIAL SERVICES AND ASSISTANCE

Part 1. TEXAS DEPARTMENT OF HUMAN SERVICES

Chapter 3. TEXAS WORKS

The Texas Department of Human Services (DHS) adopts the repeals of §§3.101- 3.103, 3.201, 3.202, 3.301-3.307, 3.401-3.404, 3.501, 3.601-3.607, 3.701-3.706, 3.801-3.810, 3.901-3.903, 3.1002-3.1004, 3.1101-3.1105, 3.1201-3.1204, 3.1301, 3.1401, 3.1501, 3.1601, 3.1801, 3.1901, 3.2001, 3.2002, 3.2101, 3.2208, 3.2209, 3.2301, 3.2302, 3.2401-3.2408, 3.2501-3.2504, 3.2701-3.2714, 3.2801-3.2803, 3.2901, 3.3001, 3.3002, 3.3101, 3.3201, 3.3202, 3.3301, 3.3401, 3.3402, 3.3501, 3.3502, 3.3601, 3.3701-3.3703, 3.3801, 3.3901- 3.3905, 3.3907, 3.7001-3.7004, 3.7101-3.7105, 3.7201-3.7206, 3.7301-3.7303, 3.7401-3.7419, 3.7501, 3.7601-3.7605, 3.7607, 3.7609, 3.7701, 3.7702, 3.7801-3.7809, and 3.7901-3.7920; and adopts new §§3.1-3.6, 3.101-3.107, 3.151-3.153, 3.201-3.205, 3.251, 3.252, 3.301, 3.351-3.354, 3.358, 3.401, 3.402, 3.405-3.410, 3.451-3.459, 3.501, 3.601, 3.651-3.656, 3.701, 3.702, 3.751-3.754, 3.801, 3.802, 3.901-3.906, 3.951-3.958, 3.1001-3.1003, 3.1101, 3.1151- 3.1156, 3.1201-3.1204, 3.1251-3.1253, 3.1301-3.1304, 3.1351-3.1353, 3.1401-3.1404, 3.1501- 3.1529, 3.1551-3.1554, 3.1601-3.1603, and 3.1701-3.1720 in its Texas Works chapter.

New §§3.407, 3.457, 3.751, 3.904, 3.1154, 3.1156, 3.1351, 3.1402, and 3.1506 are adopted with changes to the proposed text published in the November 7, 2003, issue of the Texas Register (28 TexReg 9744). The repeals of §§3.101-3.103, 3.201, 3.202, 3.301-3.307, 3.401-3.404, 3.501, 3.601-3.607, 3.701-3.706, 3.801-3.810, 3.901-3.903, 3.1002- 3.1004, 3.1101-3.1105, 3.1201-3.1204, 3.1301, 3.1401, 3.1501, 3.1601, 3.1801, 3.1901, 3.2001, 3.2002, 3.2101, 3.2208, 3.2209, 3.2301, 3.2302, 3.2401-3.2408, 3.2501-3.2504, 3.2701-3.2714, 3.2801-3.2803, 3.2901, 3.3001, 3.3002, 3.3101, 3.3201, 3.3202, 3.3301, 3.3401, 3.3402, 3.3501, 3.3502, 3.3601, 3.3701-3.3703, 3.3801, 3.3901-3.3905, 3.3907, 3.7001-3.7004, 3.7101-3.7105, 3.7201-3.7206, 3.7301-3.7303, 3.7401-3.7419, 3.7501, 3.7601- 3.7605, 3.7607, 3.7609, 3.7701, 3.7702, 3.7801-3.7809, and 3.7901-3.7920; and new §§3.1-3.6, 3.101-3.107, 3.151-3.153, 3.201-3.205, 3.251, 3.252, 3.301, 3.351-3.354, 3.358, 3.401, 3.402, 3.405, 3.406, 3.408-3.410, 3.451-3.456, 3.458, 3.459, 3.501, 3.601, 3.651- 3.656, 3.701, 3.702, 3.752-3.754, 3.801, 3.802, 3.901-3.903, 3.905, 3.906, 3.951-3.958, 3.1001-3.1003, 3.1101, 3.1151-3.1153, 3.1155, 3.1201-3.1204, 3.1251-3.1253, 3.1301-3.1304, 3.1352, 3.1353, 3.1401, 3.1403, 3.1404, 3.1501-3.3.1505, 3.1507-3.1529, 3.1551-3.1554, 3.1601-3.1603, and 3.1701-3.1720 are adopted without changes to the proposed text.

DHS undertook the repeals and new sections as part of its agency-wide initiative to reorganize and rewrite its rules in plain English in order to make them easier for the public to navigate and understand. DHS organized the Texas Works chapter into subchapters that deal with general topics, including definitions of words and terms used in the chapter; guidelines for determining eligibility of individuals for Temporary Assistance for Needy Families (TANF) and food stamps; associated programs, including the Simplified Nutritional Assistance Program (SNAP) and One-Time TANF (OTTANF); the application process for TANF and food stamps; requirements for individuals who participate in the TANF and/or food stamp programs; benefits, including accessing benefits electronically; and requirements for Electronic Benefit Transfer (EBT) retailers. DHS updated citations and cross-references and eliminated obsolete language in the rules in order to have an accurate and current rule base.

Justification for new §§3.1512, 3.1522, 3.1524, and 3.1528 is to implement federal provisions at 7 Code of Federal Regulations (CFR), Part 274, that allow DHS to phase out the use of food stamp coupons and to help clients find a participating out-of-state business where the EBT benefits can be used rather than converting the EBT benefits to paper coupons.

DHS is adopting additional new rules in Chapter 3 elsewhere in this issue of the Texas Register . The additional rules concern whose resources DHS counts and which resources DHS counts and does not count in determining TANF and food stamp eligibility, and whose income and what income DHS counts and does not count in determining TANF eligibility.

DHS received written comments from the Office of the Attorney General (OAG), the Texas Workforce Commission (TWC), and a member of the public. A summary of the comments and DHS's responses follow.

Comment: Regarding §3.407, a commenter noted that the proposed language states there is not a requirement in the Food Stamp Program for members of a household to pursue or accept income. The commenter interprets federal statute in Section 6 of the Food Stamp Act (7 U.S.C. §2015(d)(1)(A)(iii)) to mean that individuals receiving food stamp benefits accept all income to which they are legally entitled or become ineligible for failing to comply with the requirement. The commenter suggested that the food stamp policy be revisited to conform to the TANF policy that requires persons who do not have good cause to pursue and accept income to which they are legally entitled.

Response: The federal statute in 7 U.S.C. §2014(b) and food stamp regulations do not allow state agencies to implement this suggestion; however, DHS agrees that a recipient who is not exempt from food stamp employment and training requirements has to accept a suitable job offer as required by the language in 7 U.S.C. §2015(d)(1)(A)(iii). This language is noted in §3.1351. DHS has modified §3.407 to clarify that recipients who are not exempt from work requirements must accept a bona fide offer of suitable employment.

Comment: Regarding §3.454, a commenter noted that the proposed language states that a TANF recipient who is exempted from a time limit due to employment hardship must complete a work search consisting of contacting 40 potential employers each month. The commenter also indicated that the proposed language states that DHS would determine whether a recipient has met this requirement. The commenter suggested that the rule language in §3.454(b) be amended to require TANF recipients who receive a time limit exemption to comply with the Choices work requirement instead of making the 40 contacts to potential employers.

Response: DHS has not revised §3.454(b) at this time, but will consider this suggestion after further discussions with TWC.

