22-3, Section 7000 Changes

Revision 22-3; Effective Oct. 19, 2022

The following changes(s) were made:

Section Title Change
7110 Service Delivery Modalities Adds the modalities for delivering services in the HCS Program.
Form 2125 and Instructions Implementation Plan — HCS/TxHmL/CFC Updates Form 2125 and instructions to include consent for use of synchronous audio-visual technology. Changes title of Form 2125 Instructions to Home and Community-based Service (HCS), Texas Home Living (TxHmL) and Community First Choice (CFC) Implementation Plan.

22-2, Miscellaneous Changes

Revision 22-2; Effective May 1, 2022

The following changes(s) were made:

Section Title Change
2000 Service Coordination Adds how to access the Texas Medicaid & Healthcare Partnership (TMHP) user guides. Throughout the section, deletes all references to specific CARE and replaces “CARE” with “HHSC data system,” Local Authority (LA)” with “Local Intellectual and Developmental Disability Authority (LIDDA),” “Department of Assistive and Rehabilitation Services (DARS)” with “Texas Workforce Commission (TWC),” “Consumer Rights and Services” with “IDD Ombudsman,” “Department of Aging and Disability (DADS)” with “Health and Human Services Commission (HHSC),” “Consumer Directed Services Agency (CDSA)” with “Financial Management Services Agency (FMSA),” and “Texas Youth Commission” with “Texas Juvenile Justice Department.”
2120 Person-Directed Plan Development Deletes an external weblink and updates the name of the HCS Program Billing Requirements. Adds a link to Form 8665, Person-Directed Plan.
2130 Enrollment Activities Makes minor wording changes.
2151 Individual Plan of Care Renewal Deletes information about the 21-day notification and informing the individual/LAR about receiving attendant care.
2152 Individual Plan of Care Revision Deletes the purpose information for documenting an Individual Plan of Care (IPC) revision in a contact note.
2155 Home and Community-based Services Program Suspension Changes the section title and deletes “Previously Referred to as Temporary Discharge.”
2156 Termination of Home and Community-based Services Changes the section title and deletes “Previously Referred to as Permanent Discharge.”
2157 Transfers Deletes information about submitting a written request to transfer.
2160 Additional Service Coordinator Responsibilities Deletes notice of the development of the “Rights of Individuals to be Protected and Promoted by the HCS Provider.” Specifies when the service coordinator (SC) should give a copy of the booklet, “Your Rights in a Home and Community-based Services (HCS) Program,” to an individual/legally authorized representative (LAR). Replaces the listed phone number with a weblink for listings of Early Childhood Intervention (ECI) programs by county. Adds how often the SC should determine if the guardianship for an individual is current. Adds that the SC must request the current letter of guardianship and keep a copy in the individual’s record and if the letter of guardianship is not current, to obtain signatures of both the individual and the person listed as guardian until appropriate steps can be taken to verify current guardianship.
3000 Enrollments Adds how to access the TMHP user guides. Changes “Department of Aging and Disability Services (DADS)” to “Health and Human Services Commission (HHSC).” Deletes information about the CARE user guide and child care facility regulated by the Texas Department of Family and Protective Services.
5000 Level of Care and Level of Need Deletes all references to specific CARE screens and CARE screen shots throughout the section. Adds information about accessing the TMHP user guides. Adds the descriptions of the Level of Care (LOC) and Level of Need (LON). Replaces “CARE” with “HHSC data system.”
5100 Intellectual Disability/Related Condition Assessment Process Clarifies who must sign Form 8578, Intellectual Disability/Related Condition Assessment, and makes minor wording changes. Adds reports will also be noted in the form history in the HHSC data system. Moves information about the review of the ID/RC. Adds a program provider may request an increase in LON for an individual for medical and/or behavioral reasons. This is one level higher than the LON assessed by the ICAP tool.
5200 Service Coordinator Review of Intellectual Disability/Related Condition Makes minor wording changes. Deletes the description of the LOC and LON, and information about the review of the ID/RC (now in Section 5100). Deletes individual profiles information and adds links to LON resources.
