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The following documents must be submitted to the Health and Human Services Commission to support the Inventory for Client and Agency Planning ratings and increased services and supports for a person in the Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions Program or the Home and Community-based Services Program whose medical conditions require nursing interventions of 181 or more minutes per week. The level of need may be increased to the next higher level of need if supported by the documents.

Review past HCS and TxHmL webinars and frequently asked questions.

Provider frequently asked questions regarding PASSR in Texas nursing facilities.

PASRR frequently asked questions and their answers for referrring entities.

IDD Program Eligibility & Support has both advisors and reviewers. Reviewers can help with level of care determinations.

Forms and related information required for business operations of AAAs in Texas.

Information about permanency planning for children.

Texas local intellectual and developmental disability authorities (LIDDAs) provider information.

Intellectual Disability and Related Condition frequently asked questions and their answers.

Electronic Visit Verification is a computer-based system that verifies the occurrence of authorized personal attendant service visits by electronically documenting the precise time a service delivery visit begins and ends. Texas requires EVV for certain Medicaid funded home and community-based services provided through HHSC and MCOs.

Information for Texas Medically Dependent Children Program (MDCP) Providers

Resources and training for ICF/IID providers.

These are the PASRR training resources available.

The Texas Medicaid & Healthcare Partnership (TMHP) has published the 2025 Proprietary System Operator (PSO) Operational Readiness Review (ORR) onboarding schedule and the new PSO Onboarding Standard Process Overview and Timeline (PDF) to the TMHP EVV webpage.