Comment: Regarding §3.457, a commenter noted that the proposed language uses the word "participation" when describing Choices requirements. The Choices work requirement is broader than simply what counts for participation. TWC's Choices rules do not use the word "participation" when referring to the broader work requirement. The commenter suggested that the word "participation" be removed from §3.457 and throughout 40 TAC to be consistent with the Choices rules and policy.

Response: DHS agrees with the commenter and has modified §3.457 to delete the word "participation."

Comment: Regarding §3.751, a commenter noted that the proposed language states that the TANF State Program (TANF-SP) is limited to "certain Texas counties and two-parent households." The proposed language mirrors the Texas Human Resources Code, §34.002(b), which states: "Temporary assistance and related support services may be provided under the state program only to two-parent families; or persons residing in minimum service counties, as defined by the Texas Workforce Commission." The commenter asked DHS to clarify that minimum service counties no longer exist. All counties with an active TANF caseload are defined as full service counties.

Response: DHS agrees with the suggestion and has clarified §3.751.

Comment: Regarding §3.904, a commenter indicated that the proposed language states that the 45-day application period applies to all applicants and removes the current language that excludes the month of cooperation for these applicants from the 45-day time frame that DHS allows for processing applications. The commenter also indicated that the current language in 40 TAC §3.301(d)(4)(C) states the following:

"A family denied for noncooperation may reapply for TANF cash assistance but must cooperate with any applicable requirements of a responsibility agreement for one month before receiving cash assistance. This month of cooperation does not count toward the 45-day time frame DHS allows for processing applications."

Additionally, the Texas Human Resources Code, §31.00331, states that a person may reapply for financial assistance but must cooperate with the requirements of the responsibility agreement for a one-month period before receiving an assistance payment for that month.

The commenter suggested that, to be in compliance with state statute, DHS should retain the current rule language that excludes the one-month demonstrated cooperation from the 45- day application processing period to ensure that a family does not receive benefits before cooperation.

Response: DHS agrees with the commenter and has modified §3.904 by adding language that excludes applicants who are subject to a one-month period of demonstrating cooperation as explained in §3.1155(d) of this chapter from the 45-day time frame that DHS allows for processing applications.

Comment: One commenter suggested adding language to the proposed rules to clarify that the role of DHS is to determine good cause and the role of the OAG is to determine cooperation. The commenter also suggested rewording the requirements for cooperation with the Personal Responsibility Agreement.

Response: DHS agrees and has clarified §§3.1154(a)(1)-(3), 3.1154(a)(4)(G), and §3.1156(e)(2).

Comment: Regarding §3.1154, a commenter noted that the proposed language exempts a person from the work requirement if the person chooses the One-Time TANF (OTTANF) benefit instead of regular TANF benefits. The commenter suggested that the language should be clarified to reflect that persons who opt out of regular TANF do not have a work requirement because they are ineligible for TANF for 12 months and that clients may voluntarily participate in workforce services but are not eligible for Choices.

Response: DHS agrees with the comment that persons who opt out of regular TANF do not have a work requirement because they are ineligible for TANF for 12 months and has modified §3.1154(g)(1) in response. Regarding the suggestion to clarify DHS rules to indicate that OTTANF clients may voluntarily participate in workforce services but are not eligible for Choices, DHS feels that this provision is more appropriate in TWC's rules; therefore, DHS has not revised the rule in response to the latter suggestion.

Comment: One commenter noted that the proposal did not include current Choices program exemptions for situations where there is a disabled adult at home and the client needs to care for the adult.

Response: DHS agrees and has clarified §3.1154(g)(3).

Comment: Regarding §3.1351, a commenter indicated that the proposed language lists only two food stamp work requirements. The language in 7 CFR §273.7 lists six work requirements. The commenter suggested that all work requirements be referenced and provided recommended language for this section.

Response: DHS agrees with the comment and has revised §3.1351 to include all six work requirements.

Comment: Regarding §3.1506, a commenter noted that the proposed language states that TANF benefits begin on the 30th day after the application file date, which conflicts with state statute that requires certain applicants to demonstrate cooperation for 30 days before receiving benefits. The commenter added that the current policy, which starts benefits on the 30th day after the application, is unsuitable for such applicants. The commenter suggested that to be consistent with state statute, DHS rule language should prohibit applicants who must demonstrate cooperation for one month from receiving benefits until completion of their one month of demonstrated cooperation.

Response: DHS agrees with the comment and has amended §3.1506 to ensure that the applicant must meet all eligibility requirements before TANF benefits begin.

DHS also initiated a minor editorial change to the text of §3.1402 to provide the accurate name for the Simplified Nutritional Assistance Program.

Subchapter A. OVERVIEW AND PURPOSE

40 TAC §§3.1 - 3.6

The new sections are adopted under the Human Resources Code, Chapters 31, 33, and 34, which authorizes DHS to administer financial and nutritional assistance programs and to administer a state temporary assistance and support services program.

The new sections implement the Human Resources Code, §§31.001-31.081, 33.001- 33.027, and 34.001-34.007.

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 February 26, 2004.

TRD-200401467

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter B. ELIGIBILITY

1. TANF CERTIFIED GROUPS

40 TAC §§3.101 - 3.107

The new sections are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401468

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


2. FOOD STAMP HOUSEHOLDS

40 TAC §§3.151 - 3.153

The new sections are adopted under the Human Resources Code, Chapter 33, which authorizes DHS to administer nutritional assistance programs.

The new sections implement the Human Resources Code, §§33.001-33.027.

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 February 26, 2004.

TRD-200401469

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


3. CITIZENSHIP

40 TAC §§3.201 - 3.205

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401470

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


4. RESIDENCY

40 TAC §3.251, §3.252

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401471

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


5. DOMICILE

40 TAC §3.301

The new section is adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The new section implements the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401472

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


6. RESOURCES

40 TAC §§3.351 - 3.354, 3.358

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401473

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


7. INCOME

40 TAC §§3.401, 3.402, 3.405 - 3.410

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

§3.407.May members of a TANF or food stamp household fail to pursue or accept income without affecting their eligibility for assistance?

(a) In the Food Stamp Program, there is no requirement for members of a household to pursue or accept income, except those recipients who are not exempt from work requirements must accept a suitable job as noted in §3.1351 of this chapter (relating to What are the food stamp work requirements?).

(b) In the TANF Program, a person described in §3.403 of this chapter (relating to Whose income does DHS count in the TANF Program?), absent good cause, is required to pursue and accept all income to which the person is legally entitled. DHS may determine that a certified group is ineligible for TANF benefits due to a household member's failure to comply with this requirement.

(c) DHS may grant good cause for failure to comply with subsection (b) of this section if:

(1) the potential income is Supplemental Security Income (SSI), the person is physically or mentally unable to apply for the SSI, and DHS fails to assist the person with the SSI application process; or

(2) if DHS determines that pursuing or accepting the income:

(A) would cause financial hardship to the household;

(B) would not be cost-effective;

(C) would endanger the health or safety of a household member; or

(D) would require the assistance of an attorney, which the person was unable to obtain after making a reasonable effort.

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 February 26, 2004.

TRD-200401474

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


8. TIME LIMITS

40 TAC §§3.451 - 3.459

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

§3.457.How may a TANF household remain eligible after reaching the 60-month lifetime limit?