6000 Individual Plan of Care Adds how to access the TMHP user guides. Throughout the section, deletes references to specific CARE screens and CARE screenshots and changes. Changes “Department of Aging and Disability Services (DADS)” to “Health and Human Services Commission (HHSC),” “CARE” to “HHSC data system,” ”Local Authority (LA)” to “Local Intellectual and Developmental Disability Authority (LIDDA),” “provider” to “program provider,” and “Program Enrollment (PE)” to “Utilization Review (UR)”
6100 Overview of the IPC Adds Form 3608, Individual Plan of Care (IPC) – HCS/CFC, and replaces “changed” with “transfers.” Deletes the links to “HCS and MRA User Guides” and “during the IPC meeting.”
6120 IPC Begin, End and Effective Dates Adds “the next day after the previous IPC ends.”
6130 IPC Meeting Adds “that does not require a change to the PDP.”
6140 IPC Types Makes a minor wording change.
6150 Consumer Directed Services (CDS) and IPCs Replaces SC with service coordinator (SC), replaces “those” with “Adds program.” Modifies employer with “CDS” and deletes “(i.e., individual or LAR).” Makes minor wording changes.
6160 Health and Human Services Commission (HHSC) Role Changes the section title. Adds that HHSC may review any type of IPC at any time to determine if the appropriate type and amount of services are being requested and utilized. HHSC may take action on an IPC, reducing or denying services or amounts of services if there is not documentation to support the need for the requested services.
6210 Initial (Enrollment) IPC Overview Replaces “LA service coordinator” with “LIDDA representative.”
6220 LIDDA and Service Coordinator Responsibilities for Initial IPC Changes the section title.
6221 IPC Meeting to Develop Initial IPC Removes link to Acronyms.
6223 Units of Service Changes the typical number of days of day habilitation attendance from “250” to “260” and changes “therapy” to “professional therapies.” Adds that a revision of IPC can be completed after an assessment is completed. Adds nursing, professional therapies and dental services are limited in availability for individuals enrolling who are 20 years and younger because they must be accessed through State Plan Services. Deletes information about additional planning to determine number of service hours.
6224 Non-HCS Services Removes link to Acronyms.
6225 Initial IPC Signatures and Signature Dates Removes link to Acronyms.
6226 Transmission of Initial IPC Makes minor wording changes.
6230 Provider Responsibilities for Initial IPC Makes minor wording changes.
6310 Renewal IPC Overview Deletes Texas Administrative Code (TAC) reference and makes minor wording changes.
6320 Program Provider Responsibilities for Renewal IPC Changes the section title.
6321 IPC Meeting to Develop Renewal IPC Makes a minor wording change.
6323 Units of Service Changes the typical number of days of day habilitation attendance from “250” to “260” and changes “health care professional” to “licensed professional.” Adds nursing, professional therapies and dental services are limited in availability for individuals enrolling who are 20 years and younger because they must be accessed through State Plan Services. Deletes information about additional planning to determine number of service hours.
6324 Renewal IPC Signatures and Signature Dates Makes minor wording changes and adds “Then the hardcopy form is submitted to the SC for review.”
6325 Transmission of Renewal IPC Adds ‘Once the required signatures have been obtained’ and makes minor wording changes.
6330 Service Coordinator Responsibilities for Renewal IPC Deletes weblink and “in accordance with Section 2151, Individual Plan of Care Renewal.” Emphasizes the importance of the SC completing the Person-Directed Plan (PDP) in a timely manner and makes minor wording changes.
6410 IPC Revision Overview Adds “requested units of services for an added service should be prorated as need based on the time remaining in the IPC year” and makes minor wording changes.
6411 Provider Responsibilities for IPC Revision Deletes a weblink and makes minor wording changes.
6412 Service Coordinator Responsibilities for IPC Revision Clarifies that when a program provider becomes aware of a need to revise an individual's IPC, the program provider submits a revised IPC to the SC that does not require a change to the PDP.
6421 Provider Responsibilities for IPC Revision That Reflects a PDP Change Deletes information about IPC revision in response to emergency provision of services.
6421.2 Signatures and Signature Dates for IPC Revision That Reflects a PDP Change Removes link to Acronyms. 
6421.3 Transmission of IPC Revision That Reflects a PDP Change Makes minor wording changes.
6422 Service Coordinator Responsibilities for IPC Revision that Reflects a PDP Change Makes minor wording change and removes a weblink.
