An official State of Texas website.
Revision 17-3; Effective November 1, 2017
The Texas Health and Human Services Commission (HHSC) will from time to time retire Information Letters (ILs) when policy has expired, retired or been replaced with new information.
Content in this handbook and the Texas Administrative Code (TAC) supersedes any previous ILs or similar guidance published by HHSC. The ILs retired as a result are listed below. HHSC recommends that providers remove retired ILs from their records to ensure they reference the most current information. Any letters or program guidance issued prior to Internet accessibility is null and void, including policy previously sent by U.S. mail.
| Number | Title | Date Posted |
Date Removed/Retired |
|---|---|---|---|
| 2015-24 | Licensed Vocational Nurse On-Call Pilot Program Ends September 1, 2015 | 03/26/2015 | 12/22/2015 |
| 2015-20 | DADS Home and Community-based Services and Texas Home Living Behavioral Support Service Provider Policy Training (Retired on December 22, 2015) | 02/27/2015 | 12/22/2015 |
| 2015-07 | Residential Visits and Water Temperatures in Host Home/Companion Care Residences and Three-Person and Four-Person Residences (Retired on December 22, 2015) | 01/21/2015 | 12/22/2015 |
| 2014-67 | Definition for Respite | 10/20/2014 | 12/22/2015 |
| 2014-46 | Licensed Vocational Nurse (LVN) On-Call Pilot Program Requirements (The Licensed Vocational On-Call Pilot Program expired September 1, 2015) | 08/06/2014 | 12/22/2015 |
| 2014-30 | Changes to HCS and TxHmL Certification Reviews Reports and to Certification Follow up Reviews Note: This letter was revised June 18, 2014 | 06/12/2014 | 12/22/2015 |
| 2014-09 | Addition of Employment Assistance to the Home and Community-based Services Program and Changes to Provider Qualifications for Supported Employment (Retired on December 22, 2015) | 03/11/2014 | 12/22/2015 |
| 2013-68 | Changes Related to Persons Who May Reside in Four-Person Residences | 10/01/2013 | 12/22/2015 |
| 2013-72 | Online Training and Classroom Training Dates | 11/12/2013 | 01/26/2016 |
| 2013-62 | Four-Person Residence Life Safety Code Certification Process | 09/17/2013 | 12/22/2015 |
| 2013-59 | Notice of Direct Support Professionals Recognition Week | 09/6/2013 | 01/26/2016 |
| 2013-47 | Random Sampling for the Licensed Vocational Nurse (LVN) On-Call Pilot Program | 08/12/2013 | 01/26/2016 |
| 2013-45 | Fiscal Year 2013 Cutoff Dates for Year-end Closeout Processing | 07/29/2013 | 01/26/2016 |
| 2013-02 | 2012 Cost Report and Cost Report Training Requirements | 01/02/2013 | 01/26/2016 |
| 2012-87 | 2012 Online Training and Classroom Training Dates | 12/7/2012 | 01/26/2016 |
| 2012-74 | Implementation of the International Classification of Diseases, Tenth Revision, Clinical Modification | 08/28/2012 | 01/26/2016 |
| 2012-73 | Notice of Increased Activity of West Nile Virus in Texas | 08/17/2012 | 01/26/2016 |
| 2012-71 | FY12 Cutoff Dates for Year-end Closeout Processing | 07/31/2012 | 01/26/2016 |
| 2012-50 | 2011 Cost Report Notification and Cost Report Training Reminders | 05/7/2012 | 01/26/2016 |
| 2011-82 | New Service Limits in the Home and Community-based Service (HCS) Program | 09/8/2011 | 01/26/2016 |
| 2011-135 | Cost Containment Initiative Update | 10/28/2011 | 11/01/2017 |
