SECTION 331.9. Funding Service Coordination

(a) Service coordination may be funded by:

(1) personal funds or third-party insurance other than Medicaid;

(2) Medicaid targeted case management; or

(3) general revenue.

(b) Service coordination funded by Medicaid targeted case management:

(1) may be provided only to an individual who is a Medicaid recipient and only if:

(A) the individual meets at least one of the criteria described in §2.554(a)(1)(A) - (D) of this subchapter (relating to Eligibility); or

(B) the individual meets the criteria described in §2.554(a)(1)(E) or (a)(2) of this subchapter and the service coordination is provided during the last 180 days before the individual transitions to community-based services from the ICF/IID or nursing facility; and

(2) may not be provided to an individual:

(A) who resides in an institution for mental diseases; or

(B) who is enrolled in a Medicaid waiver program other than the HCS or TxHmL Program.

Source Note: The provisions of this §331.9 adopted to be effective June 1, 2010, 35 TexReg 4439; amended to be effective March 20, 2016, 41 TexReg 1864; transferred effective July 1, 2022, as published in the Texas Register June 3, 2022, 47 TexReg 3275