IDD Waivers Program Eligibility and Support and Utilization Review

IDD Program Eligibility and Support (IDD PES) and Utilization Review (IDD UR) encompasses several separate — but closely aligned — functions related to:

Program Eligibility and Support (IDD PES)

• Diagnostic and functional eligibility, Level of Care (LOC), Intellectual Disability and Related Conditions (ID/RC) assessment;
• Level of Need (LON) at enrollment (ID/RC Purpose Code 2 only);
• Programmatic eligibility; and
• Enrollments, transfers, suspensions, and terminations.

Utilization Review (IDD UR)

• Individual Plans of Care (IPC)
• ID/RC (Level of Need PC 3 and PC 4),
• Inventory for Client and Agency Planning (ICAP) and
• Transition Assistance Services (TAS)
• Summary of Waiver and Community Utilization Review (Field UR) [PDF]

This website is designed as a resource for current Home and Community-based Services (HCS), Texas Home Living (TxHmL) and Intermediate Care Facilities for Persons with an Intellectual Disability (ICF/IID) program providers.

The site will help answer questions regarding:

• Behavior Support Plan Requirements and Expectations
• How IDD PES Can Help You
• Intellectual Disability and Related Conditions Assessment Resources
• Inventory for Client and Agency Planning Resources
• Level of Need (LON) Resources