6430 Revision to Increase/Decrease an Existing HCS Service Deletes information about nursing service component and “in accordance with Section 6600, Service Coordinator Review Process.” Adds a link to Form 3608 and makes minor wording changes.
6431 Provider Responsibilities for IPC Revision to Increase/Decrease an Existing HCS Service Deletes “If the IPC revision increases or decreases an existing HCS service and is supported by a current outcome in the PDP, an IPC meeting is not necessary.” Adds “if an IPC meeting is not held” and makes minor wording changes.
6431.1 IPC Effective Date for IPC Revision that Does Not Require an IPC Meeting Changes the section title and adds link to Form 3608.
6431.2 Signatures and Signature Dates for IPC Revision that Do Not Require an IPC Meeting Changes the section title and makes a minor wording change. 
6431.3 Transmission of IPC Revision that Does Not Require an IPC Meeting  Changes the section title and clarifies that the program provider may enter the revised IPC in the HHSC data system after the individual’s or LAR’s signature is obtained on the revised IPC.
6431.4 Activity Following Transmission of IPC Revision that Does Not Require an IPC Meeting  Changes the section title and makes a minor wording change.
6432 Service Coordinator Responsibilities for IPC Revision that Do Not Require an IPC Meeting Changes the section title and adds link to Form 3608.
6432.1 Service Coordinator Response Section of Form 3608 Changes the section title and adds a link to Form 3608.
6432.2 If Service Coordinator Agrees the IPC Revision Does Not Require an IPC Meeting Changes the section title.
6432.3 If Service Coordinator Has Concerns with the IPC Revision Changes the section title and adds “If the SC and the program provider cannot come to agreement about the amount of the services or supports being requested, the SC completes Form 8579, Notification of Service Coordinator (SC) Disagreement, and submits it to HHSC UR.”
6441.3 Transmission of IPC Revision to Add/Change a Requisition Fee Only Makes minor wording changes. 
6510 Transfer IPC Overview Makes minor wording changes.
6520 LIDDA and Service Coordinator Responsibilities for Transfer IPC Changes the section title.
6523 Transfer IPC Signatures and Signature Dates Removes link to Acronyms.
6524 Transmission of Transfer IPC Adds “If two LIDDAs are assisting with a transfer IPC, the transferring LIDDA sends the IPC to the receiving LIDDA for data entry” and to refer to Section 8000, Transfers and Local Authority Reassignments for additional information on the transfer process.
6525 Emergency Transfer Makes a wording changes.
6531 Transferring Provider Makes minor wording changes.
6610 Service Coordinator Review Process Overview Makes minor wording changes.
6611 Reasons the IPC is Returned to the Provider Makes minor wording changes.
6612 Service Coordinator’s Agreement/Disagreement with IPC Makes minor wording changes.
6621 If the IPC is Returned to Provider Makes minor wording changes.
6622 Service Coordinator's Agreement/Disagreement with IPC Changes “attest” to “agree” and makes minor wording changes.
6622.1 Agreement with IPC Clarifies that the SC must agree with the IPC in the HHSC data system to move it forward for review.
6622.2 Disagreement with IPC Makes minor wording changes.
6623 If Service Coordinator CARE Screens for Service Coordinator Review Deletes section.
6623.1 CARE Screen L83 Deletes section.
6623.2 CARE Screen L31 Deletes section.
6630 Provider Responsibilities Makes a minor wording change. 
6631 Service Coordinator Returns IPC in the HHSC Data System Changes the section title and deletes information about CARE screen.
6632 Activity to Address a Returned IPC Makes minor wording changes. 
6633 Error Correction Deletes section.
6634 Delete and Re-enter IPC Deletes section.
6635 CARE Screen Examples Deletes section.
8000 Transfers and Local Intellectual and Developmental Disability Authority (LIDDA) Reassignments Changes the section title.
8100 Overview Deletes obsolete TAC information.
8210 Transfers Must be Planned Modifies several sentences for clarity. Adds a transfer effective date must be agreed to by all parties involved in the transfer.
8220 No Prior SC Notification Modifies several sentences for clarity.
8230 Emergency Transfer Adds TAC definitions of “emergency” and “emergency situation.” Modifies several sentences for clarity. Clarifies in an emergency, the receiving provider notifies the SC if they are unaware of the emergency situation. Clarifies that the SC submits supporting documentation to HHSC. Deletes “contract.”
8231 Data Entry of Emergency Transfer in the HHSC Data System Changes the section title and removes information about entry of non-emergency transfer.
