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Appendix IX: APS Service Codes, Service Descriptions, Unit Types, and Unit Type Descriptions

APS-IH / November 2016

APS Assistance

APS Medical

APS Residential

APS Environment

APS Services

APS Legal

APS Other

APS Assistance

Service Code

Service Name

Service Description

Unit Type

Unit Type Description

36R

Rent/House Payment

Payment of housing security deposits, mortgage payments, and rental assistance for clients who face emergency circumstances like eviction.

Funds for purchased client services are used for security deposits only as a last resort and must not be common practice.

ONE

One-time

37G

Water

Payment of water bills for clients who are in danger of having the service terminated because they are financially unable to pay.

Funds for purchased client services are used for security deposits only as a last resort and must not be common practice.

ONE

One-time

37F

Gas

Payment of gas bills for clients who are in danger of having the service terminated because they are financially unable to pay.

This code is used to purchase natural gas or propane.

Funds for purchased client services are used for security deposits only as a last resort and must not be common practice.

ONE

One-time

37E

Electricity

Payment of electric bills for clients who are in danger of having the service terminated because they are financially unable to pay.

Funds for purchased client services are used for security deposits only as a last resort and must not be common practice.

ONE

One-time

36U

Telephones

Payment for utilities other than gas, water, or electricity for clients who are in danger of having their service terminated because they are financially unable to make payment.

ONE

One-time

37D

Groceries

Food and dietary supplements needed by clients.

ONE

One-time

37C

Nutrition

Nutritious prepared meals purchased for a client on an emergency basis when the client needs immediate nutrition.

This code is not used for Meals on Wheels (see code 35O).

MLZ

Meals

36P

Personal Needs

Supplies such as clothing, toiletries, and personal care items needed by clients.

This includes essential household supplies, such as brooms, mops, and cleaning supplies.

ONE

One-time

36D

Day Activity and Health Service

Nursing and personal care services, physical rehabilitation, transportation, nutrition, and other support services given by facilities licensed and certified by DADS.

Facilities must have services available at least 10 hours a day, Monday through Friday, except on holidays.

HAL

Half-day

36F

Money Management

Payment of bills, assistance with budgeting and the managing of financial affairs for a client who needs assistance with these tasks.

This may include payment for the services of a representative payee who is accountable to the source of income (such as the Social Security Administration or the U.S. Department of Veteran’s Affairs).

XXX

Other

36Q

Ongoing Service Support

Services provided by a community agency staff to ensure the health and safety of clients and provide access to available community services.

Services include, but are not limited to:

  •   arranging for and transporting clients to medical appointments;

  •   assisting clients with payment of bills and financial management;

  •   contacting resources to obtain emergency assistance; and

  •   assisting clients with applications for food stamps, Social Security benefits, and other benefits.

Ongoing support services cannot be used for the initiation of the investigation, initial face-to-face visit, collateral investigative contacts, assessment, or service plan development.

HOU

Hour

36T

Transportation

Transportation for a client, when necessary to alleviate abuse, neglect, or exploitation or to meet the intent of the service plan.

For example, transportation to and from medical appointments, placements, or a community agency or governmental office to secure resources.

Depending on the client’s level of impairment, transportation may be provided by a local bus or van system, ambulance, taxi, or a private automobile with an escort.

ONE

One-time

36A

Personal Assistance Care – Regular

Regular, nonskilled, nontechnical services provided in a client’s home by an attendant employed by a licensed home and community support services agency.

Tasks performed for the client include personal care, housekeeping, meal preparation, and other activities of daily living.

HOU

Hour

36Y

Personal Assistance Care – Medium Risk

Nonskilled, nontechnical service provided in a client’s home by an attendant employed by a licensed home and community support services agency.

Tasks performed for the client include personal care, housekeeping, meal preparation, and other activities of daily living.

HOU

Hour

36Z

Personal Assistance Care – High Risk

Nonskilled, nontechnical service provided in a client’s home by an attendant employed by a licensed home and community support services agency.

Tasks performed for the client include personal care, housekeeping, meal preparation, and other activities of daily living.

An individual is considered high-risk if the situation meets the following criteria:

  •   The client is completely unable to perform one or more of the following activities without hands-on-assistance from another person: transferring into or out of bed, a chair or a toilet; eating; traveling to or using the toilet; preparing a meal; self-administering prescribed medications.

  •   No one is capable or willing to provide the needed assistance during a normally scheduled service shift, other than the provider attendant.

  •   The caseworker determines that there is a high likelihood that the client’s health, safety, or well being would be jeopardized if the services were not provided on a single given shift.

  •   Services are required outside of normal work hours.

HOU

Hour

37O

Storage Fees

As a last resort, payment for the temporary storage of an APS client’s goods when the client is evicted or needs to move to a new residence in order to alleviate abuse, neglect, or exploitation.

