(a) A program provider must ensure a service provider uses EVV to document the provision of the following personal care services by the program provider:
(1) in the traditional Medicaid service model also referred to as fee-for-service, including for members enrolled in STAR who receive PCS through fee-for-service:
(A) CFC PAS;
(B) CFC HAB;
(C) PCS provided under Texas Health Steps CCP, including SRO; and
(D) PCS-Behavioral Health provided under Texas Health Steps CCP, including SRO;
(2) in the CLASS Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(3) personal attendant services provided through the Community Attendant Services Program, including SRO;
(4) in the DBMD Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(5) personal attendant services provided through the FC Program, including SRO;
(6) in the HCBS-AMH Program:
(A) supported home living; and
(B) in-home respite;
(7) in the HCS Program:
(A) CFC PAS/HAB;
(B) in-home respite; and
(C) in-home individualized skills and socialization provided to members with the residential type of "own/family home";
(8) personal attendant services provided through the Primary Home Care Program, including SRO;
(9) in the STAR Health Program:
(A) CFC PAS, including SRO;
(B) CFC HAB, including SRO; and
(C) for a member in STAR Health MDCP:
(i) in-home respite, with and without RN delegation, including SRO; and
(ii) flexible family support, with and without RN delegation, including SRO;
(10) in the STAR Kids Program:
(A) CFC PAS, including SRO;
(B) CFC HAB, including SRO; and
(C) for a member in STAR Kids MDCP:
(i) in-home respite, with and without RN delegation, including SRO; and
(ii) flexible family support, with and without RN delegation, including SRO;
(11) in the STAR+PLUS Program:
(A) personal assistance services, including SRO;
(B) CFC PAS, including SRO; and
(C) CFC HAB, including SRO;
(12) in the STAR+PLUS HCBS Program:
(A) in-home respite care, including SRO;
(B) protective supervision, including SRO;
(C) personal assistance services, including SRO;
(D) CFC PAS, including SRO; and
(E) CFC HAB, including SRO;
(13) in the STAR+PLUS MMP:
(A) in-home respite care, including SRO;
(B) protective supervision, including SRO;
(C) personal assistance services, including SRO;
(D) CFC PAS, including SRO; and
(E) CFC HAB, including SRO;
(14) in the TxHmL Program:
(A) CFC PAS/HAB;
(B) in-home respite; and
(C) in-home individualized skills and socialization;
(15) in-home respite provided in the YES Program; and
(16) any other service required by federal or state mandates.
(b) A CDS employer must ensure a service provider uses EVV to document the provision of the following personal care services through the CDS option:
(1) in the traditional Medicaid service model also referred to as fee-for-service:
(A) CFC PAS;
(B) CFC HAB;
(C) PCS provided under Texas Health Steps CCP; and
(D) PCS-Behavioral Health provided under Texas Health Steps CCP;
(2) in the CLASS Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(3) personal attendant services provided through the Community Attendant Services Program;
(4) in the DBMD Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(5) personal attendant services provided through the FC Program;
(6) in the HCS Program:
(A) CFC PAS/HAB; and
(B) in-home respite;
(7) personal attendant services provided through the Primary Home Care Program;
(8) in the STAR Health Program:
(A) CFC PAS;
(B) CFC HAB; and
(C) for a member in STAR Health MDCP:
(i) in-home respite, with and without RN delegation; and
(ii) flexible family support, with and without RN delegation;
(9) in the STAR Kids Program:
(A) CFC PAS;
(B) CFC HAB; and
(C) for a member in STAR Kids MDCP:
(i) in-home respite, with and without RN delegation; and
(ii) flexible family support, with and without RN delegation;
(10) in the STAR+PLUS Program:
(A) personal assistance services;
(B) CFC PAS; and
(C) CFC HAB;
(11) in the STAR+PLUS HCBS Program:
(A) in-home respite care;
(B) protective supervision;
(C) personal assistance services;
(D) CFC PAS; and
(E) CFC HAB;
(12) in the STAR+PLUS MMP:
(A) in-home respite care;
(B) protective supervision;
(C) personal assistance services;
(D) CFC PAS; and
(E) CFC HAB; and
(13) in the TxHmL Program:
(A) CFC PAS/HAB;
(B) in-home respite; and
(C) in-home individualized skills and socialization.
Source Note: The provisions of this §354.4005 adopted to be effective January 1, 2024, 48 TexReg 7171