Section 2000 Definition Flashcards
(67 cards)
Basic personal everyday activities
including, but not limited to, tasks such as eating, toileting, grooming, dressing, bathing and transferring.
ADLs or activities of daily living
A person who is 18 years of age or older.
Adult
A vendor that provides to a program provider, for a calendar year, one or more adaptive aids costing less than $500.
Annual vendor
A written plan prescribing the systematic application
of behavioral techniques regarding an individual that contains specific objectives to decrease or eliminate targeted behavior.
Behavior support plan
An activity for which a service claim may be submitted for service components and subcomponents listed in Section 3100, Applicable Service Components.
Billable activity
Midnight through 11:59 p.m.
Calendar day
The first day of a month through the last day of that
month.
Calendar month
- Sunday through Saturday.
Calendar week
January through December
Calendar year
A state plan service that consists of:
(A) personal assistance services that provide assistance to an individual in performing activities of daily living (ADLs) and instrumental activities of daily living (IADLs) based on the individual’s person-centered service plan, including:
(i) non-skilled assistance with the performance of the ADLs and IADLs;
(ii) household chores necessary to maintain the home in a clean, sanitary and safe environment;
(iii) escort services, which consist of accompanying and assisting an individual to access services or activities in the community, but do not include transporting an individual; and
(iv) assistance with health-related tasks; and
CFC PAS/HAB or Community First Choice Personal Assistance
Services/Habilitation
CFC PAS/HAB
Community First Choice Personal Assistance
Services/Habilitation
A state plan service that consists of: habilitation that provides assistance to an individual in acquiring, retaining and improving self-help, socialization, and daily living skills and training the individual on ADLs, IADLs and health-related tasks, such as: (i) self-care; (ii) personal hygiene; (iii) household tasks; (iv) mobility; (v) money management; (vi) community integration, including how to get around in the community; (vii) use of adaptive equipment; (viii) personal decision making; (ix) reduction of challenging behaviors to allow individuals to accomplish ADLs, IADLs, and health-related tasks; and (x) self-administration of medication.
CFC PAS/HAB or Community First Choice Personal Assistance
Services/Habilitation
In accordance with Code of Federal Regulations, Title 42, §447.45(b), a claim for services submitted by a program provider that can be processed without obtaining additional information from the program
provider or a party other than HHSC, including a claim with errors originating in the Texas claims management system, but not including a claim from a program provider under investigation for fraud or abuse, or a claim under review for medical necessity.
Clean claim
- Employment in the competitive labor market,
performed on a full-time or part-time basis, that pays an individual:
(A) at or above the applicable minimum wage; and
(B) not less than the customary wage and level of benefits paid by an employer to individuals without disabilities performing the same or similar work.
Competitive employment
- A fixed fee an individual pays for a service at the time the service is provided.
Co-payment
DADS
The Department of Aging and Disability Services
Payment made by an individual in a specified amount for a service received before coverage begins for that service under the insurance policy.
Deductible
DFPS
The Department of Family and Protective Services
During a 24-hour period, a combined period of time of more than 16 hours.
Extended shift
Within the physical presence of another person who is not asleep.
Face-to-face
An appraisal of an individual’s current health status
that:
(A) contributes to a comprehensive assessment conducted by a registered nurse;
(B) collects information regarding the individual’s health status; and
(C) determines the appropriate health care professionals or other persons
who need the information and when the information should be provided.
Focused assessment -
A residence approved in accordance with 40 TAC
§9.188:
(A) that a program provider leases or owns;
(B) in which at least one person but no more than four persons receive:
(i) residential support;
(ii) supervised living;
(iii) a non-HCS Program service similar to residential support or supervised living (for example, services funded by DFPS or by a person’s own resources); or
(iv) respite;
(C) that, if it is the residence of four persons, at least one of those persons receives residential support;
(D) that is not the residence of any persons other than a service provider, the service provider’s spouse or person with whom the service provider has a spousal relationship, or a person described in subparagraph (B) of this paragraph; and
(E) that is not a dwelling described in §9.155(a)(5)(H) of this subchapter (relating to Eligibility Criteria and Suspension of HCS Program Services).
Four-person residence
A _________ of the person or estate appointed for a person in accordance with state law.
Guardian
As defined in Texas Human Resources Code, §42.002, a child-care facility that provides care for more than 12 children for 24 hours a day, including facilities known as children’s homes, halfway houses, residential treatment centers, emergency shelters and therapeutic camps.
GRO - General Residential Operation