The client must sign Form 2284 Client Release of DFPS Liability for Payment of Storage Unit.

Payment may include administrative fees and insurance, if required by the storage company.

The storage unit must be rented in the name of the client.

Payment is not to exceed two months, except when pending approval of a guardianship.

ONE

One-time

37R

Pet Needs

Purchases for pet needs may include pet food, supplies or pet care products, carriers, over the counter or prescribed medications, bedding, grooming supplies, and other appropriate pet care goods and services. Client must sign Release of DFPS Liability Form for Pet Needs (Form 2306).

Payment for veterinary services including temporary shelter, medication administration, vaccinations, grooming and cleaning services, treatment for pest or other infestation or infection and pet health certificates.

One Time

 

37S

Banfield Funds

Banfield funds must be used when the client is expected to remain or reunite with the pet. (See above 37R)

One Time

 

37T

Owner Surrender/ Pet Adoption Fees

Payment to cover fees related to permanent removal of pets when needed to remedy abuse, neglect, or financial exploitation. Payment may include fees related to pet adoptions. Banfield funds cannot be used for this service.

One Time

 

APS Medical

Service Code

Service Name

Service Description

Unit Type

Unit Type Description

36M

Medication

Prescription and nonprescription medication.

ONE

One-time

37B

Medical Supplies

Disposable medical supplies, such as gloves, masks, and syringes.

ONE

One-time

35Q

Adaptive Equipment

Purchase, rental, or repair of durable medical equipment and supplies, such as walkers, wheelchairs, bath aids, hearing aids, and prosthetic devices necessary for a client’s health and safety.

ONE

One-time

35V

Vision Care

Services such as eye examinations and the repair or replacement of glasses or contacts.

ONE

One-time

35D

Dental Care

Treatment related to teeth and gums provided by a dentist, when necessary for a client’s health or safety. Includes removal of teeth and dentures.

ONE

One-time

36S

Home Health Services

Skilled nursing and rehabilitative services provided in a client’s home by the staff of a home and community support services agency.

ONE

One-time

36W

Medical Services

Home or office visits by a physician, registered nurse, or other health professional to evaluate a client’s capacity to consent, medical condition, and need for treatment.

ONE

One-time

36X

Mental Health Services

Home or office visits by a physician, physician assistant, psychiatrist, registered nurse, or other health professional to evaluate a client’s capacity to consent, mental health condition, and need for treatment.

The service may also include either or both of the following:

  •  Home or office visits by a psychologist, licensed master’s level social worker, or licensed professional counselor to evaluate the client’s mental status and competency

  •  Provision of a written assessment, consultation to the caseworker, and court testimony.

One-time

37K

APS Forensic Assessments

A face-to-face virtual visit or record review by a physician, physician's assistant, psychiatrist, registered nurse, or other health professional to evaluate a client's physical or medical condition, capacity to consent, mental health condition, and need for intervention or treatment by a medical professional. May also include a review of records to determine whether injury or death was caused by abuse or neglect.

This service includes:

• Determination as to whether a condition, injury or death is accidental, developmental, or has a cause other than abuse or neglect

• Assistance to APS in development of a service plan designed to deal with medical emergencies or to mitigate abuse, neglect, or financial exploitation of an APS client

• A second opinion of a medical report or an explanation obtained during the course of an investigation

 

APS Residential

Service Code

Service Name

Service Description

Unit Type

Unit Type Description

36L

Other Emergency Shelter

Short-term housing provided in settings other than adult foster homes, residential care facilities, or nursing homes.

Depending on the client’s level of impairment, shelter may be provided in a motel, hotel, or other setting.

DA2

Day (24-hour)

35R

Boarding Home Facilities/Temp

Provision of room, meals, transportation, laundry services and assistance with self-administration of medication.

Services do not include personal care, nursing services, or supervision of clients.

DA2

Day (24-hour)

36H

Nursing Home Care

Twenty-four hour care in a DADS-licensed nursing home for a client who does not qualify for Medicaid benefits related to nursing homes and whose income and resources are insufficient to pay for care.

Services may include personal care, nursing services, supervision, food, and the provision of a room.

DA2

Day (24-hour)

37P

Applied Income

Payment for Nursing Home Care (for clients who are Medicaid-eligible)

Payment of the client’s portion of the nursing home bill, when DFPS has placed a client in the nursing home to alleviate abuse or neglect.

This is paid only as a last resort, for example, when the nursing home is unable to accept or continue placement for the client because the client has no income or resources or his or her funds are inaccessible.

DA2

Day (24-hour)

36J

Adult Foster Care

Twenty-four-hour living arrangement in a DADS-approved foster home.

Providers live in the household and share a common living area with clients.

Services include supervision, housekeeping, minimal help with personal care, help with other activities of daily living, and provision of, or arranging for the provision of transportation, a room, and food.