| 2011-120 | New Convictions Barring Employment Added to Health and Safety Code, Chapter 250 | 09/29/2011 | 11/01/2017 |
| 2011-116 | Referral of Individuals Currently Enrolled in the Consolidated Waiver Program | 09/07/2011 | 11/01/2017 |
| 2011-108 | Payment Rates Effective September 1, 2011 | 08/24/2011 | 01/26/2016 |
| 2011-105 | Changes in the Texas Human Resources Code resulting from Senate Bill (SB) 1857, (82nd Legislature, Regular Session 2011), related to the Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs | 09/20/2011 | 11/01/2017 |
| 2011-92 | FY11 Cutoff Dates for Year-end Closeout Processing | 08/05/2011 | 01/26/2016 |
| 2011-85 | Fiscal Year 2011 Miscellaneous Claims Cutoff Notice | 07/19/2011 | 01/26/2016 |
| 2011-74 | Change in Required Documentation for Renewals of Level of Need Increases | 06/10/2011 | 11/01/2017 |
| 2011-31 | Complaints Regarding Solicitation | 04/15/2011 | 04/30/2019 |
| 2011-22 | Per Diem Rates Effective February 1, 2011, for the Home and Community-based Services and Texas Home Living Programs | 01/26/2011 | 10/11/2017 |
| 2010-104 | FY10 Cutoff Dates for Year-end Closeout Processing | 07/29/2010 | 01/26/2016 |
| 2010-156 | Proposed Home and Community-based Services and Texas Home Living Rate Reductions | 12/27/2010 | 10/11/2017 |
| 2010-142 | Expansion of Utilization Management and Review Activities | 11/05/2010 | 11/01/2017 |
| 2010-140 | Individual Plan of Care Revision Process | 11/17/2010 | 11/01/2017 |
| 2010-105 | Correct Correction to HCS/TxHmL Non-Day Habilitation Services Enrollment Worksheets ion to HCS and TxHmL Non-Day Habilitation Enrollment Worksheets and Instructions for Attendant Compensation Rate Enhancement | 07/23/2010 | 10/11/2017 |
| 2010-80 | Change in Notification of Approvals and Denials of Individual Plans of Care Services for Persons in the Home and Community-Based Services and Texas Home Living Programs | 07/01/2010 | 11/01/2017 |
| 2010-77 | Per Diem Rates Effective June 1, 2010 for the Home and Community-Based Services and Texas Home Living Waiver Programs | 05/28/2010 | 10/11/2017 |
| 2010-68 | Home and Community-Based Services Rule Language Regarding an Individual's Freedom of Choice of Direct Service Providers | 06/04/2010 | 11/01/2017 |
| 2010-49 | Requesting a Review of Finding or Methodology Used to Conduct Department of Family and Protective Services Investigations | 04/09/2010 | 11/01/2017 |
| 2010-43 | Dental Treatment Requisition Fees | 04/19/2010 | 10/11/2017 |
| 2010-32 | Obligation to Screen Individuals or Entities Excluded from Participation in Federal Health Care Programs Prior to Hire by Employers under the Consumer Directed Services Option | 05/10/2010 | 11/01/2017 |
| 2010-27 | Agency Directives and Required Timelines for the Transition of the Case Management Function to MRAs | 02/26/2010 | 11/01/2017 |
| 2010-11 | HCS and TxHmL Prior Approval Amount Change | 02/01/2010 | 11/01/2017 |
| 2010-07 | Proposed changes to rules regarding Fiscal Accountability | 01/11/2010 | 10/11/2017 |
| 2009-174 | Regulatory Services Policy Clarification: 2009 National Fire Protection Association (NFPA) 101 Life Safety Code for Homes that Serve Four Individuals | 01/08/2010 | 11/01/2017 |
| 2009-155 | Personal Care Services (PCS) and Home and Community-based Services (HCS) or Texas Home Living (TxHmL) Program Services Replaced by IL 2015-71 | 12/14/2009 | 11/3/2015 |
