SECTION 262.304. Service Limits

(a) The following limits apply to an individual's TxHmL Program services:

(1) for adaptive aids, $10,000 during an IPC year;

(2) for dental treatment, $1,000 during an IPC year;

(3) for minor home modifications:

(A) $7,500 during the time the individual is enrolled in the TxHmL Program, which may be paid in one or more IPC years; and

(B) a maximum of $300 for repair and maintenance during the IPC year; and

(4) for day habilitation and in-home day habilitation combined, 260 units during an IPC year.

(b) A program provider may request, in accordance with the TxHmL Program Billing Requirements, authorization of a requisition fee:

(1) for an adaptive aid that is in addition to the $10,000 service limit described in subsection (a)(1) of this section;

(2) for dental treatment that is in addition to the $1,000 service limit described in subsection (a)(2) of this section; or

(3) for a minor home modification that is in addition to the $7,500 service limit described in subsection (a)(3)(A) of this section.

Source Note: The provisions of this §262.304 adopted to be effective March 1, 2023, 48 TexReg 1055