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Revision 21-10; Effective October 25, 2021
An individual can be placed on multiple interest lists but may only enroll in one Medicaid waiver program at a time.
The individual may choose to:
- Pursue eligibility for another program and decline Medically Dependent Children Program (MDCP) at the time of interest list release; or
- Decline MDCP at the time of interest list release but choose to remain on the MDCP interest list.
Individuals who decline MDCP at the time of interest list release but choose to remain on the MDCP interest list will move to the bottom of the interest list.
Program Support Unit (PSU) staff must complete the following activities within two business days if the individual chooses to decline MDCP and wants to continue receiving or pursue eligibility for another program:
- Manually generate Form 2442, Notification of Interest List Release Closure;
- Mail Form 2442 and Appendix XX, MDCP Program Description, to the individual or LAR;
- Close the MDCP interest list release in the Community Services Interest List (CSIL) database using the date the individual declined MDCP;
- Document the closure date, the individual’s reason for requesting closure and how PSU staff received the individual’s request for closure (e.g., if by telephone, then document the date, caller’s name and caller’s contact information) in the Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System (HEART) case record;
- Upload all applicable documents to the HEART case record, following the instructions in Appendix XVIII, STAR Kids HEART Naming Conventions; and
- Document and close the HEART case record using the appropriate closure reason.
2310 Contacting the Interest List Management Unit to Reopen a Closed Interest List Release
Revision 20-4; Effective December 18, 2020
Program Support Unit (PSU) staff must submit a request to Interest List Management (ILM) Unit staff to reopen an individual’s closed interest list record.
Within two business days of receiving the request to reopen a closed interest list release, PSU staff must email their immediate supervisor to reopen the Community Services Interest List (CSIL) record. The email must include the following:
- an email subject line that reads: “MDCP Reopen Request for XX [individual’s first and last initials].” For example, the email subject line for a request to reopen a closed CSIL record for Ann Smith would be “MDCP Reopen Request for AS”;
- individual’s name;
- interest list identification (ID) number;
- individual’s Medicaid ID or Social Security number (SSN);
- the individual’s, authorized representative’s (AR’s) or legally authorized representative’s (LAR’s) contact name and phone number; and
- reason for the request to reopen. For example, a statement indicating that the application for an alternate 1915(c) Medicaid waiver program was denied and the individual now wishes to reapply for MDCP.
The PSU supervisor will forward the reopen request to the ILM Unit manager at StarPlusWaiverInterestList@hhsc.state.tx.us if the PSU supervisor agrees the reopen request is appropriate. ILM Unit staff will email PSU staff to provide the outcome of the request within five business days.
If an exception is granted, PSU staff must:
- contact the individual to begin the application process;
- document the reopen request in the Health and Human Services Enterprise Administrative Report and Tracking System (HEART) case record;
- upload the ILM Unit staff’s decision email to the HEART case record, following the instructions in Appendix XVIII, STAR Kids HEART Naming Conventions; and
- keep the HEART case record open until MDCP eligibility is approved or denied.
If an exception is not granted, PSU staff must:
- upload the ILM Unit staff’s decision email to the HEART case record, following the instructions in Appendix XVIII; and
- close the HEART case record.
2320 Earliest Date for Adding an Individual Back to the Interest List After Denial or Termination
Revision 18-0; Effective September 4, 2018
The earliest date an individual may be added back to the Community Services Interest List (CSIL) database, for the same program the individual is denied, is the date the individual is determined to be ineligible for the program.
Example: The individual is released from the Medically Dependent Children Program (MDCP) interest list on August 2. The individual is denied eligibility for MDCP on August 28, and a notification is sent to the individual of ineligibility. The first date the denied individual can be added back to the MDCP interest list is August 28.
Example: The individual’s MDCP services are terminated July 31 due to denial of medical necessity (MN). The first date the individual can be added back to the MDCP interest list is August 1. The earliest date an individual may be added back to the CSIL database for the same program the individual is terminated from is the first date the individual is no longer eligible for the terminated program, which in this example is August 1.