(a) A TANF household that is subject to ineligibility due to the 60-month lifetime limit is eligible for extended TANF cash assistance if:

(1) DHS records indicate that each adult member of the certified group cooperated with any applicable Choices or child support requirements for at least 48 months of the 60-month period; and

(2) DHS determines that any adult in the household meets one or more of the following hardship criteria:

(A) the adult has a mental or physical disability that is expected to last more than 180 days and the adult has applied for or agrees to apply for Supplemental Security Income (SSI) benefits;

(B) the adult is responsible for caring for a family member who is receiving community care services from DHS or who has a mental or physical disability that is expected to last more than 180 days, and who has applied for or agrees to apply for SSI benefits;

(C) the adult is a victim of domestic violence;

(D) the adult currently resides in a county that does not offer full Choices services;

(E) the adult resided in a county without full Choices services during the entire last 12 months of the 60-month period; or

(F) the adult:

(i) was unable to obtain or maintain employment, other than migrant or seasonal work, during the last 12 months of the 60-month period, earning at least enough to have exceeded the TANF income limit if the earnings were calculated without taking the earned income deduction that is explained in §3.409 of this chapter (relating to What does DHS deduct from countable income in the TANF and Food Stamp programs?);

(ii) was not found by DHS, more than once during the 60-month period, to have failed to cooperate with the TANF work requirement; and

(iii) did not voluntarily quit a job during the last 12 months of the 60-month period.

(b) Eligibility for extended TANF cash assistance under subsection (a)(2)(D)-(F) of this section is limited to a total of 24 months.

(c) A household receiving extended TANF benefits permanently loses eligibility for the extended TANF benefits if DHS determines that an adult member of the certified group failed without good cause to comply with the TANF Choices or child support requirements.

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 February 26, 2004.

TRD-200401475

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


9. CRIMINAL ACTIVITY

40 TAC §3.501

The new section is adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial programs.

The new section implements the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401476

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter C. ASSOCIATED PROGRAMS

1. FOOD STAMPS IN DISASTER SITUATIONS

40 TAC §3.601

The new section is adopted under the Human Resources Code, Chapter 33, which authorizes DHS to administer nutritional assistance programs.

The new section implements the Human Resources Code, §§33.001-33.027.

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 February 26, 2004.

TRD-200401477

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


2. SIMPLIFIED NUTRITIONAL ASSISTANCE PROGRAM (SNAP)

40 TAC §§3.651 - 3.656

The new sections are adopted under the Human Resources Code, Chapter 33, which authorizes DHS to administer nutritional assistance programs.

The new sections implement the Human Resources Code, §§33.001-33.027.

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 February 26, 2004.

TRD-200401478

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


3. TANF NON-CASH PROGRAM

40 TAC §3.701, §3.702

The new sections are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401479

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


4. TANF STATE PROGRAM

40 TAC §§3.751 - 3.754

The new sections are adopted under the Human Resources Code, Chapter 34, which authorizes DHS to administer a state temporary assistance and support services program.

The new sections implement the Human Resources Code, §§34.001-34.007.

§3.751.What is the TANF State Program?

The TANF State Program (TANF-SP) is a state-created and state-funded program that is the same as the TANF Program except it is limited to two-parent households. DHS determines who participates in TANF-SP.

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 February 26, 2004.

TRD-200401480

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


5. ONE-TIME TANF (OTTANF)

40 TAC §3.801, §3.802

The new sections are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401481

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter D. APPLICATION PROCESS

1. APPLICATION

40 TAC §§3.901 - 3.906

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

§3.904.What is the time frame for processing TANF or food stamp applications?

(a) In the case of TANF applications, DHS certifies or denies the application by the 45th day after the application file date explained in §3.903 of this chapter (relating to What is the application file date?), unless the household is subject to a one-month period of demonstrating cooperation as explained in §3.1155(d) of this chapter (relating to What happens when a person fails or refuses to cooperate with a requirement of a PRA that the person has signed?), in which case the application processing period is extended by the time period for demonstrating cooperation.

(b) In the case of food stamp applications, DHS certifies or denies the application as soon as possible but not later than 30 days after the application file date explained in §3.903 of this chapter. If the 30th day is not a workday, then the processing period ends on the last previous workday.

(c) The first day of the application processing period is the day after the application file date, except in food stamp cases the first day of the processing period of an institutional resident who is also applying for SSI is the day the applicant is released from the institution if that is after the DHS office receives the application.

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 February 26, 2004.

TRD-200401482

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


2. INTERVIEW

40 TAC §§3.951 - 3.958

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401483

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


3. CASE DISPOSITION

40 TAC §§3.1001 - 3.1003

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401484

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter E. PARTICIPATION REQUIREMENTS

1. SOCIAL SECURITY NUMBERS

40 TAC §3.1101

The new section is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new section implements the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401485

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


2. THE TANF PERSONAL RESPONSIBILITY AGREEMENT (PRA)

40 TAC §§3.1151 - 3.1156

The new sections are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081.

§3.1154.How does a person cooperate with each PRA requirement?

(a) Child support. A person who is not exempt cooperates with this requirement by:

(1) assigning the right to receive support payments to the state of Texas;

(2) providing information to DHS for a referral to the Office of the Attorney General (OAG) to, if necessary, establish paternity of the dependent child, and to establish or enforce child and medical support; and

(3) cooperating with Title IV-D program rules as specified in 1 TAC §55.4; or

(4) if the person claims to be exempt from the child support requirement, the person demonstrates cooperation by providing DHS any requested information to demonstrate the exemption. A person is exempt from the child support requirement if the OAG or DHS determines that:

(A) the person is a participant in the TANF State Program;

(B) the child was conceived as a result of incest or rape;

(C) adoption proceedings for the child are pending;

(D) the parent of the child, for three months or less, has been working with an agency to decide whether to place the child for adoption;

(E) the child may be physically or emotionally harmed by cooperation;

(F) the parent may be physically harmed, or emotionally harmed to the extent of impairing the parent's ability to care for the child, by cooperation; or

(G) the requirement is waived under 45 CFR §260.52(c) in accordance with the requirements of the Texas Human Resources Code, §31.0322.

(b) Children's health checkups. A person cooperates with this requirement by:

(1) enrolling the child in the Texas Health Steps Program administered by the Texas Department of Health (TDH);

(2) ensuring that the child participates in the Texas Health Steps Program; and

(3) providing TDH any requested verification of cooperation (DHS communicates with TDH, or the Medicaid insurance carrier that TDH contracts with, to verify cooperation with this requirement).

(c) Children's immunizations. A person cooperates with this requirement in regard to a child who is not exempt by:

(1) ensuring that the child receives all appropriate immunization shots on schedule (or in accordance with any alternate immunization schedule prescribed for the child); and

(2) submitting verification to DHS. The verification may be either immunization records of a licensed medical professional or records showing that the child is attending a public school; or

(3) if the child is claimed to be exempt from immunizations under the Texas Health and Safety Code, §161.004, by verifying the exemption to DHS through, for example, information such as the following:

(A) medical records indicating or a statement from a licensed physician stating that immunization is not in the child's best medical interests; or

(B) a statement by the caretaker or parent that the requirement violates his or her religious beliefs or conscience.

(d) Children's school attendance. A person cooperates with this requirement by:

(1) ensuring regular school attendance by each person in the household who is subject to the requirement; and

(2) submitting verification to DHS on request (DHS generally accepts a written or oral statement from the school); or

(3) if the person is claimed to be exempt from required school attendance under the Texas Education Code, §25.086, by demonstrating the exemption to DHS through providing DHS any requested information that would verify the exemption.

(e) No drug or alcohol abuse. DHS verifies cooperation with this requirement by obtaining criminal history information on the person from the Texas Department of Public Safety or another law enforcement agency. DHS considers a person to be cooperating with this requirement if the person is neither convicted of nor receives deferred adjudication for:

(1) a crime involving alcohol abuse; or

(2) an offense under the Texas Health and Safety Code, Chapter 481, involving marijuana or another controlled substance.

