Revisions

24-1, Updates to LIDDA Handbook

Revision Notice 24-1; Effective March 1, 2024

The following change(s) were made:

Sections	Section Title	Change
9000	Enhanced Community Coordination (ECC) Responsibilities for SSLC Diversions and Transitions	Updates title to Enhanced Community Coordination Responsibilities for State Support Living Center and Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions Diversions and Transitions. Adds language to include ECC for ICF/IIDs.
9100	Duties Related to Transitioning from an or SSLC	Updates title to Duties Related to Transitioning or Diverting from an ICF/IID or SSLC. Updates language throughout.
9110	Reporting Requirements	Deletes old subsection, adds new subsection, ECC Funds to describe use of ECC funds.
9200	Enrollment in HCS as a Crisis Diversion	Updates language. Clarifies duties when a LIDDA changes.
9300	Post Enrollment in HCS as a Crisis Diversion	Updates language.
9400	Enrollment in HCS as an SSLC Transition	Updates title to Enrollment in HCS as an ICF/IID or SSLC Transition.
9410	Enrollment in HCS as an ICF/IID Transition	Adds new section to address ICF/IID transitions.
9420	Enrollment in HCS as an SSLC Transition	Adds new section with title and language previously in Section 9400. Updates language.
9500	Post Enrollment in HCS as an SSLC Transition	Updates title to Post Enrollment in HCS as an ICF/IID or SSLC Transition.
9510	Post Enrollment in HCS as an ICF/IID Transition	Adds new section to address monitoring requirements for ICF/IID transitions.
9520	Post Enrollment in HCS as an SSLC Transition	Adds new section renumbered with text from Section 9500. Updates language to include new monitoring and reporting requirements for SSLC transitions and guidance for transfer of LIDDAs.
9530	Monitoring Activities for One Year Post-Move	Adds new section to address both ICF/IID and SSLC transitions.
9540	Monitoring Activities for SSLC Transitions Only	Adds section to address monitoring and reporting activities for SSLC transitions only.
9600	Transition Planning from an SSLC to a Setting Other than the HCS Program	Updates language and TAC references.
9700	Post Transition from an SSLC to a Setting Other than the HCS Program	Updates language. Adds new requirements for monitoring and reporting SSLC transitions to non-HCS programs.
9800	Readmission to an ICF/IID or SSLC	Adds section with policy for ICF/IID and SSLC readmissions.
13238	Money Follows the Person Demonstration	Updates title to Money Follows the Person Demonstration Participation Process. Provides guidance to LIDDAs for enrolling people into the MFPD project using Form 1580, Texas Money Follows the Person Demonstration (MFPD) Project Informed Consent for Participation.
21000	Admissions and Discharges from State Supported Living Centers	Adds guidance about state supported living centers (SSLC) admissions and discharges (Sections 21100-21900).
21100	Definitions	Adds definitions for terms used through Section 21000, Admissions and Discharges from SSLCs.
21200	SSLC Services	Adds information about SSLC services.
21300	Admission to an SSLC	Adds a description of the LIDDA’s role concerning SSLC admissions.
21400	SSLC Admission Criteria	Adds the criteria for SSLC admissions.
21500	Types of Admission to an SSLC	Adds the categories for SSLC admission types.
21510	Voluntary Admissions to an SSLC	Adds a list of the voluntary SSLC admission types.
21520	Emergency Admission of an Adult or a Minor to an SSLC	Adds guidance on the process for emergency admissions to SSLCs.
21530	Respite Admission	Adds guidance on the process for respite admissions to SSLCs.
21540	Regular Voluntary Admission	Adds guidance on the process for regular voluntary admissions to SSLCs.
21600	Involuntary Admissions	Adds guidance on the process for involuntary admissions to SSLCs.
21610	Civil Commitment of a Person under the Persons with Intellectual Disability Act	Adds guidance on the requirements for SSLC civil commitments under the Persons with Intellectual Disability Act.
21620	Civil Commitment of a Person under the PIDA without an IDT recommendation	Adds direction for civil commitments of a Person under the PIDA without an interdisciplinary team (IDT) recommendation.
21630	Commitment of an Adult under the Texas Code of Criminal Procedure	Adds guidance on the SSLC civil commitment process for adults under the Texas Code of Criminal Procedure.
21640	Forensic Commitments Under the Family Code	Adds guidance on the SSLC commitment process for minors under the Texas Family Code.
21650	Involuntary Admissions for Restoration	Adds guidance on SSLC involuntary admissions under restoration commitments.
21700	LIDDA Responsibilities in Admissions to an SSLC	Adds guidance on LIDDA responsibilities for SSLC admissions.
21710	Interdisciplinary Team Review of Appropriateness of Referral	Adds guidance on LIDDA responsibilities per the appropriateness of the SSLC referral.
21720	Process for Admission of an Adult or Minor Committed to an SSLC under the PIDA	Adds guidance on the LIDDA process for SSLC civil commitment admissions under PIDA.
21730	Responsibilities of LIDDAs for People admitted to an SSLC	Adds reference for LIDDA responsibilities for people admitted to an SSLC.
21800	Community Placement from an SSLC	Adds guidance relevant to the community placement of a resident from an SSLC.
21810	Community Living Discharge Plan for Alternative Living Arrangements	Adds information about community living discharge plans for alternative living arrangements.
21820	Community Living	Adds reference for LIDDA responsibilities for pre-move and post-move monitoring of a person who has transitioned from an SSLC into a community placement.
21900	Discharge from an SSLC of a Person who moves to an Alternative Living Arrangement	Adds guidance on discharging the person from an SSLC commitment to move into an alternative living arrangement.
22000	Continuity of Services for Person with a Diagnosis of an Intellectual or Developmental Disability who is Admitted to a State Hospital	Adds guidance about continuity of care services for people with IDD admitted to a state hospital.
23000	Interfacility Transfers	Adds guidance about the transfer process between SSLCs and state hospitals.
23100	State Hospital to SSLC	Adds guidance on transferring from state hospitals to SSLCs.
23200	SSLC to Another SSLC	Adds guidance on transferring from an SSLC to another SSLC.
23300	SSLC to State Hospital	Adds guidance on transferring from SSLCs to state hospitals.
24000	LIDDA Responsibilities in Community ICF/IID Programs	Adds guidance about LIDDA responsibilities in community-based ICF/IID programs (Sections 24100-24300).
24100	Definitions	Adds definitions for terms used through Section 24000, LIDDA Responsibilities in Community ICF/IID Programs.
24200	LIDDA Responsibilities Related to Admissions to Community ICF/IID Programs	Adds an outline of the LIDDA’s responsibilities concerning community-based ICF/IID admissions.
24300	Continuity of Services for People Admitted to ICF/IID Community Homes	Adds guidance on continuity of care services for people admitted to ICF/IID community homes.

