Revision 22-2; Effective May 1, 2022

The SC must:

• immediately inform the program provider if the SC becomes aware that an individual is ineligible for HCS or TxHmL program services;
• monitor the situation during the entire period of suspension; and
• complete and return by secure email the Suspension of Waiver Services Status Report form documenting the individual’s current status on or before the status due date designated on the form, noting whether the suspension will continue and for how long, or that the individual is not expected to resume services (i.e., termination of services is being recommended).

If the suspension continues for 270 days, the SC discusses with the individual or LAR and the program provider whether the individual will be able to resume services or if services should be terminated.

• If continuation of the suspension beyond 270 days is recommended, the SC submits a request to continue the suspension of HCS or TxHmL program services for an additional 30 days in accordance with Section 9410 below.
• If termination of services is recommended, the SC completes and returns by secure email the Suspension of Waiver Services Status Report form noting that the individual is not expected to resume services.

HHSC PES reviews all recommendations for terminations of services. If HHSC agrees that termination is appropriate, HHSC will contact the SC to advise the SC to submit a request for termination in accordance with Section 10100, Process for Requesting Termination of Waiver Services – Texas Home Living and Home and Community-based Services.

9410 Request to Continue Suspension of Waiver Program Services

Revision 22-2; Effective May 1, 2022

If it is foreseeable that the individual will be able to resume HCS or TxHmL program services, the SC requests that program services be continued for 30 days by submitting the following documentation to HHSC no later than the 277th day of suspension:

• a completed Form 3615, Request to Continue Suspension of Waiver Program Services; and
• documentation explaining the reason for the requested continuation.

The request may be returned to the program advisor via secure email, faxed to 512-438-4249 or mailed to:

Health and Human Services Commission
Program Eligibility and Support, Mail Code W-551
P.O. Box 149030
Austin, TX 78714-9030

Contact Information

Questions regarding this process should be directed to the HHCS Program Eligibility Support general email box at HHSC IDD-Program Eligibility and Support IddProgEligSpt@hhs.texas.gov or telephone message line at 512-438-5055.