(f) Retaining employment. A person cooperates with this requirement by not voluntarily quitting a job of 30 or more hours per week without good cause to do so. DHS determines cooperation with this requirement. When DHS learns that the person no longer has the job, DHS investigates and decides whether the work separation was a voluntary quit, and if so, whether there was good cause to quit under §3.1156 of this chapter (relating to What are good cause reasons for noncooperation with a PRA requirement?).

(1) Voluntarily quitting a job means any separation from employment that DHS determines was initiated by the person, regardless of whether the employer or the person claims that the person resigned or was fired. For example, DHS may decide that the work separation was not a voluntary quit if a person resigned, but it was at the employer's demand. Similarly, DHS may decide that the work separation was a voluntary quit when a person is fired for reasons such as leaving a job unannounced.

(2) DHS does not consider either of the following to be a separation from employment:

(A) a reduction in work hours below 30 per week (if the person is continuing to work for the same employer); or

(B) the ending of a self-employment enterprise.

(g) Activities toward becoming self-sufficient. A person who is not exempt cooperates with this requirement by enrolling and participating in the Choices work program that is administered by the Texas Workforce Commission (TWC). TWC determines cooperation with the Choices work program and informs DHS of noncooperation. A person who claims to be exempt from this requirement cooperates by demonstrating the exemption to DHS or TWC. A person is exempt from this requirement (but may choose to voluntarily participate) if the person:

(1) chooses the One-Time TANF benefit instead of regular TANF benefits, as explained in §3.802 of this chapter (relating to What are the requirements for One-Time TANF (OTTANF)?). A person who chooses the OTTANF benefit instead of regular TANF does not have a work requirement because the person is not eligible for regular TANF for 12 months;

(2) lives in a county that does not offer Choices work program services;

(3) is a caretaker relative of a disabled person who lives in the home and requires the caretaker relative's presence, or is a single person caring for a child less than one year old;

(4) is a single grandparent age 50 or over who is caring for a child under age three;

(5) is disabled and the disability is expected to last for more than 180 days;

(6) is pregnant and unable to work as a result of the pregnancy; or

(7) is age 60 or older.

(h) Parenting skills training. A person cooperates with this requirement by:

(1) ensuring that each minor parent in the certified group and each parent in the certified group with a child in the home under five years of age attends parenting skills training classes; and

(2) submitting verification to DHS. DHS generally accepts as proof of cooperation a written or oral statement from the provider of the training.

§3.1156.What are good cause reasons for noncooperation with a PRA requirement?

(a) Retaining employment. Good cause for quitting a job of 30 or more hours per week means being forced to quit due to circumstances beyond the control of the person. DHS does not consider good cause for quitting to include resigning a job in order to accept another job that:

(1) does not materialize;

(2) results in employment of less than 30 hours a week; or

(3) results in employment with weekly earnings of less than federal minimum hourly wage multiplied by 30.

(b) Children's health checkups. DHS grants good cause for noncooperation with the Texas Health Steps program if:

(1) a licensed physician documents that the participation would risk the child's health;

(2) the child's caretaker or parent represents to DHS staff that participation would violate his or her religious beliefs; or

(3) the Texas Health Steps worker confirms that transportation was unavailable, medical providers were unavailable, or the health screening was not needed (because, for example, the child is on a modified immunization schedule).

(c) Parenting skills training. DHS grants good cause for failure to comply with parenting skills training if:

(1) DHS verifies that there are no classes in the area;

(2) the person provides a statement from the provider that classes were full;

(3) the person submits a doctor's statement or medical records verifying that the person was ill; or

(4) the person failed to attend due to circumstances beyond the person's control, as determined by DHS, and the person submits verification satisfactory to DHS.

(d) Activities toward becoming self-sufficient. The Texas Workforce Commission determines whether a person has good cause for failing to cooperate with the Choices program.

(e) Child support. DHS grants good cause for noncooperation with child support requirements only if the person demonstrates:

(1) that the person was exempt under §3.1154(a)(4) of this chapter (relating to How does a person cooperate with each PRA requirement?) at the time of the noncooperation; or

(2) that the noncooperation resulted from other circumstances the person could not control (reasons that do not conflict with Title IV-D program rules).

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 February 26, 2004.

TRD-200401486

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


3. FINGER IMAGING

40 TAC §§3.1201 - 3.1204

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401487

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


4. TANF WORKFORCE ORIENTATION

40 TAC §§3.1251 - 3.1253

The new sections are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401488

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


5. THIRD-PARTY RESOURCES

40 TAC §§3.1301 - 3.1304

The new sections are adopted under the Human Resources Code, Chapters 31 and 32, which authorizes DHS to administer financial and medical assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§32.001-32.053.

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 February 26, 2004.

TRD-200401489

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


6. WORK

40 TAC §§3.1351 - 3.1353

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

§3.1351.What are the food stamp work requirements?

In the Food Stamp Program, DHS follows 7 CFR §273.7 and requires non-exempt household members to:

(1) register for work;

(2) not voluntarily quit a job or reduce work hours to less than 30 per week, without good cause to do so;

(3) participate in a Food Stamp Employment and Training Program;

(4) participate in a workfare program;

(5) report to an employer; and

(6) accept a bona fide offer of suitable employment.

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 February 26, 2004.

TRD-200401490

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


7. REPORTING CHANGES

40 TAC §§3.1401 - 3.1404

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

§3.1402.What changes must a food stamp household report?

(a) DHS requires food stamp households to report changes as explained in 7 CFR §273.12(a)(1).

(b) If DHS designates the household as a streamlined reporting household, then the household is only required to report a change that causes the household monthly income to exceed 130% of the Federal Poverty Guidelines (according to household size).

(c) This section does not apply to a participant in the Simplified Nutritional Assistance Program (SNAP), as explained in §3.655 of this chapter (relating to Does DHS require SNAP recipients to report changes?).

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 February 26, 2004.

TRD-200401491

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter F. BENEFITS

1. BENEFITS IN GENERAL

40 TAC §§3.1501 - 3.1529

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

§3.1506.When do TANF and food stamp benefits begin?

(a) In the TANF Program, for an applicant who meets all eligibility requirements, benefits begin:

(1) on the date DHS certifies the application; or

(2) on the 30th day after the application file date explained in §3.903 of this chapter (relating to What is the application file date?), if DHS first determines eligibility more than 30 days after the application file date.

(b) In the Food Stamp Program, DHS:

(1) provides benefits by calendar month; and

(2) follows 7 CFR §273.10(a)(1) (which provides that benefits begin in the month of application but may be prorated for that month depending on the date of application).

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 February 26, 2004.

TRD-200401492

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


2. OVERPAYMENTS

40 TAC §§3.1551 - 3.1554

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401493

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


3. RESTORATION

40 TAC §§3.1601 - 3.1603

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401494

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter G. RETAILER REQUIREMENTS

40 TAC §§3.1701 - 3.1720

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401495

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Chapter 3. TEXAS WORKS

Subchapter A. PROGRAM PURPOSE

40 TAC §§3.101 - 3.103

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401496

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter B. ADMINISTRATION

40 TAC §3.201, §3.202

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401497

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter C. THE APPLICATION PROCESS

40 TAC §§3.301 - 3.307

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401498

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter D. EXPEDITED SERVICES

40 TAC §§3.401 - 3.404

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401499

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter E. HOUSEHOLD DETERMINATION

40 TAC §3.501

The repeal is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeal implements the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401500

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter F. CITIZENSHIP REQUIREMENTS FOR THE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) AND FOOD STAMP PROGRAMS

40 TAC §§3.601 - 3.607

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401508

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter G. RESOURCES

40 TAC §§3.701 - 3.706

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401509

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter H. TIME LIMITS: THE TANF AND FOOD STAMP PROGRAMS

40 TAC §§3.801 - 3.810

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401510

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter I. INCOME

40 TAC §§3.901 - 3.903

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401511

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter J. BUDGETING

40 TAC §§3.1002 - 3.1004

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401512

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter K. EMPLOYMENT SERVICES

40 TAC §§3.1101 - 3.1105

The repeals are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401513

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter L. WORK REGISTRATION

40 TAC §§3.1201 - 3.1204

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401514

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter M. CLIENTS WHO VOLUNTARILY QUIT

40 TAC §3.1301

The repeal is adopted under the Human Resources Code, Chapter 33, which authorizes DHS to administer nutritional assistance programs.