8310 Simultaneous Transfer of Program Provider and FMSA Changes the section title and makes minor wording changes. 
8330 Reserved for Future Use Deletes section formerly “Data Entry in the HHSC Data System.”
8340 Verification of Guardianship Deletes references to CARE screens. Makes minor wording changes.
8360 Contacting HHSC Changes the section title and makes minor wording changes.
8400 Program Provider Transfer Involving One Local Intellectual and Developmental Disability Authority (LIDDA) Changes the section title.
8430 Ensuring Agreement on Transfer Effective Date Makes a minor word change.
8450 Developing the Transfer IPC Replaces “Section I” with “Column 3.”
8460 Sharing Documents Makes a minor wording change.
8470 Completing Data Entry in the HHSC Data System and Submitting Documents to HHSC Changes the section title and “group home” to “three-person or four-person residence.” Corrects forms should be submitted through the IDD Operations Portal and the receiving program provider should contact HHSC Program Eligibility and Support (PES) for assistance if they don’t have access to the HHSC data system. Adds to use the existing local case number if the individual already has one with the program provider's component code. 
8500 Program Provider Transfer Involving Two Local Intellectual and Developmental Disability Authorities (LIDDAs) Changes the section title.
8510 Confirming the Desire to Transfer Deletes transferring SC contacting HHSC PES for SC information. Adds the transferring SC submits an Individual Movement (IMT) form/LA reassignment form in the HHSC data system and the receiving LIDDA must acknowledge the IMT/LA reassignment form in the HHSC data system. 
8520 Selecting a Receiving Program Provider Makes a minor wording change.
8530 Ensuring Agreement on Transfer Effective Date Makes a minor wording change.
8540 Completing Form 3617 Makes a minor wording change.
8550 Developing the Transfer IPC Makes a minor wording change.
8560 Sharing Documents Adds that the transferring SC must submit current copies of documents to the receiving SC before the submission of the IMT form in the HHSC data system.
8570 Completing Data Entry in the HHSC Data System and Faxing Documents to HHSC Changes that the receiving LIDDA/SC, not transferring LIDDA/SC, submits the transfer documents to HHSC PES and contacts HHSC PES for assistance if the receiving program provider does not have access to the HHSC data system.
8600 FMSA Transfer and Changing Service Delivery Option Changes the section title.
8610 Confirming the Desire to Transfer or Change Service Delivery Option Makes minor wording changes.
8620 Selecting a Receiving FMSA or Receiving Program Provider Changes the section title.
8630 Ensuring Agreement on Transfer Effective Date Makes minor wording changes.
8640 Completing Form 3617 Makes minor wording changes.
8650 Developing the Transfer IPC Makes minor wording changes and replaces “Section I and Section III” with “Column 3.”
8660 Completing Data Entry in the HHSC Data System and Submitting Documents to HHSC Changes the section title and changes “fax” to “submit.” Deletes information about sending documents to assigned HHSC staff. Adds to use the existing local case number if the individual already has one with the program provider's component code.
8700 Notification by HHSC Program Eligibility and Support (PES) Deletes information about transfer authorization letters.
8800 Local Intellectual and Developmental Disability Authority (LIDDA) Reassignment Changes the section title. Adds the transferring LIDDA submits an Individual Movement (IMT) form/LA reassignment form in the HHSC data system for a reassignment, and the receiving LIDDA acknowledges the IMT/LA reassignment in the HHSC data system. Deletes references to CARE user guide and updates the email and phone number for HHSC PES.
9000 Suspensions Deletes all references to specific CARE screens. Adds information about accessing TMHP user guides. Throughout the section, changes “Department of Aging and Disability Services (DADS)” to “Health and Human Services Commission (HHSC),” “Intellectual and Developmental Disability (IDD) Waivers Program Enrollment/Utilization Review (PE/UR)” to “Program Eligibility and Support (PES).”
9100 Reasons for Suspension of Waiver Program Services Deletes the listed reasons for suspension. Adds Home and Community-based Services (HCS)/Texas Home Living (TxHmL) services must be suspended when an individual is temporarily admitted to these settings: hospital; ICF/IID; nursing facility; ALF; residential child care facility licensed by HHSC unless it is an agency foster home; inpatient chemical dependency treatment facility; mental health facility; residential facility operated by the Texas Workforce Commission; or a residential facility operated by the Texas Juvenile Justice Department, a jail or a prison.