23-1, Section 13210 Revised

Revision Notice 23-1; Effective Feb. 27, 2023

The following change(s) were made:

Sections	Section Title	Change
13210	Notification of HCS Offer	Updates the Initial Meeting Packet Checklist (PDF).

22-3, Updates to Section 15100

Revision Notice 22-3; Effective Oct.17, 2022

The following change(s) were made:

Sections	Section Title	Change
15100	Research Preventing Dual Enrollment	Updates to LIDDA tasks about MCO communication to end CFC non-waiver services prior to HCS and TxHmL enrollment.

22-2, Updates to Interest Lists and Section Titles

Revision Notice 22-2; July 22, 2022

The following change(s) were made:

Sections	Section Title	Change
6100	Definitions	Deletes information about the CARE system.
7000	HCS and TxHmL Interest Lists	Updates CSIL process.
7100	Definitions	Updates definitions.
7200	Maintenance of the HCS and TxHmL Interest Lists	Updates process for maintaining interest lists.
7210	Active Military Families	Changes title. Updates interest list process for military families.
7300	Creating a CSIL Record	Changes title. Updates process for updating the process list.
7310	Adding HCS or TxHmL to a CSIL Record	Changes title. Updates process.
7320	Two or More Interest List CSIL Records for the Same Person	Changes title. Updates process when there are multiple CSILs.
7330	People Under 22 Years old Regarding ICF/IID and NFs – For HCS Only	Updates HCS interest list information.
7400	Returned Interest List Notification Letters	Updates notification process for people recently added to HCS and TxHmL interest lists.
7500	Biennial Contact	Updates process on contacting people on HCS and TxHmL with an “Interested” status.
7510	Exception to Biennial Contact	Updates biennial contact exception.
7520	CSIL Reports for Managing Biennial Contacts	Provides current information for managing interest list biennial contact requirements.
7540	Effort for Contacting the Primary Correspondent	Updates contact process for people receiving LIDDA services who are on HCS and TxHmL interest list.
7550	Discussions and Documentation	Updates steps the LIDDA takes with biennial contact information.
7560	Entering Biennial Contact Information into CSIL	Changes title. Updates LIDDA instructions in the CSIL for updating biennial contact information.
7570	Unable to Make Biennial Contact	Updates process for the LIDDA when multiple contact attempts are not successful.
7580	Unable to Make Biennial Contact Regarding Facility Residents	Updates LIDDA process for the LIDDA for ICF/IID residents of SSLCs or NFs.
7600	CSIL Status Designations	Updates CARE and Interest List statuses.
7610	When to Change the Status of a Person’s HCS or TxHmL Interest List	Removes word Record from title. Updates when to change a person’s status.
7700	Closing a Person’s HCS or TxHmL Interest List	Changes title. Updates closure reasons.
7800	When to Transfer a Person’s CSIL Record	Changes title. Updates process for people on HCS or TxHmL when moving to new service area.
7900	Requesting Changes to a Person’s HCS or TxHmL Interest List	Updates email address for submitting Form 8571. Updates policy when person is ineligible for a waiver for non-financial reasons.
10100	Definitions	Updates definitions.
10300	LIDDA Responsibilities	Updates tasks contracted LIDDAs must do.
13100	LIDDA Required Training	Updated training list.
13210	Notification of HCS Offer	Updates how the LIDDA notifies a person or their LAR of an enrollment offer
13211	Person Relocated to Another LIDDA’s Local Service Area (LSA)	Updates process for determining a person’s designated LIDDA.
13212	Withdrawal of HCS Offer	Updates when and how to withdraw an enrollment offer.
13213	Declining the Offer	Updates process for declining an HCS enrollment offer.
