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TITLE 1ADMINISTRATION
PART 15TEXAS HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 363TEXAS HEALTH STEPS COMPREHENSIVE CARE PROGRAM
SUBCHAPTER FPERSONAL CARE SERVICES
RULE §363.601Eligibility and Medical Necessity Criteria

(a) The purpose of this subchapter is to define personal care services available through the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)-Comprehensive Care Program, which in Texas is known as the Texas Health Steps-Comprehensive Care Program.

(b) Personal care services may be provided to individuals who are under 21 years of age and eligible for EPSDT.

(c) Personal care services are medically necessary when a beneficiary requires assistance with activities of daily living (ADLs), instrumental activities of daily living (IADLs), or health related functions because of a physical, cognitive or behavioral limitation that is related to the beneficiary's disability or chronic health condition.

(d) This subchapter does not apply to personal care services delivered through the School Health and Related Services program.


Source Note: The provisions of this §363.601 adopted to be effective September 1, 2007, 32 TexReg 5355

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