Local Intellectual and Developmental Disability Authorities

Local intellectual and developmental disability authorities (LIDDAs) serve as the point of entry for publicly funded intellectual and developmental disability programs, whether the program is provided by a public or private entity. This includes the Preadmission Screening and Resident Review program. LIDDAs:

  • Are responsible for completing PASRR Evaluations, also known as PEs, for people with a suspicion of ID/DD seeking admission to a Medicaid-certified nursing facility. The LIDDA Performance Contract, section A-4, outlines more responsibilities concerning the PASRR program (see below).
  • Assist with appropriate community placement of people with IDD. This includes diverting or transitioning people from nursing facilities into community living options.
  • Provide or contract to provide an array of services and supports for people with IDD.
  • Are responsible for enrolling eligible people into the following Medicaid programs:
  • Are responsible for Permanency Planning for consumers 22 years old and younger who live in an ICF/IID, state supported living center or a residential setting of the HCS program.

LIDDA Performance Contract

Descriptions of current LIDDA PASRR-related forms are in the current LIDDA Performance Contract, in Attachment A-4: PASRR Requirements and Enhanced Community Coordination (PDF). Note that while the descriptions of PASRR forms are found in Attachment A-4, the actual forms are linked from the LIDDA Handbook Forms page or the HHSC general forms page. On the HHSC Forms page, you can search for all HHS forms by number, title or instructions keyword. Any form marked with -S indicates a Spanish language form.



Texas Medicaid & Healthcare Partnership Provider Education Training Materials Webpage

PASRR Information and Additional Resources

LIDDA Communications and Information Letters
Texas HHS Office of the Ombudsman

Rules and Requirements

LIDDA Performance Contract A-4 PASRR (PDF)
Texas Administrative Code, Title 26, Part 1, Chapter 303
Texas Administrative Code, Title 26, Part 1, Chapter 554, Subchapter BB
PASRR Code of Federal Regulations” 42 CFR Subpart C (beginning at 483.100)

PASRR Webinars, Online Trainings, and Classroom Trainings

The following information and resources can help LIDDA staff recognize their responsibilities and learn how to navigate each step of the PASRR process.

LIDDA Webinars

LIDDA staff are required to participate in a monthly LA webinar. Check with your supervisor at your LIDDA to get put on the list. Further questions? Contact the IDD Services Associate Commissioner’s Office

Online Trainings

There are several web-based courses on this website. Most of those listed below need to be accessed via the HHS Learning Portal’s PASRR Training Webpage.

  • Introduction to Person-Centered Thinking Training
  • PASRR 101 Web-based Training
  • PASRR Rules: TAC Title 40, Part 1, Chapter 19, Subchapter BB Training
  • PASRR Referring Entity Training
  • PASRR PL1: Back to Basics Training
  • PASRR Evaluation Training
  • PASRR Specialized Services for LIDDA Service Coordinators Training

Instructor-led Trainings

To schedule the instructor-led, in-person classroom training courses below, visit the PASRR Training webpage.

  • PASRR for Service Coordinators Training
  • PASRR for Service Coordinators – PL1 Screening and PE Training
  • Person-Centered Thinking Training (PCT) teaches participants how to use person-centered thinking skills. This concept was developed by Michael Smull and the International Learning Community for Person Centered Practices. The course will help learners discover what is important to and important for the person being served and find the balance needed to best support them in achieving their desired outcomes.

    Person-Centered Thinking Training is a two-day, classroom-based course hosted by HHSC which will allow you to learn and practice a variety of skills to identify information that supports the work we do and the people we serve, work with, and live with.
    • Prerequisite: The prerequisite for the in-person course is the online Introduction to Person-Centered Thinking Training available in the HHS Learning Portal.