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Revision 11-2; Effective March 1, 2011
6210 Initial (Enrollment) IPC Overview
Revision 22-2; Effective May 1, 2022
The initial IPC is completed by the LIDDA before an individual is enrolled in the HCS program.
A LIDDA representative meets with the individual and others who know the individual to develop the PDP. This document describes the individual's desired outcomes and is the basis for determining the HCS service components on the initial IPC.
The service components and amount of each service included on the initial IPC are determined from discussions with:
- the individual;
- the individual's LAR (if an LAR exists);
- any other persons the individual/LAR chooses to be involved;
- the LIDDA representative who is completing the enrollment activities; and
- the program provider selected by the individual or the LAR on the individual's behalf.
6220 LIDDA and Service Coordinator Responsibilities for Initial IPC
Revision 22-2; Effective May 1, 2022
6221 IPC Meeting to Develop Initial IPC
Revision 22-2; Effective May 1, 2022
After the SPT has developed the PDP, including the "Justifications for Waiver Services and Supports" section of the PDP, the SC schedules an IPC meeting with the provider and SPT to develop the initial IPC.
6222 Initial IPC Effective Date
Revision 11-2; Effective March 1, 2011
The initial IPC effective date is the same as the IPC begin date. The IPC meeting must be held on or before the IPC effective date. Services provided prior to the initial IPC effective date may not be reimbursed.
6223 Units of Service
Revision 22-2; Effective May 1, 2022
The SC brings to the IPC meeting justification for units of the services identified on the individual's PDP.
- Some service components, such as residential support services, supervised living and host home/companion care, are daily services and the total number of days will equal the days in the IPC year (i.e., 365).
- If the individual participates in day habilitation full time (i.e., six hours a day, five days a week), the typical number of days of attendance is approximately 260. This allows for days off for major holidays and those days when day habilitation is not available for the individual.
- Amounts of some services (e.g., nursing and professional therapies) may only include the number of units needed to complete an assessment, the results of which will determine the recommend number of hours/units. After the assessment is completed, a revision to the IPC can be completed.
- Some services are limited in availability for individuals enrolling who are 20 years and younger because they must be accessed through State Plan Services. These services include nursing, professional therapies and dental.
6224 Non-HCS Services
Revision 22-2; Effective May 1, 2022
The SC includes all non-HCS services the individual is receiving (and will be receiving) on the IPC form for the initial IPC.
6225 Initial IPC Signatures and Signature Dates
Revision 22-2; Effective May 1, 2022
The SC signs and dates the initial IPC and is responsible for obtaining the signature and date of the provider representative and individual/LAR. The date must be the date the IPC meeting occurred. If present, the individual/LAR and SC sign and date on the appropriate lines of the form. If the LAR participates by phone, the SC checks the box to indicate such and enters the date the LAR participated in the IPC meeting. The SC then sends a copy of the form for the LAR's signature.
6226 Transmission of Initial IPC
Revision 22-2; Effective May 1, 2022
The LIDDA enters the initial IPC in the HHSC data system as part of completing an individual's enrollment activities. The SC ensures the individual/LAR and program provider receive a copy of the IPC.
6230 Provider Responsibilities for Initial IPC
Revision 22-2; Effective May 1, 2022
For an initial IPC, the SC contacts the program provider to schedule an IPC meeting. The program provider attends the IPC meeting, participates in the development of the initial IPC, and signs and dates the initial IPC. The program provider's signature date on the initial IPC must be the date of the IPC meeting.