The repeal implements the Human Resources Code, §§33.001-33.027.

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 February 26, 2004.

TRD-200401515

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter N. RESIDENCE

40 TAC §3.1401

The repeal is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeal implements the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401516

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter O. AGE

40 TAC §3.1501

The repeal is adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeal implements the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401517

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter P. RELATIONSHIP/DOMICILE

40 TAC §3.1601

The repeal is adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeal implements the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401518

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter R. CHILD SUPPORT

40 TAC §3.1801

The repeal is adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeal implements the Human Resources Code, §§31.001-31.081.

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 February 26, 2004.

TRD-200401519

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter S. SCHOOL ATTENDANCE

40 TAC §3.1901

The repeal is adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeal implements the Human Resources Code, §§31.001 - 31.081.

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 February 26, 2004.

TRD-200401520

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter T. SOCIAL SECURITY NUMBERS

40 TAC §3.2001, §3.2002

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401521

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter U. MANAGEMENT

40 TAC §3.2101

The repeal is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeal implements the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401522

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter V. MEDICAID ELIGIBILITY

40 TAC §3.2208, §3.2209

The repeals are adopted under the Human Resources Code, Chapters 31, 32, and 33, which authorizes DHS to administer financial, medical, and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081, 32.001 - 32.053, and 33.001 - 33.027.

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 February 26, 2004.

TRD-200401523

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter W. REMINDERS

40 TAC §3.2301, §3.2302

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401501

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter X. CASE DISPOSITION

40 TAC §§3.2401 - 3.2408

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401502

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter Y. ISSUING BENEFITS

40 TAC §§3.2501 - 3.2504

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401503

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter AA. SPECIAL HOUSEHOLDS

40 TAC §§3.2701 - 3.2714

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401504

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter BB. CHANGES

40 TAC §§3.2801 - 3.2803

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401505

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter CC. CLAIMS

40 TAC §3.2901

The repeal is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeal implements the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401506

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter DD. RESTORED BENEFITS

40 TAC §3.3001, §3.3002

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401507

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter EE. CONFIDENTIALITY

40 TAC §3.3101

The repeal is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeal implements the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401525

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter FF. CIVIL RIGHTS

40 TAC §3.3201, §3.3202

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401526

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter GG. HOTLINE

40 TAC §3.3301

The repeal is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeal implements the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401527

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter HH. PROGRAM VIOLATIONS

40 TAC §3.3401, §3.3402

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401528

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter II. REDEMPTION PROCEDURES

40 TAC §3.3501, §3.3502

The repeals are adopted under the Human Resources Code, Chapter 33, which authorizes DHS to administer nutritional assistance programs.

The repeals implement the Human Resources Code, §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401529

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter JJ. FOOD STAMP ASSISTANCE IN DISASTERS

40 TAC §3.3601

The repeal is adopted under the Human Resources Code, Chapter 33, which authorizes DHS to administer nutritional assistance programs.

The repeal implements the Human Resources Code, §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401530

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter KK. SUPPORT DOCUMENTS

40 TAC §§3.3701 - 3.3703

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401531

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter LL. DISABILITY DETERMINATION

40 TAC §3.3801

The repeal is adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeal implements the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401532

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter MM. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES--UNEMPLOYED PARENT PROGRAM

40 TAC §§3.3901 - 3.3905, 3.3907

The repeals are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081.

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 February 26, 2004.

TRD-200401533

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter QQ. FINGER IMAGING

40 TAC §§3.7001 - 3.7004

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401534

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter RR. WORK SUBSIDY

40 TAC §§3.7101 - 3.7105

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401535

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter SS. ONE-TIME TEMPORARY ASSISTANCE FOR NEEDY FAMILIES PROGRAM

40 TAC §§3.7201 - 3.7206

The repeals are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081.

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 February 26, 2004.

TRD-200401536

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter TT. WORKFORCE ORIENTATION

40 TAC §§3.7301 - 3.7303

The repeals are adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081.

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 February 26, 2004.

TRD-200401537

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter UU. ELECTRONIC BENEFIT TRANSFER (EBT)

40 TAC §§3.7401 - 3.7419

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401538

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter VV. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES SUPPLEMENTAL GRANDPARENT PAYMENT

40 TAC §3.7501

The repeal is adopted under the Human Resources Code, Chapter 31, which authorizes DHS to administer financial assistance programs.

The repeal implements the Human Resources Code, §§31.001 - 31.081.

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 February 26, 2004.

TRD-200401539

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter WW. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES--STATE PROGRAM

40 TAC §§3.7601 - 3.7605, 3.7607, 3.7609

The repeals are adopted under the Human Resources Code, Chapters 31 and 34, which authorizes DHS to administer financial assistance programs and a state temporary assistance and support services program.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§34.001 - 34.007.

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 February 26, 2004.

TRD-200401540

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter XX. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES NON-CASH SERVICES

40 TAC §3.7701, §3.7702

The repeals are adopted under the Human Resources Code, Chapters 31, which authorizes DHS to administer financial assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081.

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 February 26, 2004.

TRD-200401541

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter YY. FOOD STAMP SIMPLIFIED NUTRITIONAL ASSISTANCE PROGRAM

40 TAC §§3.7801 - 3.7809

The repeals are adopted under the Human Resources Code, Chapter 33, which authorizes DHS to administer nutritional assistance programs.

The repeals implement the Human Resources Code, §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401542

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Subchapter ZZ. ELECTRONIC BENEFIT TRANSFER (EBT) RETAILER REQUIREMENTS

40 TAC §§3.7901 - 3.7920

The repeals are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The repeals implement the Human Resources Code, §§31.001 - 31.081 and §§33.001 - 33.027.

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 February 26, 2004.

TRD-200401543

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Chapter 3. TEXAS WORKS

Subchapter B. ELIGIBILITY

The Texas Department of Human Services (DHS) adopts new §§3.355-3.357, 3.403, and 3.404 in its Texas Works chapter. DHS adopts new §3.355 with changes to the proposed text published in the November 7, 2003, issue of the Texas Register (28 TexReg 9785). DHS adopts new §§3.356, 3.357, 3.403, and 3.404 without changes to the proposed text.

The new rules are part of a larger reorganization and rewrite of DHS's Chapter 3, Texas Works, adopted elsewhere in this issue of the Texas Register . DHS undertook the rewrite to make its rules regarding the Temporary Assistance for Needy Families (TANF) and Food Stamp programs easier for the public to navigate and understand. Justification for new §3.356(22) and §3.404(25) is to implement Human Resources Code, §31.0038, which calls for the temporary exclusion of a new spouse's income in determining eligibility for TANF, as approved by the 78th Texas Legislature in House Bill 2292, Section 2.89.