9200 Program Provider Responsibilities Replaces “temporary discharge” with “suspension” and deletes information about suspension due to loss of financial eligibility and informing the SC that an individual can resume participation in the waiver program.
9300 HHSC Activities Changes the section title, makes minor wording changes and deletes information about secure email communication.
9400 Service Coordinator Responsibilities Deletes information about suspension due to loss of financial eligibility and discussing if the individual should be terminated. Specifies that a request to continue the suspension is submitted to HHSC if continuation of the suspension is recommended beyond 270 days.
9410 Request to Continue Suspension of Waiver Program Services Makes minor wording changes and deletes links to handbooks and CARE user guides.
10000 Terminations Adds information on how to access TMHP user guides. Throughout the section, replaces “CARE” with “HHSC data system,” Local Authority (LA)” with “Local Intellectual and Developmental Disability Authority (LIDDA),” “Consumer Directed Services Agency (CDSA)” with “Financial Management Services Agency (FMSA),” “Department of Aging and Disability Program Enrollment (DADS PE)” with “Health and Human Services Commission Program Eligibility and Support (HHSC PES).”
10100 Process for Requesting Termination of Waiver Services – Texas Home Living and Home and Community-based Services Adds HHSC prefers to receive required documentation for the termination of waiver program services through the IDD Operations Portal. Updates HHSC PES general email box address. Deletes all links and references to the CARE user guides.
11100 Financial Eligibility Guidelines for Texas Home Living and Home and Community-based Services Replaces “Texas Department of Aging and Disability Services (DADS)” with “Health and Human Services Commission (HHSC).”
12000 Permanency Planning Adds information about accessing the TMHP user guides.
12100 Resources Replaces “Local Authority (LA)” with “Local Intellectual and Developmental Disability Authority (LIDDA).”  Updates link to Permanency Planning forms and tools. Deletes CARE user guide information.
13000 Consumer Directed Services Replaces “Consumer Directed Services Agency (CDSA)” with “Financial Management Services Agency (FMSA),” “provider managed option” to “agency option,” “CARE” with “HHSC data system,” and “Department of Aging and Disability Services (DADS)” to “Health and Human Services Commission (HHSC)” throughout the section.
13110 Home and Community-based Services Available Through the Consumer Directed Services Option Changes “foster/companion care” to “host home/companion care” and “self-direction” to “CDS option.” Updates the list of HCS services available through the CDS option.
13120 Informing the Individual/LAR of the Consumer Directed Services (CDS) Option Deletes “the self-assessment may not be used to determine that an individual/LAR cannot use the CDS option” and “probably.” Deletes information about conducting orientation in the individual’s home prior to service initiation and clarifies that FMSA conducts majority of its business electronically.
13130 Service Planning Deletes “SHL or Respite.”
13140 Enrolling the Individual in the Consumer Directed Services Option Makes minor wording changes.
13160 Monitoring Consumer Directed Services Adds “This includes terminating the CDS option, if using CDS puts the individual’s health and safety at risk.” Updates the link to the IDD ombudsman webpage.
13200 Consumer Directed Services Resources Makes a minor wording change.
15000 Review of Authority Replaces “Local Authority (LA)” with “Local Intellectual and Developmental Disability Authority (LIDDA)” and “CARE” with “HHSC data system” throughout the section.
15100 Quality Oversight of Home and Community-based Services Program Local Intellectual and Developmental Disability Authority Responsibilities Changes the section title and deletes “on-site” and information about random selection of HCS sample of participants. Removes a broken link to the LIDDA Performance Contract. Clarifies only new SCs assigned to the sample participants are reviewed. Replaces “documentation checklist” with “electronic tool” and “Report of Findings” with “HCS Authority Review Report of Findings.” Deletes “cited finding may be determined to be corrected on site.” Clarifies the corrective action plan (CAP) is due within 30 days after receipt of the HCS Authority Review Report of Findings.

