Section 263.304 - Service Limits(a) The following limits apply to an individual's HCS Program services: (1) for adaptive aids, $10,000 during an IPC year;(2) for dental treatment, $2,000 during an IPC year;(3) for minor home modifications and pre-enrollment minor home modifications combined: (A) $7,500 during the time the individual is enrolled in the HCS Program, which may be paid in one or more IPC years; and(B) a maximum of $300 for repair and maintenance during an IPC year;(4) for respite and in-home respite combined, 300 hours during an IPC year;(5) for day habilitation and in-home day habilitation combined, 260 units during an IPC year;(6) for TAS: (A) $2,500 if the applicant's initial IPC does not include residential support, supervised living, or host home/companion care; or(B) $1,000 if the applicant's initial IPC includes residential support, supervised living, or host home/companion care; and(7) for employment readiness and individualized skills and socialization combined: (A) 1560 hours during an IPC year;(B) six hours per calendar day; and(C) five days per calendar week.(b) An individual may receive TAS only once in the individual's lifetime.(c) A program provider may request, in accordance with the HCS Program Billing Requirements, authorization of a requisition fee:(1) for dental treatment that is in addition to the $2,000 service limit described in subsection (a)(2) of this section;(2) for a minor home modification that is in addition to the $7,500 service limit described in subsection (a)(3)(A) of this section; or(3) for an adaptive aid that is in addition to the $10,000 service limit described in subsection (a)(1) of this section.26 Tex. Admin. Code § 263.304
Adopted by Texas Register, Volume 48, Number 08, February 24, 2023, TexReg 1110, eff. 3/1/2023; Amended by Texas Register, Volume 49, Number 51, December 20, 2024, TexReg 10380, eff. 1/1/2025