SECTION 259.253. Authorization Limit for Adaptive Aids and Amount for Repair and Maintenance

(a) The maximum amount HHSC approves as payment to a DSA for all adaptive aids and dental treatment combined for an individual is $10,000 per IPC period, which includes the cost of repair and maintenance of an adaptive aid.

(b) To request authorization for repair and maintenance of an adaptive aid up to $300 per IPC period, a DSA is not required to follow the process described in §259.255 of this division (relating to Requirements for Authorization to Purchase an Adaptive Aid Costing Less Than $500) but must include the amount requested on an individual's IPC as described in §259.65 of this chapter (relating to Development of an Enrollment IPC) or §259.79 of this chapter (relating to Renewal and Revision of an IPC).

(c) A DSA must follow the process for requesting authorization to purchase an adaptive aid described in §259.255 of this division if:

(1) requesting authorization for repair and maintenance of an adaptive aid in an amount that exceeds the $300 limit described in subsection (b) of this section; or

(2) requesting authorization for repair and maintenance of an adaptive aid that is not purchased through the CLASS Program but is identical to an item or service that a DSA may purchase as an adaptive aid listed in the Community Living Assistance and Support Services Provider Manual.

Source Note: The provisions of this §259.253 adopted to be effective January 30, 2023, 48 TexReg 362