(a) Service planning for an individual who chooses to participate in the CDS option is completed in accordance with the rules and requirements of the individual's program in the same manner as if services are delivered through a program provider. Service planning includes:
  (1) determining the individual's needs;
  (2) determining service levels;
  (3) justifying changes to the service plan;
  (4) maintaining costs and cost ceilings;
  (5) reviewing services; and
  (6) obtaining approval for planned services.
(b) A case manager or service coordinator must adhere to rules and requirements of the individual's program and in Subchapter D of this chapter (relating to Enrollment, Transfer, Suspension, and Termination) if the individual's services or a request for services is recommended for:
  (1) denial;
  (2) reduction;
  (3) suspension; or
  (4) termination.
(c) A case manager or service coordinator must provide an oral explanation of an action recommended by a service planning team. The procedure for requesting a fair hearing must be provided orally and in accordance with the individual's program requirements.

Source Note: The provisions of this §41.111 adopted to be effective January 1, 2007, 31 TexReg 10352