22-1, 14000 Changes

Revision Notice 22-1; Effective February 4, 2022

The following change(s) were made:

Section Title Change
14000 Long-Term Care Regulatory Changes section title and throughout the section, changes “Waiver Survey and Certification (WSC)” with “Long-Term Care Regulatory (LTCR).” Changes “review” with “survey,” “talking with” to “interviewing,” “residential reviewer” to “LTCR staff,” “CARE” with “HHSC data system,” and “Consumer Rights and Services” with “IDD Ombudsman.”  
14100 Long-Term Care Regulatory, HCS and TxHmL Overview Clarifies the functions of LTCR, which includes completing initial certification and annual recertification surveys for contracts operated by program providers to ensure compliance with the certification principles located in the Texas Administrative Code (TAC), completing residential visits for Host Home/Companion Care and three- and four-person homes residences, and reviewing complaints and deaths in the program.
14200 Home and Community-based Services Surveys Changes section title and corrects TAC references to certification principles. Replaces “announced or unannounced reviews” with “intermittent survey.”
14210 Types of Surveys Changes section title and deletes provisional certification information. Adds that for recertification surveys, a program provider must demonstrate compliance with all certification principles to be certified for another 365-day period. Clarifies that if the program provider is out of compliance with any certification principles, LTCR sends a final report with a list of violations to the program provider within 14 calendar days after the day of exit and the program provider must submit a Plan of Correction (PoC ) within 14 calendar days of receipt of the report. Makes other minor wording changes and delineates the time frames needed for a critical and noncritical violation. For a critical violation, the PoC must include that corrective action will be completed within 30 calendar days after the date of the survey exit conference and an on-site follow-up survey will be conducted after the 30-day period to determine if the program provider completed the corrective action in accordance with their PoC. For a violation that is not critical, the PoC must include that corrective action will be completed within 45 calendar days after the date of the survey exit conference and an on-site follow-up survey is conducted after the 45-day period to determine if the program provider completed the corrective action in accordance with their PoC. If LTCR determines that the program provider has not completed the corrective action or they have failed to submit an acceptable PoC, HHSC imposes a vendor hold against the program provider or denies or terminates the certification. Adds that LTCR will conduct a follow-up survey at least 31 calendar days after the effective date of the vendor hold, and if the program provider has not completed the corrective action, HHSC will deny or terminate the certification. Adds that intermittent surveys are always unannounced and also based on internal HHSC referrals.
14220 Overview of the Home and Community-based Services Certification Survey Process Changes section title and makes minor wording changes. Removes that HCS program providers will generally be contacted before a certification review by the review facilitator, unless there is cause to conduct an unannounced review of the program. Removes “over 90 days” in certification review activities and removes “as a part of WSC reviews, reviewers note any issues related to service coordination and forward any concerns to HHSC Contract Accountability and Oversight (CAO) for follow up. HCS program providers may view notations related to their programs in the C-97 screen of the CARE system.” Removes “a citation can only be cleared if the original instance of noncompliance has been remediated, a new sample of individuals or records are in compliance for that principle, and the provider can show a change in process or policy that ensures no future occurrences of noncompliance.” Clarifies that if the survey team identifies an immediate threat, the program provider must immediately provide the survey team with a plan of removal. Replaces “informal review process” with “informal dispute resolution (IDR)” and explains if a program provider disagrees with the survey results, they may request an IDR. The IDR is an informal process by which a program provider can dispute, before an independent third party, the findings on which a violation is based. The outcome of the IDR serves as the independent third party’s recommendation to HHSC regarding the program provider’s compliance or noncompliance with program rules. The program provider must still submit an acceptable PoC no later than 14 calendar days after receiving Form 3724 from HHSC even if it chooses to use the IDR process.
