(a) A program provider must ensure a service provider uses EVV to document the provision of the following personal care services by the program provider:
(1) in the traditional Medicaid service model also referred to as fee-for-service, including for members enrolled in STAR who receive PCS through fee-for-service:
- (A) CFC PAS;
- (B) CFC HAB;
- (C) PCS provided under Texas Health Steps CCP, including SRO; and
- (D) PCS-Behavioral Health provided under Texas Health Steps CCP, including SRO;
(2) in the CLASS Program:
- (A) CFC PAS/HAB; and
- (B) in-home respite;
- (3) personal attendant services provided through the Community Attendant Services Program, including SRO;
(4) in the DBMD Program:
- (A) CFC PAS/HAB; and
- (B) in-home respite;
- (5) personal attendant services provided through the FC Program, including SRO;
(6) in the HCBS-AMH Program:
- (A) supported home living; and
- (B) in-home respite;
(7) in the HCS Program:
- (A) CFC PAS/HAB;
- (B) in-home respite; and
- (C) in-home individualized skills and socialization provided to members with the residential type of "own/family home";
- (8) personal attendant services provided through the Primary Home Care Program, including SRO;
(9) in the STAR Health Program:
- (A) CFC PAS, including SRO;
- (B) CFC HAB, including SRO; and
(C) for a member in STAR Health MDCP:
- (i) in-home respite, with and without RN delegation, including SRO; and
- (ii) flexible family support, with and without RN delegation, including SRO;
(10) in the STAR Kids Program:
- (A) CFC PAS, including SRO;
- (B) CFC HAB, including SRO; and
(C) for a member in STAR Kids MDCP:
- (i) in-home respite, with and without RN delegation, including SRO; and
- (ii) flexible family support, with and without RN delegation, including SRO;
(11) in the STAR+PLUS Program:
- (A) personal assistance services, including SRO;
- (B) CFC PAS, including SRO; and
- (C) CFC HAB, including SRO;
(12) in the STAR+PLUS HCBS Program:
- (A) in-home respite care, including SRO;
- (B) protective supervision, including SRO;
- (C) personal assistance services, including SRO;
- (D) CFC PAS, including SRO; and
- (E) CFC HAB, including SRO;
(13) in the STAR+PLUS MMP:
- (A) in-home respite care, including SRO;
- (B) protective supervision, including SRO;
- (C) personal assistance services, including SRO;
- (D) CFC PAS, including SRO; and
- (E) CFC HAB, including SRO;
(14) in the TxHmL Program:
- (A) CFC PAS/HAB;
- (B) in-home respite; and
- (C) in-home individualized skills and socialization;
- (15) in-home respite provided in the YES Program; and
- (16) any other service required by federal or state mandates.
(b) A CDS employer must ensure a service provider uses EVV to document the provision of the following personal care services through the CDS option:
(1) in the traditional Medicaid service model also referred to as fee-for-service:
- (A) CFC PAS;
- (B) CFC HAB;
- (C) PCS provided under Texas Health Steps CCP; and
- (D) PCS-Behavioral Health provided under Texas Health Steps CCP;
(2) in the CLASS Program:
- (A) CFC PAS/HAB; and
- (B) in-home respite;
- (3) personal attendant services provided through the Community Attendant Services Program;
(4) in the DBMD Program:
- (A) CFC PAS/HAB; and
- (B) in-home respite;
- (5) personal attendant services provided through the FC Program;
(6) in the HCS Program:
- (A) CFC PAS/HAB; and
- (B) in-home respite;
- (7) personal attendant services provided through the Primary Home Care Program;
(8) in the STAR Health Program:
- (A) CFC PAS;
- (B) CFC HAB; and
(C) for a member in STAR Health MDCP:
- (i) in-home respite, with and without RN delegation; and
- (ii) flexible family support, with and without RN delegation;
(9) in the STAR Kids Program:
- (A) CFC PAS;
- (B) CFC HAB; and
(C) for a member in STAR Kids MDCP:
- (i) in-home respite, with and without RN delegation; and
- (ii) flexible family support, with and without RN delegation;
(10) in the STAR+PLUS Program:
- (A) personal assistance services;
- (B) CFC PAS; and
- (C) CFC HAB;
(11) in the STAR+PLUS HCBS Program:
- (A) in-home respite care;
- (B) protective supervision;
- (C) personal assistance services;
- (D) CFC PAS; and
- (E) CFC HAB;
(12) in the STAR+PLUS MMP:
- (A) in-home respite care;
- (B) protective supervision;
- (C) personal assistance services;
- (D) CFC PAS; and
- (E) CFC HAB; and
(13) in the TxHmL Program:
- (A) CFC PAS/HAB;
- (B) in-home respite; and
- (C) in-home individualized skills and socialization.
Source Note:The provisions of this §354.4005 adopted to be effective January 1, 2024, 48 TexReg 7171.