Provider Investigations Handbook

25-1, Update Section 2130

Revision Notice 25-1; Effective Jan. 10, 2025

The following change(s) were made:

SectionTitleChange
2130Verbal or Emotional Abuse AllegationsRemoves HCSSA and HCS references.

24-2, Makes Changes Throughout Handbook

Revision Notice 24-2; Effective Dec. 2, 2024

The following change(s) were made:

SectionTitleChange
1000HHSC Provider Investigation Program OverviewRemoves legislative session information.
1200DefinitionsUpdates, adds new, and deletes obsolete definitions to align with current jurisdiction.
1310AllegationsClarifies the term person receiving services when used in this handbook.
1320Providers and EntitiesUpdates provider to remove ICFs and add residential child-care facilities.
1330Cooperating with PI InvestigationsRemoves state supported living centers.

Updates HCS and TxHmL TAC references and removes ICF rule reference.
1340Other State Agencies and Investigative EntitiesUpdates reporting to include HHSC CII as an entity to which PI refers information.
2000Reporting Abuse, Neglect and ExploitationClarifies the term person receiving services when used in this handbook.
2110Physical Abuse AllegationsClarifies the term person receiving services when used in this handbook.
2120Sexual Abuse AllegationsClarifies the term person receiving services when used in this handbook.
2130Verbal or Emotional Abuse AllegationsClarifies the term person receiving services when used in this handbook.
2140Neglect AllegationsRemoves ICF, HCS/TxHmL, and HCSSA from examples. Clarifies the term person receiving services when used in this handbook.
2150Exploitation AllegationsClarifies the term person receiving services when used in this handbook.
3000Investigating ProcessClarifies the term person receiving services when used in this handbook.
3120Intake PriorityUpdates Priority II initial contact time frame to make distinction between allegations involving a child and those involving an adult. Removes young adult and SSLC references.
3210Notifications to Law Enforcement or the Office of the Inspector GeneralRemoves SSLC reference.
3220Notifications to the Provider and Applicable Regulatory ProgramRemoves ICFs and adds residential child-care facilities to settings.
3230Notifications Involving Other State Agencies or EntitiesRemoves young adult reference.
3310Prior Case HistoryUpdates title and clarifies when PI completes a principal case history check.
3500Investigation CompletionRemoves SSLC.
3510ExtensionsUpdates who grants extensions.
3520Investigation Status Report and Report ProvisionRemoves ICF Five-day Status Report.

Adds other entities PI may send a notification of findings to, to align with 3230 in Notification of the Findings section.
3600PI Does Not InvestigateClarifies the term person receiving services when used in this handbook.
3700Emergency ServicesClarifies the term person receiving services when used in this handbook.
4210.1Administrative ReviewClarifies that HHSC conducts the review and the designated perpetrator returns the Request for Administrative Review to the provided address.
4230.2Notification of Release of Findings for School EmployeesUpdates title of record request letter.
4320Appeal ProcessClarifies that HHSC designates the reviewer and updates district to region.
4330Appeal OutcomeRemoved ICF TAC reference.
4400Request for an OIG Comparison ReviewRemoves SSLC reference.
5000The Employee Misconduct RegistryUpdates EMR website information.
5110EMR-Eligible EmployeesClarifies why certified nurse aides are eligible for the EMR.

24-1, Updates Sections 1320 and Contact Us

Revision Notice 24-1; Effective Jan. 16, 2024

The following change(s) were made:

RevisedTitleChange
1320Providers and EntitiesAdds text to include adults in child care regulation (CCR) settings in PI’s jurisdiction.
Contact UsPIH Contact UsUpdates PI’s contact email to LTCR policy mailbox.

23-1, Updates Sections 1200, 1320, 3320, 3520, 5200, 5300, 5400 and 5500

Revision Notice 23-1; Effective July 26, 2023

The following change(s) were made:

RevisedTitleChange
1200DefinitionsUpdates several definitions throughout section.
1320Providers and EntitiesRemoves HCSSA from list of providers.
3320ContactsUpdates methods of contact.
3520Investigation Status Report and Report ProvisionCondenses summary of investigation information. Removes findings notification information specific to community provider cases.
5200Notice of Finding to an Employee Designated as a PerpetratorDeletes sections information and changes title to Reserved for Future Use
5300The EMR HearingDeletes sections information and changes title to Reserved for Future Use.
5400Information Forwarded to HHSC for Recording in EMRDeletes sections information and changes title to Reserved for Future Use.
5500Grievance HearingsRemoves employer action examples.