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Revision 10-1; Effective September 27, 2010
8310 Simultaneous Transfer of Program Provider and FMSA
Revision 22-2; Effective May 1, 2022
If an individual/LAR wants to transfer to another program provider and to another FMSA, the SC, the LIDDA and the transferring and receiving program providers must follow the steps in Section 8600, FMSA Transfer and Changing Service Delivery Option, Section 8400, Program Provider Transfer Involving One Local Intellectual and Developmental Disability Authority (LIDDA), or Section 8500, Program Provider Transfer Involving Two Local Intellectual and Developmental Disability Authorities (LIDDAs), at the same time using one Form 3617, Request for Transfer of Waiver Program Services.
8320 Form 3617 and Instructions
Revision 10-1; Effective September 27, 2010
Form 3617, Request for Transfer of Waiver Program Services, is used to document transfer information. The persons required to complete portions of this form must do so in accordance with the instructions.
8330 Reserved for Future Use
Revision 22-2; Effective May 1, 2022
8340 Verification of Guardianship
Revision 22-2; Effective May 1, 2022
To prevent a delay in the authorization of a transfer, the SC must determine whether an individual has a legal guardian and verify that guardianship information is correct in the HHSC data system.
- If the individual has a current legal guardian listed in the HHSC data system, then all forms must be signed by the guardian.
- If the individual does not have a legal guardian listed in the HHSC data system, then all forms must be signed by the individual.
- If the guardian listed in the HHSC data system is not current, the SC should obtain signatures of both the individual and the person listed as guardian, until appropriate steps can be taken to update guardianship information.
8350 Transfer Process Checklist
Revision 10-1; Effective September 27, 2010
When completing transfer activities, the SC may use Form 3612, Transfer Process Checklist.
8360 Contacting HHSC
Revision 22-2; Effective May 1, 2022
The LIDDA may, at any time during the transfer process, consult with HHSC PES if the LIDDA encounters problems completing the process.
The SC must consult with HHSC PES when a program provider does not submit required documentation within the time frames described in this section.