| 2009-153 | Personal Care Services (PCS) and Waiver Services Replaced by IL 2015-71 | 10/30/2009 | 11/03/2015 |
| 2009-100 | Process for Sending Medicaid Applications to the Health and Human Services Commission (HHSC) | 08/10/2009 | 11/01/2017 |
| 2009-93 | Communication Regarding the Redistribution of the HCS Monthly Administration and Operations Fee and HCS, TxHmL and CWP Payment Rates | 07/15/2009 | 10/11/2017 |
| 2009-92 | Public Hearing Regarding Proposed Rates for the Home and Community-based Services (HCS), Texas Home Living (TxHmL) and Consolidated Waiver (CWP) waiver programs | 07/09/2009 | 10/11/2017 |
| 2009-86 | Critical Incident Reporting | 07/01/2009 | 11/01/2017 |
| 2009-84 | Process for HCS and TxHmL Program Providers and CDSAs to Maintain Current Information in the Client Assignment and Registration (CARE) System | 06/18/2009 | 11/01/2017 |
| 2009-48 | Public Hearing Regarding Proposed Rule Amendment to the Reimbursement Methodology for HCS to Redistribute the HCS Monthly Administration and Operations Fee | 04/08/2009 | 10/11/2017 |
| 2009-39 | Change in the Timeframe for Mental Retardation/Related Condition (MR/RC) Assessment, Purpose Code 3 Data Entry into the Client Assignment and Registration (CARE) System | 04/29/2009 | 11/01/2017 |
| 2009-28 | Process for CDSAs to Obtain Access to the Client Assignment and Registration System (CARE) and Notification of the New CDSA CARE User Guide | 02/18/2009 | 11/01/2017 |
| 2009-21 | Communication to all Foster/Companion Care Providers Regarding the Redistribution of the HCS Monthly Administration and Operations Fee | 02/06/2009 | 10/11/2017 |
| 2009-20 | Communication Regarding the Redistribution of the HCS Monthly Administration and Operations Fee | 02/06/2009 | 10/11/2017 |
| 2009-08 | Process for CDSAs to Obtain Access to the Client Assignment and Registration System (CARE) and Notification of the New CDSA CARE User Guide | 02/18/2009 | 11/01/2017 |
| 2009-01 | Revisions to Texas Administrative Code Rules Governing Cost Reporting and Fiscal Accountability | 01/08/2009 | 10/11/2017 |
| 2008-175 | Provider Requirements for Reporting the Death of an Individual Receiving HCS or TxHmL Services | 01/15/2009 | 11/01/2017 |
| 2008-167 | Client Abuse and Neglect Reporting System (CANRS) | 11/18/2008 | 11/01/2017 |
| 2008-165 | Data Entry Training Class for HCS and TxHmL Waiver Program Providers | 11/13/2008 | 11/01/2017 |
| 2008-156 | Follow-up to IL No. 08-48, Regarding Critical Incident Reporting | 11/03/2008 | 11/01/2017 |
| 2008-143 | Clarification Regarding Qualified Providers of the Behavioral Support Service Component | 10/03/2008 | 11/01/2017 |
| 2008-137 | Waiver Survey and Certification (WS&C) Process to Initiate Alternative Services for Individuals Whose Health, Safety and Welfare Are at Risk | 09/23/2008 | 11/01/2017 |
| 2008-130 | Notification of the Availability of Revised Individual Plan of Care (IPC) Forms | 09/12/2008 | 11/01/2017 |
| 2008-129 | Clarification of Current Board of Nursing (BON) Rules that Impact the Delivery of HCS and TxHmL Services | 10/23/2008 | 11/01/2017 |
| 2008-103 | Consumer Directed Services (CDS) Option Policy Clarifications and Notification of a Revision to the HCS and MRA User Guides | 07/16/2008 | 11/01/2017 |
| 2008-96 | Criminal History, Employee Misconduct Registry and Nurse Aide Registry Checks | 07/02/2008 | 11/01/2017 |
