(a) Renewal of the plan of care. At least annually, and no earlier than 334 calendar days after the date of the previous initial or annual SPT meeting, the SPT must:
  (1) review the HSP and plan of care to determine whether the outcomes and IHSS previously identified remain relevant; and
  (2) determine whether the current assessment accurately reflects the designated resident's need for an IHSS in the identified frequency, amount, and duration, or if an IHSS requires a new assessment.
(b) Revisions to the plan of care. The habilitation coordinator, in collaboration with the SPT, initiates revisions to the HSP and plan of care at any time during the plan year in response to changes in the designated resident's needs and identified outcomes.
  (1) Any SPT member may ask the habilitation coordinator to convene an update SPT meeting to discuss whether a designated resident's plan of care needs to be revised to add a new IHSS or change the frequency, amount, or duration of an existing IHSS.
  (2) The habilitation coordinator must convene an update SPT meeting within seven calendar days after learning of the need to revise the designated resident's HSP or plan of care.
(c) Assessments. If the SPT agrees to add a new IHSS to the plan of care or determines an IHSS requires a new assessment in accordance with subsections (a) and (b) of this section, the service provider agency must, within seven calendar days after the SPT meeting:
  (1) conduct an assessment for a recommended IHSS to determine the frequency, amount, and duration of the IHSS; and
  (2) send the assessment to the habilitation coordinator.
(d) Submission to HHSC. The habilitation coordinator must:
  (1) submit annual renewals and necessary revisions of the plan of care to HHSC for authorization within ten calendar days after an SPT meeting; and
  (2) retain documentation in the designated resident's LIDDA record.
(e) Sending documents to the SPT. The habilitation coordinator must send each member of the SPT a copy of the revised HSP and current plan of care within ten calendar days after the HSP or plan of care is updated or renewed.
(f) Service delivery. If a designated resident's SPT determines a new IHSS or change in the frequency, amount, or duration of an existing service is needed, the plan of care must be revised or renewed in accordance with this section before the service provider agency delivers a new or increased service.

Source Note: The provisions of this §368.302 adopted to be effective September 1, 2021, 46 TexReg 4151