24-1, Updates to LIDDA Handbook

Revision Notice 24-1; Effective March 1, 2024

The following change(s) were made:

Section No.Section TitleChange
9000Enhanced Community Coordination (ECC) Responsibilities for SSLC Diversions and TransitionsUpdates title to Enhanced Community Coordination Responsibilities for State Support Living Center and Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions Diversions and Transitions. Adds language to include ECC for ICF/IIDs. 
9100Duties Related to Transitioning from an or SSLCUpdates title to Duties Related to Transitioning or Diverting from an ICF/IID or SSLC. Updates language throughout.
9110Reporting RequirementsDeletes old subsection, adds new subsection, ECC Funds to describe use of ECC funds.
9200Enrollment in HCS as a Crisis DiversionUpdates language. Clarifies duties when a LIDDA changes.
9300Post Enrollment in HCS as a Crisis DiversionUpdates language.
9400Enrollment in HCS as an SSLC TransitionUpdates title to Enrollment in HCS as an ICF/IID or SSLC Transition.
9410Enrollment in HCS as an ICF/IID TransitionAdds new section to address ICF/IID transitions.
9420Enrollment in HCS as an SSLC TransitionAdds new section with title and language previously in Section 9400. Updates language.
9500Post Enrollment in HCS as an SSLC TransitionUpdates title to Post Enrollment in HCS as an ICF/IID or SSLC Transition.
9510Post Enrollment in HCS as an ICF/IID TransitionAdds new section to address monitoring requirements for ICF/IID transitions.
9520Post Enrollment in HCS as an SSLC TransitionAdds new section renumbered with text from Section 9500. Updates language to include new monitoring and reporting requirements for SSLC transitions and guidance for transfer of LIDDAs.
9530Monitoring Activities for One Year Post-MoveAdds new section to address both ICF/IID and SSLC transitions.
9540Monitoring Activities for SSLC Transitions OnlyAdds section to address monitoring and reporting activities for SSLC transitions only.
9600Transition Planning from an SSLC to a Setting Other than the HCS ProgramUpdates language and TAC references.
9700Post Transition from an SSLC to a Setting Other than the HCS ProgramUpdates language. Adds new requirements for monitoring and reporting SSLC transitions to non-HCS programs.
9800Readmission to an ICF/IID or SSLCAdds section with policy for ICF/IID and SSLC readmissions.
13238Money Follows the Person DemonstrationUpdates title to Money Follows the Person Demonstration Participation Process. Provides guidance to LIDDAs for enrolling people into the MFPD project using Form 1580, Texas Money Follows the Person Demonstration (MFPD) Project Informed Consent for Participation.
21000Admissions and Discharges from State Supported Living CentersAdds guidance about state supported living centers (SSLC) admissions and discharges (Sections 21100-21900).
21100DefinitionsAdds definitions for terms used through Section 21000, Admissions and Discharges from SSLCs.
21200SSLC ServicesAdds information about SSLC services. 
21300Admission to an SSLCAdds a description of the LIDDA’s role concerning SSLC admissions.
21400SSLC Admission CriteriaAdds the criteria for SSLC admissions.
21500Types of Admission to an SSLCAdds the categories for SSLC admission types.
21510Voluntary Admissions to an SSLCAdds a list of the voluntary SSLC admission types.
21520Emergency Admission of an Adult or a Minor to an SSLCAdds guidance on the process for emergency admissions to SSLCs.
21530Respite AdmissionAdds guidance on the process for respite admissions to SSLCs.
21540Regular Voluntary AdmissionAdds guidance on the process for regular voluntary admissions to SSLCs.
21600Involuntary AdmissionsAdds guidance on the process for involuntary admissions to SSLCs.
21610Civil Commitment of a Person under the Persons with Intellectual Disability ActAdds guidance on the requirements for SSLC civil commitments under the Persons with Intellectual Disability Act.
21620Civil Commitment of a Person under the PIDA without an IDT recommendationAdds direction for civil commitments of a Person under the PIDA without an interdisciplinary team (IDT) recommendation.
21630Commitment of an Adult under the Texas Code of Criminal ProcedureAdds guidance on the SSLC civil commitment process for adults under the Texas Code of Criminal Procedure.
21640Forensic Commitments Under the Family CodeAdds guidance on the SSLC commitment process for minors under the Texas Family Code.
21650Involuntary Admissions for RestorationAdds guidance on SSLC involuntary admissions under restoration commitments.
21700LIDDA Responsibilities in Admissions to an SSLCAdds guidance on LIDDA responsibilities for SSLC admissions.
21710Interdisciplinary Team Review of Appropriateness of ReferralAdds guidance on LIDDA responsibilities per the appropriateness of the SSLC referral.
21720Process for Admission of an Adult or Minor Committed to an SSLC under the PIDAAdds guidance on the LIDDA process for SSLC civil commitment admissions under PIDA.
21730Responsibilities of LIDDAs for People admitted to an SSLCAdds reference for LIDDA responsibilities for people admitted to an SSLC.
21800Community Placement from an SSLCAdds guidance relevant to the community placement of a resident from an SSLC.
21810Community Living Discharge Plan for Alternative Living ArrangementsAdds information about community living discharge plans for alternative living arrangements.
21820Community LivingAdds reference for LIDDA responsibilities for pre-move and post-move monitoring of a person who has transitioned from an SSLC into a community placement.
21900Discharge from an SSLC of a Person who moves to an Alternative Living ArrangementAdds guidance on discharging the person from an SSLC commitment to move into an alternative living arrangement.
22000Continuity of Services for Person with a Diagnosis of an Intellectual or Developmental Disability who is Admitted to a State HospitalAdds guidance about continuity of care services for people with IDD admitted to a state hospital. 
23000Interfacility TransfersAdds guidance about the transfer process between SSLCs and state hospitals.
23100State Hospital to SSLCAdds guidance on transferring from state hospitals to SSLCs.
23200SSLC to Another SSLCAdds guidance on transferring from an SSLC to another SSLC.
23300SSLC to State HospitalAdds guidance on transferring from SSLCs to state hospitals.
24000LIDDA Responsibilities in Community ICF/IID ProgramsAdds guidance about LIDDA responsibilities in community-based ICF/IID programs (Sections 24100-24300).
24100DefinitionsAdds definitions for terms used through Section 24000, LIDDA Responsibilities in Community ICF/IID Programs.
24200LIDDA Responsibilities Related to Admissions to Community ICF/IID ProgramsAdds an outline of the LIDDA’s responsibilities concerning community-based ICF/IID admissions.
24300Continuity of Services for People Admitted to ICF/IID Community HomesAdds guidance on continuity of care services for people admitted to ICF/IID community homes.

