(a) In-home individualized skills and socialization is:
  (1) assistance with acquiring, retaining, and improving self-help, socialization, and adaptive skills necessary to reside and participate successfully in the community;
  (2) the provision of age-appropriate activities that enhance self-esteem and maximize functional level;
  (3) reinforcement of skills or lessons taught:
    (A) in school or other settings; or
    (B) during the provision of any HCS Program service or non-waiver service;
  (4) the provision of personal assistance for an individual who cannot manage personal care needs during the provision of in-home individualized skills and socialization; and
  (5) as determined by an assessment conducted by a registered nurse, assistance with medications and the performance of tasks delegated by a registered nurse in accordance with state law and rules, unless a physician has delegated the task as a medical act under Texas Occupations Code Chapter 157, as documented by the physician.
(b) One of the following criteria must be met for an individual to receive in-home individualized skills and socialization:
  (1) a physician must document that the individual's medical condition justifies the provision of in-home individualized skills and socialization;
  (2) a licensed professional or behavioral supports service provider must document that the individual's behavioral issues justify the provision of in-home individualized skills and socialization; or
  (3) the individual must be 55 years of age or older and request to receive in-home individualized skills and socialization.

Source Note: The provisions of this §263.2007 adopted to be effective January 1, 2023, 47 TexReg 8698