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TITLE 40SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 48COMMUNITY CARE FOR AGED AND DISABLED
SUBCHAPTER JCOMMUNITY BASED ALTERNATIVES (CBA) PROGRAM
RULE §48.6080Non-Billable Time and Activities

A HCSSA must not bill the Department of Aging and Disability Services (DADS) for:

  (1) supervision of personal care attendants performing personal assistance tasks, unless the attendant is delivering nursing tasks delegated by a registered nurse;

  (2) phone calls, letters, or meetings with DADS or community resources;

  (3) administrative meetings or staff meetings;

  (4) in-service training, continuing education, or conferences;

  (5) employee conferences or evaluations;

  (6) filing claims for services;

  (7) traveling to and from an individual's home;

  (8) processing paperwork or completing records or reports, except for the annual reassessment;

  (9) home modifications, medical supplies, or adaptive aids that are not listed in the CBA Provider Manual as covered items nor approved by authorized DADS staff;

  (10) collateral contact when that contact is between a HCSSA employee and a person providing services to an individual under a personal service agreement or subcontract with the HCSSA;

  (11) billing for services that are considered to be mutually exclusive, as identified in §48.6082 of this title (relating to Mutually Exclusive Services);

  (12) any expenses related to providing personal assistance services, adaptive aids, medical supplies, or nursing outside the HCSSA contracted service delivery area, including costs for transportation or lodging; or

  (13) personal assistance services, adaptive aids, medical supplies, or nursing provided to an individual outside the HCSSA's contracted service delivery area during a period of more than 60 consecutive days.


Source Note: The provisions of this §48.6080 adopted to be effective September 1, 1998, 23 TexReg 8473; amended to be effective October 1, 2013, 38 TexReg 6625

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