23-1, Section 13210 Revised

Revision Notice 23-1; Effective Feb. 27, 2023

The following change(s) were made:

Section No.TitleChange
13210Notification of HCS OfferUpdates the Initial Meeting Packet Checklist (PDF).

22-3, Updates to Section 15100

Revision Notice 22-3; Effective Oct.17, 2022

The following change(s) were made:

Section No.TitleChange
15100Research Preventing Dual EnrollmentUpdates to LIDDA tasks about MCO communication to end CFC non-waiver services prior to HCS and TxHmL enrollment. 

22-2, Updates to Interest Lists and Section Titles

Revision Notice 22-2; July 22, 2022

The following change(s) were made:

Section No.TitleChange
6100DefinitionsDeletes information about the CARE system.
7000HCS and TxHmL Interest ListsUpdates CSIL process.
7100DefinitionsUpdates definitions.
7200Maintenance of the HCS and TxHmL Interest ListsUpdates process for maintaining interest lists. 
7210Active Military FamiliesChanges title. Updates interest list process for military families.
7300Creating a CSIL RecordChanges title. Updates process for updating the process list.
7310Adding HCS or TxHmL to a CSIL RecordChanges title. Updates process.
7320Two or More Interest List CSIL Records for the Same PersonChanges title. Updates process when there are multiple CSILs.
7330People Under 22 Years old Regarding ICF/IID and NFs – For HCS OnlyUpdates HCS interest list information. 
7400Returned Interest List Notification LettersUpdates notification process for people recently added to HCS and TxHmL interest lists.
7500Biennial ContactUpdates process on contacting people on HCS and TxHmL with an “Interested” status.
7510Exception to Biennial ContactUpdates biennial contact exception.
7520CSIL Reports for Managing Biennial ContactsProvides current information for managing interest list biennial contact requirements.
7540Effort for Contacting the Primary CorrespondentUpdates contact process for people receiving LIDDA services who are on HCS and TxHmL interest list. 
7550Discussions and DocumentationUpdates steps the LIDDA takes with biennial contact information. 
7560Entering Biennial Contact Information into CSIL  Changes title. Updates LIDDA instructions in the CSIL for updating biennial contact information.
7570Unable to Make Biennial ContactUpdates process for the LIDDA when multiple contact attempts are not successful. 
7580Unable to Make Biennial Contact Regarding Facility ResidentsUpdates LIDDA process for the LIDDA for ICF/IID residents of SSLCs or NFs.
7600CSIL Status DesignationsUpdates CARE and Interest List statuses.
7610When to Change the Status of a Person’s HCS or TxHmL Interest ListRemoves word Record from title. Updates when to change a person’s status.
7700Closing a Person’s HCS or TxHmL Interest ListChanges title.  Updates closure reasons.
7800When to Transfer a Person’s CSIL RecordChanges title. Updates process for people on HCS or TxHmL when moving to new service area.
7900Requesting Changes to a Person’s HCS or TxHmL Interest ListUpdates email address for submitting Form 8571. Updates policy when person is ineligible for a waiver for non-financial reasons.
10100DefinitionsUpdates definitions.
10300LIDDA ResponsibilitiesUpdates tasks contracted LIDDAs must do.
13100LIDDA Required TrainingUpdated training list. 
13210Notification of HCS OfferUpdates how the LIDDA notifies a person or their LAR of an enrollment offer
13211Person Relocated to Another LIDDA’s Local Service Area (LSA)Updates process for determining a person’s designated LIDDA.
13212Withdrawal of HCS OfferUpdates when and how to withdraw an enrollment offer.
13213Declining the OfferUpdates process for declining an HCS enrollment offer.
