Texas Administrative Code › Title 40 - SOCIAL SERVICES AND ASSISTANCE › Part 1 - DEPARTMENT OF AGING AND DISABILITY SERVICES › Chapter 48 - COMMUNITY CARE FOR AGED AND DISABLED › Subchapter I - CASE MANAGEMENT › Section 48.3901 - Application for Services

Current through Reg. 49, No. 28; July 12, 2024
(a)
				  Information collected to determine eligibility for services, whether collected
				  by DHS staff or provider agencies, is confidential.
(b) The applicant is entitled to a
				  face-to-face interview during the department's determination of his eligibility
				  for CCAD services. A person who is already receiving services from the Texas
				  Department of Human Services (DHS) or for whom the Social Security
				  Administration has already verified that income/resources are below the CCAD
				  income/resource limit is not required to submit an application.
(c) Applicants or their representatives
				  applying for services provided with regard to income must sign an application
				  for assistance form. Non-Medicaid applicants or their representatives applying
				  for retroactive reimbursement for Medicaid-covered attendant services must also
				  sign an application for assistance form. The date of application is the date
				  the department receives the signed application. Applicants must provide
				  accurate information about income and resources.
(d) Eligibility for CCAD services for
				  income-eligible applicants is determined within 30 calendar days after a signed
				  application is received. For categorically-eligible applicants, eligibility
				  must be determined within 30 calendar days after either the client's assessment
				  or face-to-face contact with the worker, whichever comes first. If the
				  applicant withdraws from the program before an assessment is completed or a
				  face-to-face interview is conducted, no further action is necessary.
(e) Non-Medicaid applicants or their
				  representatives applying for Medicaid-covered attendant services may be
				  reimbursed for services provided up to three months prior to the month of
				  receipt of a completed, signed, and dated application.
(f) The client must report promptly any
				  changes in income, resources, or family size; loss of assistance grant or
				  Medicaid benefits; or other changes in functional ability or circumstances that
				  affect eligibility. The client is subject to fraud prosecution if he willfully
				  fails to report changes and continues to receive services for which he is not
				  eligible.
(g) A Medicaid-certified
				  applicant for CCAD-purchased services who requires a verbal referral is
				  eligible to receive CCAD-purchased services when his eligibility for Medicaid
				  is verified. A non-Medicaid certified applicant who meets the requirements for
				  a verbal referral is eligible to receive CCAD-purchased services while income
				  and resources are verified.
(1) To be
				  eligible, this applicant must:
(A) be a new
				  applicant for CCAD services;
(B)
				  appear to be eligible based on the declaration of income and resources on his
				  application for services or have possession of a current medical care
				  identification card; and
(C) meet
				  the age and need criteria for the CCAD service he requires.