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Revision 22-1; Effective Nov. 28, 2022
5510 Initiating IDD Habilitative Specialized Services
Revision 22-1; Effective Nov. 28, 2022
The habilitation coordinator is responsible for initiating IDD habilitative specialized services identified on a person’s Form 1057, Habilitation Service Plan (HSP), within 20 business days after the date of an IDT meeting or SPT meeting of any kind. “Initiating” means to take necessary action that will result in the person receiving specialized services in a timely manner.
Note: The NF is responsible for requesting NF specialized services in the LTC online portal within 20 business days after the date of an IDT meeting or SPT meeting.
5520 Monitoring the Initiation and Delivery of all Specialized Services
Revision 22-1; Effective Nov. 28, 2022
The habilitation coordinator must document the initiation and delivery of all specialized services agreed upon in an IDT meeting or an SPT meeting.
The habilitation coordinator must report to Complaint and Incident Intake (800-458-9858) a noncompliant entity (i.e., LIDDA, NF or LMHA/LBHA) if the entity fails to:
- initiate or request a specialized service by the 20th business day after the service was agreed to in an IDT meeting or SPT meeting; or
- deliver a specialized service:
- for NF therapy services — within three business days after receiving approval from HHSC in the LTC online portal;
- for behavioral support, employment assistance and supported employment — within three business days after the habilitation coordinator receives the completed assessment; and
- for independent living skills training and day habilitation — within 20 business days after the service was agreed to in an IDT meeting or SPT meeting.
Note: In addition to a report to Complaint and Incident Intake for a noncompliant entity, as noted above, a LIDDA is responsible for submitting monthly noncompliance reports to HHSC per the performance contract.
5530 Accessing Other Habilitative Programs
Revision 22-1; Effective Nov. 28, 2022
The habilitation coordinator must help a person access needed specialized services and other habilitative programs and services that can provide services to address the person’s needs and achieve outcomes identified in the HSP.
5540 Assisting Individual or LAR with Requesting a Fair Hearing for Denial of NF Specialized Services
Revision 22-1; Effective Nov. 28, 2022
If a person is denied a specialized service and the person or LAR wants to appeal the denial, the habilitation coordinator is responsible for helping the person or LAR with requesting a fair hearing. Form 2361, PASRR Specialized Services Fair Hearing Request may be used for this purpose.