DHS received no comments regarding adoption of the new sections. However, DHS made a minor editorial change in §3.355(a) to correct the punctuation in a section title and thus improve the accuracy of the section.

6. RESOURCES

40 TAC §§3.355 - 3.357

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

§3.355.Whose resources does DHS count in determining TANF and Food Stamp program eligibility?

(a) In determining TANF eligibility, unless the resource is excluded under §3.356 of this chapter (relating to What resources does DHS count in the TANF Program?), DHS counts the resources of:

(1) the members of the certified group;

(2) each parent of a child in the certified group who lives in the household and is ineligible or disqualified from receiving TANF benefits;

(3) each sibling of a dependent child in the certified group who lives in the household and is disqualified from receiving TANF benefits; and

(4) in the case of a household containing a sponsored alien, the resources of the sponsor (and the sponsor's spouse).

(b) DHS follows 7 CFR §273.8 in determining whose resources are counted in the Food Stamp Program.

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 February 26, 2004.

TRD-200401544

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


7. INCOME

40 TAC §3.403, §3.404

The new sections are adopted under the Human Resources Code, Chapters 31 and 33, which authorizes DHS to administer financial and nutritional assistance programs.

The new sections implement the Human Resources Code, §§31.001-31.081 and §§33.001-33.027.

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 February 26, 2004.

TRD-200401545

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 17, 2004

Proposal publication date: November 7, 2003

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


Chapter 44. CLIENT MANAGED PERSONAL ATTENDANT SERVICES

The Texas Department of Human Services (DHS) adopts new §§44.1-44.4, 44.11, 44.21, 44.31-44.33, 44.41-44.43, 44.51, 44.52, 44.61-44.65, 44.71, 44.72, 44.81-44.83, 44.91- 44.94, 44.101-44.107, §44.111, and §44.112.

New §§44.2, 44.32, 44.33, 44.41, 44.71, 44.102, and 44.106 are adopted with changes to the proposed text published in the October 31, 2003, issue of the Texas Register (28 TexReg 9462). New §§44.1, 44.3, 44.4, 44.11, 44.21, 44.31, 44.42, 44.43, 44.51, 44.52, 44.61-44.65, 44.72, 44.81-44.83, 44.91-44.94, 44.101, 44.103-44.105, 44.107, 44.111, and 44.112 are adopted without changes to the proposed text.

Justification for the new sections is to rewrite the rules concerning Client Managed Personal Attendant Services (CMPAS) in a plain English question-and-answer format and place them in their own chapter. The new sections 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 and to incorporate existing policy into the DHS rule base. The adopted repeals of CMPAS rules in Chapter 48, Subchapter E, are found elsewhere in this issue of the Texas Register .

DHS received written comments from Advocacy, Incorporated, and ADAPT. A summary of the comments and DHS's responses follow.

Comment: Both commenters requested that DHS be fully clear in its CMPAS rules regarding allowable performance of tasks by an unlicensed attendant and take into account the tasks not requiring delegation per the Board of Nurse Examiners Nursing Practice Act rules.

Response: DHS agrees with this comment. To ensure consistency with the Nursing Practice Act, DHS has amended the following: §§44.2(13), 44.2(15), 44.33(b), 44.71(a), 44.71(a)(1)(D), 44.71(a)(1)(H), 44.71(a)(1)(I), and 44.71(a)(4).

Comment: One commenter objected to provisions of the service termination rule, §44.104, which now are consistent with Community Based Alternatives (CBA) and Community Living Assistance and Support Services (CLASS), and requested that DHS delete those parts of the proposed rule.

Response: DHS believes the service termination criteria for CMPAS should be consistent with CBA and CLASS. There is no programmatic reason for different criteria. DHS declined to change the rule in response to this comment.

Comment: One commenter requested that DHS investigate the requirement in §44.21 that an attendant be 18 years of age. DHS also has proposed rules in its Licensing Standards for Home and Community Support Services Agencies (HCSSA) chapter that allow an attendant to be younger than 18 in certain cases. The commenter recommended going with the younger age in CMPAS, within the guidelines proposed in the HCSSA licensure rule.

Response: DHS has determined that having a more stringent guideline for long term care programs is advisable and did not change the rule in response to this comment.

Comment: One commenter asked that DHS ensure that any references to the service plan in the CMPAS rules clearly state that the client and assessor of need should agree to the service plan, as indicated in the definitions section. This is not consistently clear in other sections in the proposed rules.

Response: DHS agrees with this comment and has added language to §44.33(a)(4)(A)(ii) to clarify agreement on the service plan.

Comment: One commenter asked that "recruiting" be included in the provider agency requirements in §44.41(2) for training clients to perform their responsibilities.

Response: DHS agrees with this comment and has added "recruiting" to §44.41(2).

Comment: One commenter requested that DHS delete any language in the proposed rules that would allow a provider to not serve an individual on the basis that the provider could not find an attendant, even though a "good faith" effort was made. The "good faith" language leaves wide open the opportunity for providers not to serve individuals with significant support needs or who live in rural areas, which discriminates against those individuals.

Response: DHS agrees with this comment and amended §44.32(f) and §44.102 to delete "good faith" and to ensure that clients are not discharged due to significant support needs.

Comment: One commenter thanked DHS for including an interdisciplinary team (IDT) process to help solve difficult support needs and differences of opinion between a client and agency. The commenter requested that DHS add language to §44.106 that would allow an IDT to explore an alternate payment model for an individual in the CMPAS Program as opposed to seeking suspension or termination of services.

Response: DHS agrees with this comment and amended §44.106 to add discussion of an alternate payment model.

DHS also has initiated a minor editorial change to the text of §44.33 to improve the accuracy of the section.

Subchapter A. GENERAL INFORMATION

40 TAC §§44.1 - 44.4

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

§44.2.What do certain words and terms in this chapter mean?

The following words and terms have the following meanings when used in this chapter, unless the context clearly indicates otherwise.

(1) §1915(c) Medicaid waiver--Section of the Social Security Act that allows states to waive various Medicaid requirements. This section establishes alternative, community-based services for individuals who qualify to receive services in an institution.

(2) Agency model--One of three Client Managed Personal Attendant Services (CMPAS) Program payment models a client may choose. When a client chooses the agency model, the provider agency is the employer of record of the attendant and substitute attendant. The other two CMPAS Program payment models are the block grant model and the consumer directed services model.

(3) Applicant--A person who requests services under the CMPAS Program.

(4) Assessor of need--The provider agency employee responsible for determining an applicant's or client's need for client managed personal attendant services.

(5) Attendant--An employee who provides direct care to clients.

(6) Block grant model--One of three CMPAS Program payment models a client may choose. When a client chooses the block grant model, the client is the attendant's employer of record and the provider agency is the employer of record for the substitute attendant. The other two CMPAS Program payment models are the agency model and the consumer directed services model.

(7) Client--A person who is eligible to receive services under this chapter.

(8) Client Managed Personal Attendant Services (CMPAS) Program--The Texas Department of Human Services (DHS) program for personal attendant services in which clients manage their attendant services to varying degrees.

(9) Consumer directed services (CDS) model--One of three CMPAS Program payment models a client may choose. When a client chooses the CDS model, the client is the employer of record of the attendant and the substitute attendant. The other two CMPAS Program payment models are the agency model and the block grant model.

(10) 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.

(11) Contract manager--A DHS employee who is responsible for the overall management of the contract with the provider agency.

(12) Days--Any reference to days means calendar days, unless otherwise specified in the text. Calendar days include weekends and holidays.