DA2

Day (24-hour)

36K

Residential Care

Twenty-four hour care in an assisted-living facility licensed by DADS.

Services include, but are not limited to, personal care, housekeeping, escort, transportation, social and recreational activities, 24-hour supervision, and the provision of a room and food.

DA2

Day (24-hour)

37J

Moving-APS

Payment for moving expenses for clients who are being evicted or who need to move to a new residence in order to alleviate abuse, neglect, or exploitation.

ONE

One-time

APS Environment

Service Code

Service Name

Service Description

Unit Type

Unit Type Description

35A

Animal Control

Removal of animals from a residence.

ONE

One-time

35P

Extermination

Treatment of a residence with commercial sprays to remove any common household pests.

Common household pests include but are not limited to roaches, ants, spiders, silverfish, fleas, earwigs, bees, wasps, and scorpions.

ONE

One-time

35Y

Lawn Care

Restoration of a safe living environment by mowing an overgrown lawn and clearing trash and debris from the yard.

ONE

One-time

36B

Heavy Cleaning (Int/Ext.)

Restoration of a safe living environment by clearing trash, debris, accumulated grime, insects, and rodents from inside or outside of a client’s residence.

ONE

One-time

37I

Appliance

Purchase or repair of the household appliances needed to maintain a client in the client's home.

ONE

One-time

37H

Furniture

Purchase or repair of furniture needed to maintain a client in the client's home.

ONE

One-time

36E

Housing Repair or Modification

Minor home repairs made to a client’s residence to restore a safe living environment, including purchasing supplies, performing electrical work, providing plumbing services, repairing holes in floors or broken windows, and installing door locks, weather-stripping, and wheelchair ramps.

Services may include buying the building supplies necessary to make minor home repairs or modifications.

Services may include buying the supplies necessary to secure a residence if the client will be moving from the home due to APS intervention.

ONE

One-time

APS Services

Service Code

Service Name

Service Description

Unit Type

Unit Type Description

35O

Home Delivered Meals

Hot, nutritious meals served in a client’s home.

Meals must be approved by a dietary consultant who is either a registered dietitian licensed by the Texas State Board of Examiners of Dietitians or has a bachelor’s degree with major studies in food and nutrition, dietetics, or food service management.

MLZ

Meals

36C

Congregate Meals

Hot, nutritious meals served in a central dining area.

Meals must be approved by a dietary consultant who is either a registered dietitian licensed by the Texas State Board of Examiners of Dietitians or has a bachelor’s degree with major studies in food and nutrition, dietetics, or food service management.

MLZ

Meals

35C

Counseling

Home or office visits by a licensed professional counselor, licensed masters-level social worker, psychologist, or psychiatrist for the purpose of providing short-term counseling to alleviate factors leading to abuse, neglect, or exploitation.

Services may include marriage or family counseling and individual or group counseling for APS clients.

If services are authorized for family members or for the caretakers of the client, the client’s name and APS case number must be included on the invoice and in the Comments section of the Service Authorization page in IMPACT.

HOU

Hour

35U

Emergency Response Service

Electronic monitoring system for use by clients who live alone or who are isolated in the community. In an emergency, the client can press a call button to signal for help.

The system, which provides 24-hour, seven-day-a-week monitoring, helps ensure that the appropriate person or service agency responds to an alarm call from a client.

ONE

One-time

APS Legal

Service Code

Service Name

Service Description

Unit Type

Unit Type Description

35L

Legal Services

Miscellaneous expenses, such as the cost of publishing notices to creditors or citation for guardianship, and the fee for obtaining a birth certificate necessary to determine a client’s eligibility for other government and community social services.

Attorney services or fees, bonding, and court fees cannot be purchased with the use of purchased client services funds (Exception: Eviction fees, as explained in 37Q, below).

ONE

One-time

37Q

Eviction Fees

Payment of fees to evict an alleged perpetrator on behalf of an APS client who is in a state of abuse, neglect, or exploitation. The investigation must be validated and the APS client must request the eviction as a result of failure by the alleged perpetrator to move voluntarily.

Eviction fees can be paid only once. If the client allows the same alleged perpetrator to re-enter the home after eviction, fees cannot be paid again with the use of purchased client service funds.

Payments of eviction fees are made to the justice of the peace for the court that has jurisdiction where the client lives. Fees include those for filing and serving evictions only.

Fees for attorney services or bonding cannot be purchased with the use of purchased client services funds.

ONE

One-time

APS Other

Service Code

Service Name

Service Description

Unit Type

Unit Type Description

36I

Administrative Fee (Claims Processing)

Fee for the processing of bills incurred for delivering emergency goods and services. (Claims processing maximizes the availability of goods and services, expedites payments, and facilitates the tracking of purchases).

ONE

One-time

 

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