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Section 2000 > Section 2000 Definition > Flashcards

Section 2000 Definition Flashcards

1
Q

Basic personal everyday activities
including, but not limited to, tasks such as eating, toileting, grooming, dressing, bathing and transferring.

A

ADLs or activities of daily living

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2
Q

A person who is 18 years of age or older.

A

Adult

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3
Q

A vendor that provides to a program provider, for a calendar year, one or more adaptive aids costing less than $500.

A

Annual vendor

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4
Q

A written plan prescribing the systematic application
of behavioral techniques regarding an individual that contains specific objectives to decrease or eliminate targeted behavior.

A

Behavior support plan

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5
Q

An activity for which a service claim may be submitted for service components and subcomponents listed in Section 3100, Applicable Service Components.

A

Billable activity

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6
Q

Midnight through 11:59 p.m.

A

Calendar day

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7
Q

The first day of a month through the last day of that
month.

A

Calendar month

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8
Q
  • Sunday through Saturday.
A

Calendar week

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9
Q

January through December

A

Calendar year

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10
Q

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

A

CFC PAS/HAB or Community First Choice Personal Assistance

Services/Habilitation

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11
Q

CFC PAS/HAB

A

Community First Choice Personal Assistance
Services/Habilitation

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12
Q 
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.
A

CFC PAS/HAB or Community First Choice Personal Assistance

Services/Habilitation

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13
Q

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.

A

Clean claim

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14
Q
  • 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.
A

Competitive employment

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15
Q
  • A fixed fee an individual pays for a service at the time the service is provided.
A

Co-payment

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16
Q

DADS

A

The Department of Aging and Disability Services

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17
Q

Payment made by an individual in a specified amount for a service received before coverage begins for that service under the insurance policy.

A

Deductible

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18
Q

DFPS

A

The Department of Family and Protective Services

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19
Q

During a 24-hour period, a combined period of time of more than 16 hours.

A

Extended shift

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20
Q

Within the physical presence of another person who is not asleep.

A

Face-to-face

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21
Q

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.

A

Focused assessment -

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22
Q

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).

A

Four-person residence

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23
Q

A _________ of the person or estate appointed for a person in accordance with state law.

A

Guardian

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24
Q

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.

A

GRO - General Residential Operation

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25
Q

GRO

A

General Residential Operation

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26
Q

Specific tasks related to the needs of an individual,
which can be delegated or assigned by licensed health-care professionals under state law to be performed by a service provider of CFC PAS/HAB.

These include tasks delegated by a registered nurse, health maintenance activities, as defined in 22 Texas Administrative Code (TAC) §225.4, Definitions, and activities assigned to a service provider of CFC PAS/HAB by a licensed physical therapist, occupational therapist or speech-language pathologist.

A

Health-related tasks

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27
Q

HHSC

A

The Health and Human Services Commission

28
Q

Activities related to living independently in the community, including meal planning and preparation;
managing finances; shopping for food, clothing and other essential items; performing essential household chores; communicating by phone or other media; traveling around and participating in the community.

A

IADLs or instrumental activities of daily living

29
Q

IADL

A

instrumental activities of daily living

30
Q

A facility in which ICF/IID Program services are provided and that is licensed in accordance with Texas
Health and Safety Code Chapter 252 or certified by DADS.

A

ICF/IID

Intermediate care facility for individuals with an intellectual disability

31
Q

A form used by HHSC for making an LOC (level of care) determination and LON (level of need) assignment.

A

ID/RC assessment

Intellectual Disability/Related Condition

32
Q

A written document developed by the program
provider for an individual that, for each HCS program service on the individual’s IPC not provided through the CDS option, includes:

(A) a list of outcomes identified in the PDP that will be addressed using HCS Program services;
(B) specific objectives to address the outcomes required by subparagraph (A) of this paragraph that are:
(i) observable, measurable, and outcome-oriented; and
(ii) derived from assessments of the individual’s strengths, personal goals, and needs;
(C) a target date for completion of each objective;
(D) the number of HCS Program units of service needed to complete each objective;
(E) the frequency and duration of HCS Program services needed to complete each objective; and
(F) the signature and date of the individual, LAR, and the program provider.

A

Implementation plan

33
Q

A person enrolled in the HCS Program.

A

Individual

34
Q
  • Employment at a work site at which an individual
    routinely interacts with people without disabilities other than the individual’s work site supervisor or service providers. To the same extent that people without disabilities in comparable positions interact with other people without disabilities, integrated employment does not include:
    (A) groups of people with disabilities working in an area that is not part of the general workplace where people without disabilities work; or
    (B) a mobile crew of people with disabilities working in the community.
A

Integrated employment

35
Q

A written plan that:
(A) states the type and amount of each HCS Program service to be provided to the individual during an IPC year;
(B) states the services and supports to be provided to the individual through non-HCS Program resources, including natural supports, medical services, and educational services; and
(C) is authorized by HHSC.

A

IPC or individual plan of care

36
Q

IPC

A

individual plan of care

37
Q

A 12-month period of time starting on the date an authorized initial or renewal IPC begins.

