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TITLE 40SOCIAL SERVICES AND ASSISTANCE
PART 1DEPARTMENT OF AGING AND DISABILITY SERVICES
CHAPTER 9INTELLECTUAL DISABILITY SERVICES--MEDICAID STATE OPERATING AGENCY RESPONSIBILITIES
SUBCHAPTER DHOME AND COMMUNITY-BASED SERVICES (HCS) PROGRAM
RULE §9.192Service Limits

(a) The following limits apply to an individual's HCS Program services:

  (1) for adaptive aids, $10,000 during an IPC year;

  (2) for dental treatment, $1,000 during an IPC year;

  (3) for minor home modifications:

    (A) $7,500 during the time the individual is enrolled in the HCS Program, which may be paid in one or more IPC years; and

    (B) after reaching the $7,500 limit described in subparagraph (A) of this paragraph, a maximum of $300 for repair and maintenance during the IPC year; and

  (4) for respite, 300 hours during an IPC year.

(b) A program provider may request, in accordance with the HCS Program Billing Guidelines, authorization of a requisition fee:

  (1) for dental treatment that is in addition to the $1,000 service limit described in subsection (a)(2) of this section; or

  (2) for a minor home modification that is in addition to the $7,500 service limit described in subsection (a)(3)(A) of this section.


Source Note: The provisions of this §9.192 adopted to be effective December 1, 2011, 36 TexReg 8043; amended to be effective September 1, 2014, 39 TexReg 6516

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