Local Intellectual and Developmental Disability Authority Handbook

LIDDA, Letter Templates

HCS Offer

Letter English Version

Spanish Version

HCS Withdrawal Letter

English Version

Spanish Version

TxHmL Refinance Offer Letter

English Version

Spanish Version

TxHmL Interest List Offer Letter

English Version

Spanish Version

TxHmL Withdrawal Letter

English Version

Spanish Version

LIDDA, HCS and TxHmL Interest List Manual

HCS and TxHmL Interest List Manual

LIDDA, Procedures for HCS and TxHmL Financial Eligibility

LIDDA, Financial Eligibility at Pre-Enrollment (HCS & TxHmL Waiver Programs)

Pre-Enrollment

 

LIDDA,Financial Eligibility After Enrollment (HCS & TxHmL Waiver Programs)

Enrollment

 

LIDDA, Request for Targeted Waiver Slot

LIDDA, Request for Nursing Facility Transition

Nursing Facility Transition

LIDDA, Request for Nursing Facility Diversion

Nursing Facility Diversion

LIDDA, Request for Crisis Diversion

Request for Crisis Diversion PDF

DFPS Request for DID for Guardianship

DFPS Request for DID for Guardianship

 

LIDDA, Publications

LIDDA, Explanation of Services and Supports

Explanation of Services and Supports

 

LIDDA, "What Every Consumer Needs to Know"

"What Every Consumer Needs to Know"

 

LIDDA, Know Your Options

Know Your Options

 

LIDDA, Know Your Options (Spanish)

Know Your Options (Spanish)

LIDDA, A Message for Families...

A Message for Families...

LIDDA, A Message for Families...(Spanish)

A Message for Families...(Spanish)

 

LIDDA, Rights of Individuals to be Protected and Promoted by the HCS Provider

Rights of Individuals to be Protected and Promoted by the HCS Provider

 

LIDDA, Ending a Targeted Case Management (TCM) Service Authorization

Revision 16-3; Effective October 11, 2016

 

Health and Human Services Commission Regional Claims Management Services (CMS) coordinators are assigned to specific regions in the state, listed here.

Procedures for ending a TCM service authorization are here.

Form 1595, Billing Resolutions Request, is available for a Local Authority to communicate billing issues to the CMS coordinator assigned to its area.

 

LIDDA, Resources

LIDDA, Roles of Outcomes in a Person Directed Approach

Roles of Outcomes in a Person Directed Approach

 

LIDDA, Appendices

LIDDA, Appendix I, Mutually Exclusive Services

LIDDA, Appendix II, Long Term Services and Supports

LIDDA, Forms

Form Title
1016 SPT PASRR Specialized Services Discussion Checklist
1039 Community Living Options
1040 Contact Information Sheet and CFC Packet Checklist
1041 Individual Service Plan/Transition Plan - NF
1042 Pre-Move Site Review
1043 Post-Move Monitoring
1044 Informacion en espanol Refusal of Service Coordination for Individuals Residing in Nursing Facilities
1045 HCS/TxHmL Request for Enrollment Extension
1046 Request for Adult NF Transition Slot for HCS Slot
1047 Request for Targeted Nursing Facility HCS Diversion Slot
1048 Summary Sheet for Services to Individuals with IDD in a Nursing Facility
1050 Diversion Plan from Nursing Facility or State Supported Living Center
1051 Request for Determination of Intellectual Disability for an Individual Referred for Guardianship by DFPS
1052 Informacion en espanol Public Provider Choice Request
1058 Request for Home and Community-based Services Crisis Diversion Slot
1570 ICF Request for Medical Need Assessment or Verification of RUG-III Category
1580-IDD Informacion en espanol Texas Money Follows the Person Demonstration (MFPD) Project Agreement of Participation
1595 Billing Resolutions Request
5842 TxHmL Financial Eligibility Information
8571 Request to Change Interest List Information for Home and Community-based Services (HCS) or Texas Home Living (TxHmL)
8577 Questionnaire for DADS LTSS Waiver Program Interest Lists
8586 Informacion en espanol TxHmL Service Coordination Notification
8592 Informacion en espanol Deadline Notification
8630 Continuity of Care
8647 Service Coordination Assessment -- Intellectual Disability Services
8648 Informacion en espanol Identification of Preferences
8726 Request for Targeted Diversion HCS Slot

Informacion en espanol = form also available in Spanish.

LIDDA, Revisions

LIDDA, 18-1, Request for Crisis Diversion

Revision 18-1; Effective February 12, 2018

 

Deletes the Request for Offering a Targeted HCS SSLC Diversion and adds the Request for Crisis Diversion.

LIDDA, 16-3, Ending a Targeted Case Management (TCM) Service Authorization

Revision 16-3; Effective October 11, 2016

 

Updates the list of Regional Claims Management coordinators.

LIDDA, 16-2, Revised Protocols and Form 1047

Revision 16-2; Effective June 27, 2016

 

Updates the Request for Nursing Facility Diversion and Request for Nursing Facility Transition Protocols.

Revises Form 1047, Request for Targeted Nursing Facility HCS Diversion Slot.

 

LIDDA, 16-1, New Section

Revision 16-1; Effective May 18, 2016

 

Adds DFPS Request for Determination of Intellectual Disability (DID) for an Individual Referred for DADS Guardianship.

LIDDA, Contact Us

For questions about the Local Intellectual and Developmental Disability Authority Handbook, email: LIDDAservicecoordination@hhsc.state.tx.us

For technical or accessibility issues with this handbook, please email: handbookfeedback@hhsc.state.tx.us