| 2008-77 | HCS and TxHmL Rule Amendment Effective Dates and Related Implementation Information | 05/29/2008 | 10/11/2017 |
| 2008-90 | Provider Role Related to Investigations of Abuse, Neglect or Exploitation | 07/22/2008 | 11/01/2017 |
| 2008-89 | Client Assignment and Registration System (CARE) Entry of Designated Alternate to Chief Executive Officer (CEO) | 07/22/2008 | 11/01/2017 |
| 2008-86 | Written Notification to an Individual or Legally Authorized Representative (LAR) of the Denial of a Level of Need (LON) Assignment | 07/15/2008 | 11/01/2017 |
| 2008-35 | New HCS and TxHmL Forms 3610 and 3611 for Involuntary Termination of the Consumer Directed Services (CDS) Option | 03/28/2008 | 11/01/2017 |
| 2008-20 | HCS Individual Plan of Care (IPC) Form 3608 and TxHmL IPC Form 8582 | 02/13/2008 | 11/01/2017 |
| 2008-18 | HCS Transfer Process and Transfer Forms (Replaces IL #07-71) | 02/06/2008 | 11/01/2017 |
| 2008-14 | Change to Forms 8571, 8626, 8627 and 8628 | 02/01/2008 | 11/01/2017 |
| 2008-13 | Implementation of Consumer-Directed Services (CDS) Reimbursement Rates | 01/30/2008 | 10/11/2017 |
| 2008-02 | Elimination of Paper Forms 3618, 3619 and 3652-A Effective August 1, 2008 / Requirement for Electronic Submission Effective August 1, 2008 | 02/05/2008 | 11/01/2017 |
| 2007-93 | HCS and TxHmL Rate Increase Effective September 1, 2007 | 09/17/2007 | 10/11/2017 |
| 2007-128 | Transfer and Billing information related to the Client Assignment and Registration System (CARE) conversion for the implementation of Consumer Directed Services (CDS) | 12/20/2007 | 11/01/2017 |
| 2007-127 | Medicare Prescription Drug Program (Medicare Rx) Related Incurred Medical Expenses for Waiver Consumers with Qualified Income Trusts | 12/10/2007 | 11/01/2017 |
| 2007-122 | HCS Temporary and Permanent Discharge Process and Discharge Forms | 12/01/2017 | 11/01/2017 |
| 2007-105 | Data Entry Training Class for HCS and TxHmL Waiver Program Providers | 10/19/2007 | 11/01/2017 |
| 2007-87 | New Convictions Barring Employment Added to Health and Safety Code Chapter 250 | 09/14/2007 | 11/01/2017 |
| 2007-80 | Change in Required Documentation for Level of Need (LON) Increase | 09/01/2007 | 11/01/2017 |
| 2007-74 | Individual Cost Limits for Certain Medicaid Waiver Programs | 08/20/2007 | 11/01/2017 |
| 2007-73 | Billable Adaptive Aids | 08/20/2007 | 11/01/2017 |
| 2007-65 | Training of Program Provider Personnel in the Use of Authorized Restraint Techniques | 07/06/2007 | 11/01/2017 |
| 2007-45 | 2006 NFPA 101 Life Safety Code for Homes that Serve Four Individuals | 05/07/2007 | 11/01/2017 |
| 2007-13 | Abuse, Neglect, and Exploitation Investigations by Department of Family and Protective Services (DFPS) When the Administrator/Chief Executive Officer is the Alleged Perpetrator | 06/15/2007 | 11/01/2017 |
| 2006-37 | LTC Online Portal (previously referred to as CARE Form System (CFS)) | 06/02/2006 | 11/01/2017 |
| 2006-29 | Medicare Rx prescription drug coverage to resume for "dual eligible" individuals | 03/24/2006 | 11/01/2017 |
| 2005-41 | Increase in Travel Reimbursements for Cost Reporting | 10/10/2005 | 10/11/2017 |
| 2005-35 | Restraint and Seclusion Requirements in new Health and Safety Code, Chapter 322, added by Senate bill 325, 79th Legislature | 01/02/2006 | 11/01/2017 |