http://www.dads.state.tx.us/handbooks/h
csbg/rmemo/11-1.htm
Section Title Change
2000 Definitions Adds definitions for competitive employment, comprehensive assessment, focused assessment, integrated employment, service coordination and service coordinator.
3210 General Requirements Updated references.
3230 Service Claim for Day Habilitation for Individual Receiving Supported Employment
Deleted.
3230 Service Claim for Foster/Companion Care, Residential Support or Supervised Living for Individual on a Visit with Family or Friend
Section 3240 is renumbered to 3230.
3430 Relative, Guardian or Managing Conservator Qualified as Service Provider
Updates information in the first paragraph and deletes outdated information.
3610 15-Minute Unit of Service Defines “person” under No. 2, Service Time.
3620 Daily Unit of Service Updates billable units of service.
3700 Billing Service Components Provided at the Same Time and Billing Day
Habilitation Provided at the Same Time as Service Coordination
Revises section heading.
3730 Service Coordination and Day
Habilitation Provided at the Same Time Adds new section.
3810 General Requirements Adds new information and deletes outdated material.
3820 Written Service Log and Written
Summary Updates section title; adds new information; deletes outdated material.
3850 Example Forms Updates title and adds new information.
4210 General Description of Service
Component Defines specialized therapies subcomponents.
4220 Billable Activity Updates billable activities for the specialized therapies.
4230 Activity Not Billable Updates examples of non-billable activities.
4250 Unit of Service Adds service time information.
4260 Written Documentation Updates documentation required to support a service claim for specialized therapies.
4320 Requirements of Setting Adds retirement age as justification for providing day habilitation at the individual’s residence.
4370 Unit of Service Updates billable units of service.
4380 Written Documentation Deletes outdated information and clarifies required documentation to support a service claim for day habilitation.
4390 Submitting a Service Claim for Individuals Receiving Supported Employment
Deleted.
4420 Billable Activity Updates billable activities for the licensed registered nursing service component.
4430 Activity Not Billable Updates text.
4450 Unit of Service Adds No. 3, Service Time.
4470 Written Documentation Deletes outdated information.
4471.2 Billable Activity Updates billable activities for the licensed vocational nursing service component.
4471.3 Activity Not Billable Updates examples of non-billable activities.
4471.5 Unit of Service Adds No. 3, Service Time.
4471.7 Written Documentation Deletes outdated information.
4472.2 Billable Activity Updates billable activities for the specialized registered nursing service component.
4472.3 Activity Not Billable Updates text.
4472.5 Unit of Service Adds No. 3, Service Time.
4472.7 Written Documentation Deletes outdated information.
4473.2 Billable Activity Updates bill activities for the specialized licensed vocational nursing service component.
4473.3 Activity Not Billable Updates text.
4473.5 Unit of Service Adds No. 3, Service Time.
4473.7 Written Documentation Deletes outdated information.
4540 Supported Home Living Subcomponent Updates rule citations; adds new requirements; deletes outdated information.
4550 Foster/Companion Care Subcomponent Updates rule citations; clarifies requirements for service provider; updates text in No. 5, Restrictions Regarding Submission of Claims for Foster/Companion Care; and clarifies required documentation in No. 8, Written Documentation.
4560 Residential Support Subcomponent Deletes text under No. 1(d), Service Provider Shifts; updates rule citations under No. 2, Billable Activity; updates information in No. 5, Restrictions Regarding Submission of Claims for Residential Support; adds new bullet under No. 8, Written Documentation; and makes minor wording changes to No. 9, Submitting a Service Claim for an Individual on a Visit with Family or Friend.
4570 Supervised Living Subcomponent Updates rule citations under No. 2, Billable Activity; updates information in No. 5, Restrictions Regarding Submission of Claims for Supervised Living; adds new bullet under No. 8, Written Documentation; and makes minor wording changes to No. 9, Submitting a Service Claim for an Individual on a Visit with Family or Friend.
4610 General Description of Service
Component Updates information in No. 1, Temporary Provision of Assistance, and No. 2, Room and Board.
4620 Billable Activity Updates rule citations.
4651 Restrictions Regarding Submission of
Claims for Respite Adds reasons for which a program provider may not submit a service claim.
4690 Written Documentation Deletes a bulleted item and makes minor wording changes.
4710 General Description of Service
Component Updates definition of supported employment.
4730 Billable Activity Adds transporting individual to and from the individual’s work site as a billable activity for the supported employment service component.
4740 Activity Not Billable Adds transporting an individual to a job interview as a non-billable activity.
4760 Restrictions Regarding Submission of
Claims for Supported Employment Deletes outdated information.
4770 Unit of Service Adds No. 3, Service Time 4780 Written Documentation Updates information.
4790 Submitting a Service Claim for Day
Habilitation Deleted.
6160 Required Documentation for an Adaptive
Aid Updates section reference and removes prior approval requirement.
6170 Prior Approval Deleted.
6170 Authorization for Payment Updates section number; adds new information and deletes outdated text.
6240 Payment Limit Deletes outdated information.
6250 Required Documentation for a Minor
Home Modification Removes prior approval requirement.
6260 Prior Approval Deleted.
6260 Authorization for Payment Updates section number; adds new information and deletes outdated material.
Appendix I Billing and Payment Review Protocol Updates information.
Appendix
IV Example of Service Delivery Log with
Written Narrative Deletes appendix and reserves it for future use.
Appendix
VII Billable Adaptive Aids Updates abbreviations and number codes.
Appendix
VIII Instructions for AA/MHM Request for
Prior Approval Deletes appendix and reserves it for future use.
Appendix
X Billable Minor Home Modifications Updates abbreviations.
Form 4116-Dental, Instruction s
Home and Community-based Services/Texas Home Living Dental Summary Sheet
Deletes outdated information and adds instruction for signature/date line.
Form 4116-MHM-AA, Instruction s
Home and Community-Based Services/Texas Home Living Minor Home Modification/Adaptive Aids Summary Sheet
Deletes outdated information, updates references and adds instruction for signature/date line.