13214Accepting the OfferUpdates process for accepting an HCS enrollment offer.
13221Person Selects Provider in Another LIDDA’s LSAChanges title. Updates pre-enrollment activities.
13222Person is Enrolled in a Mutually Exclusive Waiver ProgramChanges title. Updates process after a person has accepted the HCS enrollment.
13222.1If Person is in Texas Home Living (TxHmL)Updates process if person is in TxHmL.
13231Enrollment Due DatesUpdates tasks LIDDAs must do for enrollments and extensions. 
13232Requesting an Extension of the Enrollment Due DateChanges title. Updates LIDDA tasks for HCS enrollment due date extensions. 
13235Level of Care (LOC) and Level of Need (LON)Updates information regarding LOC and LON.
13235.1HHSC ActivitiesUpdates HHSC tasks regarding LON and LOC determination for HCS enrollment authorizations and denials. 
13238Money Follows the Person DemonstrationRemoved information and added blurb that this section is under review and will be updated. 
13241Form Submission for EnrollmentChanges title. Updates to forms submission needed for HCS enrollment and status information. 
13251Nursing Facility Diversion and TransitionChanges title. Updates information to refer to PASRR handbook for diversions and transitions. 
13310Notification of TxHmL OfferUpdates how the LIDDA notifies a person or their LAR of an enrollment offer
13311Person Relocated to Another LIDDA’s Local Service Area (LSA)Updates process for determining a person’s designated LIDDA.
13212Withdrawal of TxHmL OfferUpdates when and how to withdraw an enrollment offer.
13313Declining the OfferUpdates process for declining a TxHmL enrollment offer.
13314Accepting the OfferUpdates process for accepting an TxHmL enrollment offer.
13321Person Selects Provider in Another LIDDA’s LSAChanges title. Updates pre-enrollment activities.
13322Person is Enrolled in a Mutually Exclusive Waiver ProgramChanges title. Updates process after a person has accepted the TxHmL enrollment.
13331Enrollment Due DatesUpdates tasks LIDDAs must do for enrollments and extensions.
13332Requesting an Extension of the Enrollment Due DateChanges title. Updates LIDDA tasks for TxHmL enrollment due date extensions.
13335Level of Care (LOC) and Level of Need (LON)Updates information regarding LOC and LON.
13335.1HHSC ActivitiesUpdates HHSC tasks regarding LON and LOC determination for HCS enrollment authorizations and denials.
13339Form Submission for EnrollmentChanges title. Updates to forms submission needed for TxHmL enrollment and status information.
15100Research Preventing Dual EnrollmentUpdates to LIDDA tasks and processes regarding HHS applications and TMHP applications.
15200Persons Enrolled in STAR+PLUS Waiver or Medically Dependent Children ProgramChanges title. Updated LIDDA tasks regarding STAR+PLUS and MDCP enrollment and form submission. 
15410Financial Eligibility at Pre-EnrollmentUpdates to LIDDA tasks on Medicaid eligibility search.
15412Qualified Medicare Beneficiary or Specified Low-Income Medicare Beneficiary Changes title. Updates to QMB and SLMB Medicaid information for LIDDAs.
15420Persons Leaving an ICF/IID, State Hospital or SSLC to Enroll in HCS or TxHmLChanges title. Updates to HCS and TxHmL enrollment information for people leaving an ICF, State Hospital or SSLC.
15710Form H1746-A, MEPD Referral Cover SheetUpdates to LIDDA tasks for Form H1764-A.
15720Completing Sections on Form H1746-A, MEPD Referral Cover SheetUpdates to LIDDA tasks on how to complete Form H1746-A
15810Medicaid RedeterminationUpdates to LIDDA tasks related to Medicaid redetermination on TMHP LTC Online Portal.
19230Matching CriteriaUpdates to TLETS probable match information.