13214	Accepting the Offer	Updates process for accepting an HCS enrollment offer.
13221	Person Selects Provider in Another LIDDA’s LSA	Changes title. Updates pre-enrollment activities.
13222	Person is Enrolled in a Mutually Exclusive Waiver Program	Changes title. Updates process after a person has accepted the HCS enrollment.
13222.1	If Person is in Texas Home Living (TxHmL)	Updates process if person is in TxHmL.
13231	Enrollment Due Dates	Updates tasks LIDDAs must do for enrollments and extensions.
13232	Requesting an Extension of the Enrollment Due Date	Changes title. Updates LIDDA tasks for HCS enrollment due date extensions.
13235	Level of Care (LOC) and Level of Need (LON)	Updates information regarding LOC and LON.
13235.1	HHSC Activities	Updates HHSC tasks regarding LON and LOC determination for HCS enrollment authorizations and denials.
13238	Money Follows the Person Demonstration	Removed information and added blurb that this section is under review and will be updated.
13241	Form Submission for Enrollment	Changes title. Updates to forms submission needed for HCS enrollment and status information.
13251	Nursing Facility Diversion and Transition	Changes title. Updates information to refer to PASRR handbook for diversions and transitions.
13310	Notification of TxHmL Offer	Updates how the LIDDA notifies a person or their LAR of an enrollment offer
13311	Person Relocated to Another LIDDA’s Local Service Area (LSA)	Updates process for determining a person’s designated LIDDA.
13212	Withdrawal of TxHmL Offer	Updates when and how to withdraw an enrollment offer.
13313	Declining the Offer	Updates process for declining a TxHmL enrollment offer.
13314	Accepting the Offer	Updates process for accepting an TxHmL enrollment offer.
13321	Person Selects Provider in Another LIDDA’s LSA	Changes title. Updates pre-enrollment activities.
13322	Person is Enrolled in a Mutually Exclusive Waiver Program	Changes title. Updates process after a person has accepted the TxHmL enrollment.
13331	Enrollment Due Dates	Updates tasks LIDDAs must do for enrollments and extensions.
13332	Requesting an Extension of the Enrollment Due Date	Changes title. Updates LIDDA tasks for TxHmL enrollment due date extensions.
13335	Level of Care (LOC) and Level of Need (LON)	Updates information regarding LOC and LON.
13335.1	HHSC Activities	Updates HHSC tasks regarding LON and LOC determination for HCS enrollment authorizations and denials.
13339	Form Submission for Enrollment	Changes title. Updates to forms submission needed for TxHmL enrollment and status information.
15100	Research Preventing Dual Enrollment	Updates to LIDDA tasks and processes regarding HHS applications and TMHP applications.
15200	Persons Enrolled in STAR+PLUS Waiver or Medically Dependent Children Program	Changes title. Updated LIDDA tasks regarding STAR+PLUS and MDCP enrollment and form submission.
15410	Financial Eligibility at Pre-Enrollment	Updates to LIDDA tasks on Medicaid eligibility search.
15412	Qualified Medicare Beneficiary or Specified Low-Income Medicare Beneficiary	Changes title. Updates to QMB and SLMB Medicaid information for LIDDAs.
15420	Persons Leaving an ICF/IID, State Hospital or SSLC to Enroll in HCS or TxHmL	Changes title. Updates to HCS and TxHmL enrollment information for people leaving an ICF, State Hospital or SSLC.
15710	Form H1746-A, MEPD Referral Cover Sheet	Updates to LIDDA tasks for Form H1764-A.
15720	Completing Sections on Form H1746-A, MEPD Referral Cover Sheet	Updates to LIDDA tasks on how to complete Form H1746-A
15810	Medicaid Redetermination	Updates to LIDDA tasks related to Medicaid redetermination on TMHP LTC Online Portal.
19230	Matching Criteria	Updates to TLETS probable match information.