SECTION 263.304. Service Limits

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

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

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

(3) for minor home modifications and pre-enrollment minor home modifications combined:

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

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

(4) for respite and in-home respite combined, 300 hours during an IPC year;

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

(6) for TAS:

(A) $2,500 if the applicant's initial IPC does not include residential support, supervised living, or host home/companion care; or

(B) $1,000 if the applicant's initial IPC includes residential support, supervised living, or host home/companion care.

(b) An individual may receive TAS only once in the individual's lifetime.

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

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

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

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

Source Note: The provisions of this §263.304 adopted to be effective March 1, 2023, 48 TexReg 1080