2600, Initiating NF Specialized Services

Revision 22-1; Effective Nov. 28, 2022

If funding for NF specialized services is available (i.e., Medicaid), the NF is responsible for the successful submission of a complete and accurate prior authorization request for NF specialized services in the LTC online portal within 20 business days after the date of the IDT meeting. The NF must start providing a habilitative therapy service within three business days after receiving approval from HHSC in the LTC online portal. Additionally, the NF must:

  • order all DME devices and CMWCs per NF rules in 26 TAC Section 554.2754(e);
  • provide ongoing habilitative therapy services as approved by HHSC; and
  • document annually on the PCSP form in the LTC online portal all NF specialized services, IDD habilitative specialized services, and MI specialized services being provided to a person.