An official State of Texas website.
IDD Program Eligibility & Support (IDD PES) has both advisors and reviewers. Reviewers can help with level of care determinations.
Contact advisors with Home and Community-based Services (HCS) for questions regarding:
- HCS enrollments
- Transfers from one HCS provider to another
- Individual suspensions and terminations
- Technical assistance
LIDDAs should reach out to their assigned advisor. If you don't know who your advisor is, or have other IDD PES questions:
- Leave us a detailed message on our message line at 512-438-2484
- Email us at: EnrollmentTransferDischargeInfo@hhs.texas.gov
Who to call for other issues?
- Questions about level of need or renewal and revision of Individual Plan of Care (IPC)
- Call IDD Utilization Review (UR) at 512-438-5055
- Denied payments or reimbursement for adaptive aids, minor home modifications and dental services
- Call Provider Claims Services - HCS at 512-438-2200 (Option 5)
- Basic LTCOP Functionality, form submission, sequencing, LTCOP Form Error Messages, TexMedConnect Claims Issues, Web-based Remittance and Status (R&S) Reports
- Call Texas Medicaid & Healthcare Partnership (TMHP) Long-Term Care (LTC) Help Desk 1-800-626-4117 (Option 1)
- Technical problems with the CARE system
- Call the Help Desk at 512-438-4720 or 888-952-4357
- Making changes to HCS/TxHmL contract
- Call Contract Administration & Provider Monitoring (CAPM) - Contract Administration - Waiver Program Enrollments at 512-438-3234
- Four Bed approval request can be emailed to: HCSFourPersonResidenceRequests@hhs.texas.gov
- Questions about an individual's HCS/TxHmL program vacancy:
- Call your local IDD authority
- Questions or concerns about an individual's rights, health or safety:
- Call IDD Ombudsman at 800-458-9858
- Questions about rates:
- Call the Provider Finance HCS/TxHmL Rate Reviews at 512-424-6637
- Questions about compliance reviews:
- Call the Provider Fiscal Compliance Reviews at 512-438-5359 Or email providerfiscalcompliance@hhs.texas.gov
- Questions regarding an individual's Medicaid eligibility:
- Call your local HHSC office or Texas Department of Family and Protective Services (DFPS) office for children receiving Medicaid through DFPS
- Both can be reached by calling 2-1-1
- Social Security Administration (SSA) at 800-772-1213
- Call your local HHSC office or Texas Department of Family and Protective Services (DFPS) office for children receiving Medicaid through DFPS