(13) Delegated health-related task--A service task the attendant may perform for the client only under a physician's or registered nurse's delegation. Such tasks:

(A) require a physician's order;

(B) must be delegated by a physician in accordance with the Texas Medical Practice Act or by a registered nurse in accordance with the Texas Nursing Practice Act;

(C) must be delegated specifically to the client and identify the attendant and task; and

(D) must be supervised by the delegating authority.

(14) DHS--The Texas Department of Human Services.

(15) Health-related task--A service task, such as those defined as health maintenance activities in 22 TAC, Chapter 225 (relating to RN Delegation to Unlicensed Personnel and Tasks Not Requiring Delegation in Independent Living Environments for Clients with Stable and Predictable Conditions), that involves a higher skill level than activities of daily living as defined in 22 TAC, Chapter 225, and may require a delegation order from a physician or registered nurse before an attendant may perform the task for a client.

(16) Interdisciplinary team (IDT)--A designated group of individuals that meets to discuss service delivery issues. An IDT includes:

(A) the client or the client's representative, or both;

(B) a provider agency representative;

(C) the regional nurse or contract manager or both; and

(D) other persons as necessary.

(17) 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.

(18) 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;

(B) certification that the provider agency verified with the U.S. Centers for Medicare and Medicaid Services that the practitioner is not excluded from participation in Medicare or Medicaid; and

(C) a statement that the disability is permanent or is expected to last at least six months.

(19) Provider agency--A home and community support services agency that contracts with DHS to provide services under the CMPAS Program.

(20) Representative--The client's spouse, other responsible party, or legal representative.

(21) Service plan--A document that lists the service tasks and states the units of services agreed to between the client and assessor of need.

(22) Service schedule--A schedule for delivering attendant services that is agreed upon and signed by the client or the client's representative.

(23) Service slot--An available position for an applicant to receive services under the CMPAS Program. The number of service slots is based on the amount of funds appropriated by the Texas Legislature for the CMPAS Program.

(24) Substitute attendant--The person who, on a temporary basis and in place of the attendant, provides services to the client.

(25) Unit of service--One hour of service delivered to a client under the CMPAS Program.

(26) Working days--Days DHS is open for business.

(27) 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 February 25, 2004.

TRD-200401442

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


Subchapter B. RESPONSIBILITIES OF ALL PROVIDER AGENCIES

1. PROVIDER AGENCY RESPONSIBILITIES

40 TAC §44.11

The new section is adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new section implements the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401443

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


2. ATTENDANT REQUIREMENTS

40 TAC §44.21

The new section is adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new section implements the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401444

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


3. ELIGIBILITY, REFERRAL, AND ASSESSMENT

40 TAC §§44.31 - 44.33

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

§44.32.How does a person express interest in and be referred for services under the CMPAS Program?

(a) A person who is interested in receiving services under the CMPAS Program may:

(1) directly contact a provider agency; or

(2) contact the DHS regional office.

(b) When a person directly contacts a provider agency, the provider agency, by the next working day, must forward to the DHS regional office the person's:

(1) name;

(2) address;

(3) birth date;

(4) phone number(s) (if available);

(5) social security number (if available);

(6) current living arrangements;

(7) DHS client number (if applicable);

(8) status regarding receipt of Supplemental Security Income (SSI); and

(9) date and time of referral.

(c) The DHS regional office determines whether any service slots are available for a person who is interested in receiving services under the CMPAS Program. If a service slot is available for an interested person, DHS refers the person to a provider agency to apply for services. When no service slots are available for the person, DHS staff place the person on an interest list by entering information about the person in the DHS Community Services Interest List (CSIL) system.

(d) When service slots become available on an interest list, DHS staff:

(1) release names from the interest list on a first-come, first-served basis;

(2) refer the next person on the interest list to a provider agency to apply for services under the CMPAS Program; and

(3) inform the provider agency of any other DHS program services the person is receiving, the cost of those services, and the approved service period for those services.

(e) When more than one provider agency is in the region, DHS gives applicants for whom a service slot is available information about each provider agency. The applicant may contact the provider agencies for additional information, and the applicant chooses the provider agency that best meets his or her needs.

(f) The provider agency must provide CMPAS Program services to all clients DHS refers to the provider agency unless the assessor of need determines:

(1) the provider agency and other sources of support are unable to meet the client's needs without risking the client's health and safety;

(2) the environment in the client's home is a serious threat to the health and safety of the attendant;

(3) the client, or someone in the client's home, seriously threatens the health and safety of the attendant; or

(4) the provider agency's contract does not require the provider agency to provide services under the payment model chosen by the client.

(g) When a client chooses a payment model not in the provider agency's contract, the provider agency must refer the client to a provider agency that offers the client's payment model of choice.

(h) The provider agency must conduct an interdisciplinary team (IDT) meeting in accordance with the requirements of §44.105 of this chapter (relating to Why does an interdisciplinary team (IDT) meet?) whenever it determines it cannot provide CMPAS Program services to a client for any of the reasons described in subsection (f)(1)-(3) of this section.

§44.33.How does the provider agency determine an applicant's eligibility, co-payment, and service needs?

(a) The assessor of need must conduct an initial on-site assessment of an applicant by the 14th day after the referral date from the DHS regional office and must:

(1) determine CMPAS Program eligibility. The applicant must meet all criteria in §44.31 of this division (relating to When is an applicant considered eligible to receive services under the CMPAS Program?);

(2) enable the applicant to make an informed choice of whether to participate in the CMPAS Program by discussing with the applicant all applicable publicly funded programs that offer attendant services. The provider agency may contact the DHS regional office for information about public programs that offer attendant services;

(3) assess the applicant's service needs by using the DHS Client Needs Assessment Questionnaire and Task/Hour Guide form;

(4) for each eligible applicant:

(A) develop a service plan based on the results of the assessment questionnaire that:

(i) includes the number of hours and tasks negotiated between the applicant and the assessor of need; and

(ii) is signed and agreed to by the applicant and assessor of need; and

(B) determine the applicant's co-payment under §44.61 of this chapter (relating to How is a client's co-payment determined and what are the procedures for collecting the co-payment?) and explain to the applicant the importance of making the co-payments as a condition of retaining eligibility; and

(5) explain to the applicant the three payment models described in §44.4 of this chapter (relating to What are the three CMPAS Program payment models and how do they differ?) and have the applicant choose a payment model.

(b) If the client service plan includes health-related tasks, the provider agency:

(1) verifies that the tasks do not require delegation or are properly delegated before an attendant performs any such tasks for the client under:

(A) 22 TAC, Chapter 225 (relating to RN Delegation to Unlicensed Personnel and Tasks Not Requiring Delegation in Independent Living Environments for Clients with Stable and Predictable Conditions); or

(B) Government Code §531.051; and

(2) maintains in the agency's client file records that:

(A) identify and are signed and dated by the delegating physician or registered nurse;

(B) include the name of the client, the names of the attendants delegated to perform the health-related tasks for the client, and a description of the specific health-related tasks to be performed; and

(C) are in accordance with the Texas Medical Practices Act, the Texas Nursing Practice Act, and any other applicable state or federal law.

(c) The provider agency notifies each applicant who is not eligible for services in writing using the DHS Notification of Community Care Services form within three days of the date of the decision. This form notifies the applicant of the applicant's right to appeal and explains how to file the appeal.

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 February 25, 2004.

TRD-200401445

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


4. SERVICE INITIATION

40 TAC §§44.41 - 44.43

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

§44.41.What training must the provider agency perform before beginning client managed personal attendant services to a client under the CMPAS Program?