A

IPC year

38
Q
  • A person authorized by law to act on behalf of an individual and may include a parent, guardian or managing conservator of a minor, or the guardian of an adult.
A

Legally authorized representative

39
Q

A person licensed to practice vocational nursing
in accordance with Texas Occupations Code, Chapter 301.

A

Licensed vocational nurse

40
Q

An entity to which HHSC’s authority and responsibility, as described in Texas Health and Safety Code, §531.002(11), has been delegated.

A

Local Authority

41
Q

A determination given to an individual by HHSC as part
of the eligibility determination process based on data submitted on the ID/RC Assessment.

A

LOC or level of care

42
Q

LOC

A

level of care

43
Q

An assignment given to an individual by HHSC upon
which reimbursement for day habilitation, host home/companion care, residential support and supervised living is based. The LON (level of need) assignment is
derived from the service level score obtained from the administration of the Inventory for Client and Agency Planning (ICAP) to the individual and from selected items on the ID/RC Assessment.

A

LON or level of need

44
Q

a managing conservator appointed for a minor in
accordance with state law

A

Managing conservator

45
Q
  • An individual under 18 years of age
A

Minor

46
Q

A written plan, based on person-directed planning and developed with an applicant or individual in accordance, that describes the supports and services necessary to achieve the desired outcomes identified by the applicant or individual (and LAR-legal authorized representative on the applicant’s or individual’s behalf) and ensure the applicant’s or individual’s health and safety

A

PDP or person-directed plan Form 8665

47
Q

PDP

A

person-directed plan Form 8665

48
Q

Minor home modifications completed before an applicant is discharged from a nursing facility, an
ICF/IID or a GRO and before the effective date of the applicant’s enrollment in the HCS Program

A

Pre-enrollment minor home modifications

49
Q

An assessment performed by a licensed professional as required by Appendix X, Billable Minor Home Modifications, to determine the need for pre-enrollment minor home modifications

A

Pre-enrollment minor home modifications assessment

50
Q

An individual’s temporary stay in a residence in which the individual receives the residential assistance subcomponent of host home/companion care, residential support or supervised living and such
subcomponent is different than the residential assistance subcomponent
authorized by the individual’s IPC.

A

Preselection visit

51
Q

An entity that provides HCS Program services under a
Medicaid Provider Agreement for the Provision of HCS Program Services with HHSC.

A

Program provider

52
Q
  • A person licensed to practice professional nursing in
    accordance with Texas Occupations Code, Chapter 301.
A

Registered nurse

53
Q

An established place of bona fide and continuous habitation that is a single structure except if the structure contains more than one dwelling
such as an apartment complex or duplex.

It means a dwelling within the structure. A person may have only one.

A

Residence

54
Q

The monitoring for changes in health needs of the
individual, overseeing the nursing care provided and offering clinical guidance as indicated, to ensure that nursing care is safe and effective and provided in
accordance with the nursing service plan for the individual.

A

RN clinical supervision

55
Q

An extensive evaluation of an individual’s health
status that:
(A) addresses anticipated changes in the conditions of the individual as well as emergent changes in the individual’s health status;
(B) recognizes changes to previous conditions of the individual;
(C) synthesizes the biological, psychological, spiritual and social aspects of the individual’s condition;
(D) collects information regarding the individual’s health status;
(E) analyzes information collected about the individual’s health status to make nursing diagnoses and independent decisions regarding nursing
services provided to the individual;
(F) plans nursing interventions and evaluates the need for different interventions; and
(G) determines the need to communicate and consult with other service providers or other persons who provide supports to the individual.

A

RN nursing assessment

56
Q

Work in which the individual solely owns, manages and operates a business, is not an employee of another person, entity or business, and actively markets a service or product to potential customers

A

Self-employment

57
Q

A request submitted by a program provider to be paid by HHSC for a service component or subcomponent.

A

Service claim

58
Q

A service as defined in Chapter 2, Subchapter L of this
title.

A

Service coordination

59
Q

An employee of a local authority who provides service coordination to an individual.

A

Service coordinator

60
Q

As defined in 40 TAC §9.153, a planning team
consisting of an applicant or individual, LAR, service coordinator and other persons chosen by the applicant or individual or LAR on behalf of the applicant or individual (for example, a program provider representative, family member, friend or teacher).

A

Service planning team

61
Q

A staff member or contractor of the program provider who performs billable activity.

A

Service provider

62
Q

A full-time or part-time employee of the program provider.

A

Staff member

63
Q

The process of directing, guiding and influencing the outcome of an unlicensed staff’s performance.

A

Supervision

64
Q

TAC

A

Texas Administrative Code

65
Q

A residence:
(A) that a program provider leases or owns;
(B) in which at least one person but no more than three 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; and
(C) that is not the residence of any person other than an HCS 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
(D) that is not a dwelling described in 40 TAC §9.155(a)(5)(H)

A

Three-person residence -

66
Q

A written plan, based on person-directed planning and developed with an applicant or individual using, it is used to document how transportation will be delivered to support an individual’s desired outcomes and purposes for transportation as identified in the PDP.

A

Transportation plan Form 3598

67
Q

Work performed by an individual without compensation that is for the benefit of an entity or person other than the individual and is performed in a location other than the individual’s residence

A

Volunteer work

Section 2000 (1 decks)

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