Revision 24-2; Effective Dec. 2, 2024

Note: A person receiving services in this handbook refers to an individual receiving services as defined in 26 Texas Administrative Code (TAC) Section 711.3.

When all or part of the information reported to PI fails to meet the definition of abuse, neglect, or exploitation, PI forwards the information to the provider. If applicable, PI also forwards the information to the HHSC Regulatory Services Division program, professional licensing board, or law enforcement.

PI does not investigate:

• if another HHSC program or division or another state agency is responsible under state law for the investigation;
• general complaints such as:
  • rights violations; or
  • daily administrative operations;
• operational issues related to the business of managed care or CDS;
• if the allegation involves only the clinical practice of a licensed professional;
• theft, per Chapter 31 of the Texas Penal Code;
• allegations of exploitation less than $25; or
• loans made by a person receiving services to a direct provider of a community provider.

Refer to 26 TAC Section 711.7.