An official State of Texas website.
Revision 22-2; Effective May 1, 2022
Form 3608, Individual Plan of Care (IPC) – HCS/CFC, documents an individual's Home and Community-based Services (HCS) program services and non-HCS services. An IPC is completed at the time an individual enrolls in the HCS program and is valid for 365 days (the IPC year), as long as the individual remains eligible for HCS. An IPC must be renewed prior to the current IPC end date and may be revised at any time during the IPC year if changes are needed. A transfer IPC is completed if an individual transfers to another HCS contract or chooses a different service delivery option (meaning Consumer Directed Services is added or removed as a service delivery option).
The IPC is entered in the HHSC data system.
The HCS services listed on the IPC are based on the individual's person-directed plan (PDP) and must be supported by documentation in the PDP that other sources for the service are unavailable and the service does not replace existing supports, including natural supports or other sources for the service. The services must be necessary for the individual to live in the community, to ensure the individual's health, safety and welfare in the community, and to prevent the need for institutional services.
See Section 4000, Person-Directed Plan, for more information on the PDP, and Form 8665, Person-Directed Plan, and instructions.
An IPC is developed by:
- the service planning team (SPT), which consists of the individual/legally authorized representative (LAR), the service coordinator (SC) and any other person invited by the individual/LAR; and
- the program provider.
6110 IPC Form and Instructions
Revision 11-2; Effective March 1, 2011
Review Form 3608, Individual Plan of Care (IPC) – HCS/CFC, and instructions before completing the form.
6120 IPC Begin, End and Effective Dates
Revision 22-2; Effective May 1, 2022
Each IPC has an IPC begin date, an IPC end date and an IPC effective date.
The IPC begin date is the first day of the IPC year, the next day after the previous IPC ends.
The IPC end date is 365 days after the IPC begin date. In most cases, an individual's IPC will renew on the same date every year, with leap year being the exception since the IPC is valid for 365 days, not one calendar year. (Note: If there is a gap between the current IPC end date and the renewal IPC meeting date, the provider will not be authorized to bill for services provided to the individual during that gap.)
The IPC begin date and IPC effective date are the same date for an initial IPC and a renewal IPC. If the IPC is revised, the date of the IPC revision then becomes the new IPC effective date, but the IPC begin date and IPC end date do not change.
6130 IPC Meeting
Revision 22-2; Effective May 1, 2022
An IPC meeting occurs when the SPT and the provider meet at the same time, either in person or by telephone, to review the individual's PDP and to discuss and identify necessary units of HCS and non-HCS services to support PDP outcomes. It is important that all parties be able to communicate and discuss openly with one another during the IPC meeting. In most instances, an IPC meeting is necessary to develop the IPC. The exceptions are for an IPC revision to increase or decrease an existing HCS service that does not require a change to the PDP and for an IPC to add/change a requisition fee only.
6140 IPC Types
Revision 22-2; Effective May 1, 2022
A new IPC form is completed at designated events. The event determines the IPC type, which are:
- initial IPC;
- renewal IPC;
- revision IPC; and
- transfer IPC.
The IPC types are described in the following sections.
6150 Consumer Directed Services (CDS) and IPCs
Revision 22-2; Effective May 1, 2022
If the individual uses the CDS option, the service coordinator (SC) is responsible for:
- ensuring that the HCS program services that are self-directed are included on the IPC any time an IPC is completed;
- assisting the CDS employer with developing and maintaining justification for the amount of HCS program services on the IPC that are self-directed, if requested by the employer; and
- sending a copy of the completed Form 3608, Individual Plan of Care (IPC) – HCS/CFD, to the Financial Management Services Agency (FMSA).
If an individual only uses the CDS option and does not have a program provider, the Local Intellectual and Developmental Disability Authority (LIDDA) is responsible for entering the IPC into the HHSC data system.
6160 Health and Human Services Commission (HHSC) Role
Revision 22-2; Effective May 1, 2022
HHSC may review any type of IPC at any time to determine if the appropriate type and amount of services are being requested and utilized. HHSC may take action on an IPC, reducing or denying services or amounts of services if there is not documentation to support the need for the requested services. The SC may be asked to provide information or documentation. The SC’s agreement or disagreement with the IPC does not ensure a specific action will be taken by HHSC Utilization Review.