DAHS providers that have a DAHS contract with the Texas Department of Aging and Disability Services (DADS) are advised of revised eligibility criteria and assessment procedures.
Pending completion of proposed rule amendments to Texas Administrative Code (TAC), Title 40 Part 1, Chapter 48, §48.2915, providers of DADS DAHS are notified effective October 15, 2015, the following eligibility criteria will apply:
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? DAHS services must be prescribed by a physician who has certified that the individual has a need for DAHS because of an identified chronic medical condition.
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? The individual must be able to benefit therapeutically from DAHS, as determined by a health assessment of the individual’s medical needs. The health assessment will inform of the functional need or needs as defined by 40 TAC §98.2(32) which will be addressed and of the therapeutic benefit the individual will receive from personal care, habilitative or restorative activities by participation in DAHS.
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? In October 2015, procedures for eligibility determination will be revised in DAHS Provider Manual sections 5000 – 6000 to reflect the updated eligibility criteria and streamlined documentation requirements. DADS Form 3049, DAHS Health Assessment will no longer be utilized and revised forms 3055, Physician’s Orders, and 3050, DAHS Health Assessment/Service Plan, must be utilized beginning October 15, 2015, for new enrollments, for transfers to a different DAHS facility, and if the individual’s condition changes significantly.
Please submit questions concerning information provided in this letter to dahs@dads.state.tx.us.
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