(a) A LIDDA must assign a habilitation coordinator to each designated resident to attend the initial IDT and provide habilitation coordination while the designated resident is residing in the NF. A designated resident may refuse habilitation coordination.
(b) Unless a designated resident has refused habilitation coordination, the assigned habilitation coordinator must:
(1) assess and reassess quarterly, and as needed, the designated resident's habilitative service needs by gathering information from the designated resident and other appropriate sources, such as the LAR, family members, social workers, and service providers, to determine the designated resident's habilitative needs and preferences and the specialized services that will address those needs and preferences;
(2) develop and revise, as needed, an individualized HSP in accordance with HHSC's rules and IDD PASRR Handbook, and using HHSC forms;
(3) assist the designated resident to access needed specialized services agreed upon in an IDT or SPT meeting, including:
(4) coordinate other habilitative programs and services that can address needs and achieve outcomes identified in the HSP;
(5) facilitate the coordination of the designated resident's HSP and NF comprehensive care plan, including ensuring the HSP is shared with members of the SPT within 10 calendar days after the HSP is updated or renewed;
(6) monitor and provide follow-up activities that consist of:
(7) unless waived by HHSC, meet face-to-face with the designated resident to provide habilitation coordination:
(8) convene and facilitate an SPT meeting:
(9) coordinate with the NF in accessing medical, social, educational, and other appropriate services and supports that will help the designated resident achieve a quality of life acceptable to the designated resident and LAR on the resident's behalf;
(10) initially and annually thereafter:
(11) for a designated resident who has a guardian, determine at least annually if the letters of guardianship are current; and
(12) if appropriate, for a designated resident who does not have a guardian, ensure the SPT discusses whether the designated resident would benefit from a less restrictive alternative to guardianship or from guardianship and make appropriate referrals.
(c) Regardless of whether the designated resident is receiving or has refused habilitation coordination, the habilitation coordinator must:
(1) address community living options with the designated resident and LAR by:
(2) annually assess the designated resident's habilitative service needs by gathering information from the designated resident and other appropriate sources, such as the LAR, family members, social workers, and service providers, to determine the designated resident's habilitative needs and preferences.
Source Note: The provisions of this §303.601 adopted to be effective July 7, 2019, 44 TexReg 3265; amended to be effective September 1, 2021, 46 TexReg 5419