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TITLE 26 - HEALTH AND HUMAN SERVICES
PART 1 - HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 261 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY OR RELATED CONDITIONS (ICF/IID) PROGRAM--CONTRACTING
SUBCHAPTER F - PERSONAL FUNDS
SECTION/RULE §261.255 - Items and Services Purchased with Personal Funds
Chapter Review Date 07/22/2024

(a) A program provider may charge an individual or allow an individual to expend personal funds for the following items and services:(1) an item or service that the program provider is responsible for providing, if the individual requests a specific type or brand of item or service that the program provider does not provide, and the program provider documents in the individual's record:(A) the individual's written, signed request for a specific type or brand and the reason a specific type or brand has been requested or if the individual is determined not to have the ability to make such a request, the IDT's approval for a specific type or brand;(B) the type or brand that is provided at the program provider's expense; and(C) the reason the program provider does not provide the type or brand requested;(2) the difference between the Medicaid payment and the actual cost of the eyeglasses, if the individual chooses a style or feature not paid for by Medicaid;(3) clothing;(4) cosmetic dental procedures;(5) transportation costs, other than those described in §419.254(17) of this title (relating to Items and Services Provided by the Program Provider):(A) if reimbursement to a third party for private transportation does not exceed the current state mileage reimbursement rate; and(B) if adequate documentation is provided by a third party to the program provider to support the expenditure;(6) repair or replacement of personal property that is damaged, lost, or stolen by the individual, if the expenditure is approved by the committee;(7) snacks and meals, if the individual chooses items not listed on the program provider's menu;(8) the individual's budgeted amount;(9) activities that are not part of the program provider's recreational program and are independently chosen by the individual;(10) dry cleaning;(11) hair setting, permanent waves, hair color treatments, and beauty supplies, such as hair rollers and hair spray;(12) cosmetics and perfume;(13) cosmetic manicures, pedicures, and facials;(14) charges to hold the individual's residential placement in the facility as described in §419.227(j) of this title (relating to Discharge From a Facility)(15) school supplies, school fees, and other educational expenses;(16) fees charged by a financial institution, if the individual manages his or her personal funds or the individual requests that the program provider manage his or her personal funds in a separate account; and(17) applied income.(b) Items purchased with an individual's personal funds must not be available for general use by program provider staff or other individuals.

Source Note: The provisions of this §261.255 adopted to be effective January 1, 2001, 25 TexReg 12790; amended to be effective September 1, 2001, 26 TexReg 5384; transferred effective September 1, 2004, as published in the Texas Register September 10, 2004, 29 TexReg 8841; transferred effective October 1, 2020, as published in the Texas Register August 28, 2020, 45 TexReg 6127.

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