(a) In the absence of acceptable secondary documentation,
financial errors include the errors described in this section.
  (1) The DAHS facility is reimbursed for services, but
DADS Daily Attendance and Daily Transportation Record form is missing
for the period for which services are reimbursed. DADS applies the
error to the total number of units reimbursed for the billing period.
  (2) The DAHS facility is reimbursed for units that
exceed the units recorded on DADS Daily Attendance and Daily Transportation
Record form. DADS applies the error to the total number of units reimbursed
in excess of the units recorded.
  (3) The DAHS facility is reimbursed for units of service
and the client did not receive services or was Medicaid ineligible
(not applicable to Title XX clients). DADS applies the error to the
total number of units reimbursed for the days the client did not receive
services or was Medicaid ineligible.
(b) Corrections of critical omissions or errors in
DAHS facility documentation must be postmarked or date stamped as
received by DADS within 14 days after the regional nurse mails DADS
Notification of Critical Omissions/Errors in Required Documentation
form to the DAHS facility. If the DAHS facility fails to meet this
time frame:
  (1) the date of prior approval can be no earlier than
the postmark or DADS-stamped date on the corrected documentation;
or
  (2) DADS may refer the individual to another DAHS facility
of the individual's choice.
    (A) If there is space in another DAHS facility, the
regional nurse notifies the case manager by the next workday to give
the individual or individual's family/representative the option to
be referred to another DAHS facility.
    (B) The case manager will contact the individual within
three workdays after being notified by the regional nurse and refer
the individual to another DAHS facility, if the individual or the
individual's family/representative prefers this option.


Source Note: The provisions of this §98.210 adopted to be effective May 1, 1999, 24 TexReg 3100; amended to be effective April 1, 2007, 32 TexReg 1749; amended to be effective September 1, 2014, 39 TexReg 6679