Before beginning services for a client under the CMPAS Program, the provider agency must train the client in:

(1) client rights and responsibilities under DHS's Community Care for the Aged and Disabled programs;

(2) skills for recruiting, selecting, instructing, and supervising attendants;

(3) procedures for preparing attendant time sheets; and

(4) procedures for the CMPAS Program payment model he or she chooses.

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 February 25, 2004.

TRD-200401446

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


5. REASSESSMENT

40 TAC §44.51, §44.52

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401447

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


6. CO-PAYMENT DETERMINATION

40 TAC §§44.61 - 44.65

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401448

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


7. TASKS

40 TAC §44.71, §44.72

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

§44.71.What tasks may an attendant perform for a client under the CMPAS Program, and where may the attendant perform the tasks?

(a) Allowable tasks. Except as otherwise provided in §44.72 of this division (relating to What tasks must an attendant not perform for a client under the CMPAS Program?), an attendant may perform any one or more of the following tasks for a client under the CMPAS Program:

(1) personal care tasks that relate to the client's physical health, such as the following:

(A) bathing the client, including:

(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 the client, including:

(i) dressing client;

(ii) undressing client; and

(iii) laying out clothes;

(C) preparing the client's meals, including:

(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) assisting the client with eating, including:

(i) assisting with eating and drinking utensils and adaptive devices;

(ii) feeding through a permanently placed feeding tube inserted in a surgically created orifice or stoma; and

(iii) providing standby assistance or encouragement;

(E) assisting the client with exercising, including walking;

(F) assisting the client with grooming, including:

(i) shaving;

(ii) brushing teeth;

(iii) shaving underarms and legs, when requested;

(iv) caring for nails; and

(v) laying out supplies;

(G) caring for the client's routine hair and skin needs, including:

(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) assisting the client with medications that normally are self-administered, including administration through a permanently placed feeding tube;

(I) assisting the client with toileting, including:

(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;

(x) providing standby assistance;

(xi) the administration of a bowel and bladder program, including suppositories, enemas, manual evacuation, intermittent catheterization, digital stimulation associated with a bowel program; and

(xii) tasks related to external stoma care, including pouch changes, measuring intake and output, and skin care surrounding the stoma area; and

(J) assisting the client with transferring and ambulating, including:

(i) non-ambulatory movement from one stationary position to another (transfer), which 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, such as the following:

(A) changing the client's bed linens and making the bed;

(B) housecleaning for the client, including:

(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) cleaning floor of living areas used by client;

(v) dusting areas used by client;

(vi) carrying out trash, setting out garbage for pick up;

(vii) cleaning stovetop and counters; and

(viii) cleaning refrigerator and stove;

(C) laundering the client's clothes, including:

(i) doing hand wash;

(ii) gathering and sorting;

(iii) loading and unloading machines in residence;

(iv) using Laundromat machines;

(v) hanging clothes to dry; and

(vi) folding and putting away clothes;

(D) shopping for the client, including:

(i) preparing a shopping list;

(ii) going to the store and purchasing or picking up items; and

(iii) picking up medication;

(E) storing the client's purchased items; and

(F) washing the client's dishes;

(3) client escorting tasks, including:

(A) accompanying the client outside the home to support the client in living in the community;

(B) arranging for transportation, but not providing transportation. The provider agency must have a policy addressing direct client transportation; however, direct client transportation is not a task DHS will reimburse under §44.112 of this chapter (relating to How are provider agencies reimbursed?);

(C) accompanying client to clinic, doctor's office, or other trips made for the purpose of obtaining 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; and

(4) delegated health-related tasks or health-related tasks that do not require delegation under 22 TAC, Chapter 225 (relating to RN Delegation to Unlicensed Personnel and Tasks Not Requiring Delegation in Independent Living Environments for Clients with Stable and Predictable Conditions), including:

(A) inserting tubes in a body cavity or instilling or inserting substances into an indwelling tube, limited to:

(i) insertion or irrigation of urinary catheters for purpose of intermittent catheterization; and

(ii) irrigation of an indwelling tube, such as a urinary catheter or permanently placed feeding tube;

(B) administration of medications;

(C) care of broken skin with low risk of infection;

(D) changing sterile dressings; and

(E) tracheal care to include instilling normal saline and suctioning of a tracheotomy with routine supplemental oxygen administration.

(b) Location of tasks. An attendant may perform any allowable task for a client in the client's home or in any other appropriate location, such as while accompanying the client to a shopping mall, to a movie, or to a community event.

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 February 25, 2004.

TRD-200401449

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


Subchapter C. PROVIDER AGENCY RESPONSIBILITIES IN PAYMENT MODELS

40 TAC §§44.81 - 44.83

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401450

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


Subchapter D. CLIENT RESPONSIBILITIES IN PAYMENT MODELS

40 TAC §§44.91 - 44.94

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401451

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


Subchapter E. SERVICE SUSPENSION, TERMINATION, AND DISPUTE RESOLUTION

40 TAC §§44.101 - 44.107

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

§44.102.When may a provider agency suspend services to a client under the CMPAS Program?

The provider agency may suspend services if:

(1) the client or someone in the client's home engages in discrimination in violation of applicable law;

(2) the client or representative fails to effectively manage his or her attendant care. This includes problems with:

(A) hiring, selecting, or retaining an attendant for reasons other than workforce issues;

(B) reaching an agreement on the amount of reimbursement the provider agency will retain (in the block grant model); and

(C) completing or submitting required program documentation; or

(3) the client or someone in the client's home exhibits reckless behavior that may result in imminent danger to the health or safety of the client, the attendant, or another person. If this occurs, the provider agency must make an immediate referral to:

(A) the Texas Department of Protective and Regulatory Services or other appropriate protective services agency;

(B) local law enforcement; and

(C) the contract manager.

§44.106.What procedures do interdisciplinary teams (IDTs) follow?

(a) IDT evaluation and recommendation. The IDT must:

(1) evaluate the problem, ensuring that the problem is not due to discrimination in violation of applicable law;

(2) identify any possible solutions to the problem; and

(3) make recommendations to the provider agency.

(b) Meeting outcome. The provider agency must, within two days after the IDT meeting:

(1) implement the recommendations of the IDT; or

(2) request that the contract manager refer the client to another provider agency if available, or an alternative payment model; and

(3) submit to the contract manager the provider agency's records of the IDT meeting and its outcome.

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 February 25, 2004.

TRD-200401452

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


Subchapter F. RECORD KEEPING AND REIMBURSEMENT

40 TAC §§44.111, §44.112

The new sections are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The new sections implement the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401453

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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


Chapter 48. COMMUNITY CARE FOR AGED AND DISABLED

Subchapter E. CLIENT-MANAGED ATTENDANT SERVICES

40 TAC §§48.2600 - 48.2619

The Texas Department of Human Services (DHS) adopts the repeal of Subchapter E, concerning Client-Managed Attendant Services, §§48.2600-48.2619, in its Community Care for Aged and Disabled chapter. The repeals are adopted without changes to the proposed text published in the October 31, 2003, issue of the Texas Register (28 TexReg 9478).

Justification for the repeals is to delete the rules concerning the Client-Managed Attendant Services Program from Chapter 48 and place them in DHS's new Chapter 44, Client Managed Personal Attendant Services in a rewritten, plain English format. The new rules are adopted elsewhere in this issue of the Texas Register .

DHS received no comments regarding adoption of the repeals.

The repeals are adopted under the Human Resources Code, Chapter 22, which authorizes DHS to administer public assistance programs.

The repeals implement the Human Resources Code, §§22.0001-22.040.

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 February 25, 2004.

TRD-200401454

Paul Leche

General Counsel, Legal Services

Texas Department of Human Services

Effective date: March 16, 2004

Proposal publication date: October 31, 2003

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