14230 Plan of Correction (PoC) Changes section title from “Corrective Action Plan” to “Plan of Correction (PoC).” Clarifies within 14 calendar days after receiving the final survey report, the program provider must submit a PoC to address each violation that was identified during the survey. This applies even if the provider disagrees with the findings of violations or requests IDR. For violations that are critical, the PoC must include the corrective action(s) the program provider will take for each violation with a completion date within 30 calendar days from the survey exit conference.  For violations that are noncritical, the PoC must include the corrective action(s) the program provider will take for each violation with a completion date within 45 calendar days from the survey exit conference. HHSC will review the PoC and the program provider will be notified in writing whether the plan has been approved or denied. If the plan is denied, the program provider must submit a revised plan within five business days. Once the plan is approved, HHSC will request that the program provider submit evidence of the correction to HHSC and HHSC can conduct a follow-up survey to verify the corrections.
14240 Home and Community-based Services Review Checklists Deletes section.
14300 Texas Home Living Certification Surveys Changes section title, adds a TAC reference and replaces “announced or unannounced review” with “intermittent survey.”
14400 Residential Visits Deletes “the legislature funded annual inspections of HCS Host Home/Companion Care residences.” Clarifies that HHSC may conduct unannounced visits to each residence in which Host Home/Companion Care services are provided.
14410 Residential Visit Policy and Procedures Corrects that Form 3609, Waiver Survey and Certification Residential Checklist, is marked pass or fail, not yes or no. Adds a link to Provider Letter 2020-01 that provides information for how the Host Home/Companion Care provider or HCS provider can give feedback about a residential visit. Corrects that a letter notifying the program provider of the inaccuracy in the HHSC data system is sent to the HCS program provider, not the CEO, if the address on the HHSC data system is invalid.
14411 Residential Visit Results Clarifies that a program provider must submit an evidence of correction (EoC) to LTCR using the WSC Portal or by submitting Form 1573, Residential Review Evidence of Correction. If using Form 1573, the Residential Review ID must be listed on the form with accompanying evidence. The time frame to submit an EoC is included in the documentation received by the program provider. LTCR will not accept an EoC without the correct Residential Review ID. Clarifies the program provider must take action to address an item marked “fail” on the residential checklist. If a significant risk requires immediate corrective or mitigating action, such as locking up hazardous chemicals or securing a copy of the residence’s emergency plan, LTCR staff will not leave the residence until the program provider has taken immediate action and the significant risk is removed. LTCR will also contact the program provider contract contacts and inform such persons of the date, as determined by LTCR, by which the program provider must submit evidence of correction showing that action has been taken and the significant risk removed.
14500 Death Reviews Corrects a TAC reference for reporting a death in the HCS program and adds a TAC reference for the TxHmL program. Adds that Form 8493, Notification Regarding a Death in HCS, TxHmL and DBMD Programs, must be faxed to LTCR at 512-206-3999 or submitted through the WSC Portal.
14510 Death Review Policy and Procedures Adds “Statewide Intake” after Department of Family and Protective Services (DFPS) and replaces “family care” with “Host Home/Companion Care.” 
14600 Abuse, Neglect and Exploitation Follow Up Replaces WSC with the Risk Assessment coordinator (RAC) team.
14610 Abuse, Neglect and Exploitation Policy and Procedures Replaces “DFPS” with “HHSC Provider Investigations (PI).”
Deletes information related to the complaint process and deletes RACs review the allegation with the WSC risk assessment manager, assistant director, and director or designee prior to scheduling an on-site visit.
14700 Additional Monitoring Related to Risk Factors Makes minor wording changes.
14800 Complaints  Replaces “Consumer Rights and Services” with “IDD Ombudsman.”
14810 Complaints Policy and Procedures Updates the IDD Ombudsman phone number to 800-252-8154.
14900 Four-Person Residence Approvals Makes minor wording changes.
14910 Four-Person Residence Approval Policy and Procedures Adds an email address and fax number to send Form 8491, Request for a Four-Person Residence Approval, and supporting documents, and corrects a TAC reference.

21-2, Changes to Sections 4000 and 7000

Revision Notice 21-2; Effective November 8, 2021

The following change(s) were made:

Section Title Change
4000 Person-Directed Plan Makes minor wording changes for clarification and replaces “foster” with “host home.”
7000 Implementation Plan and Service Backup Plan Clarifies in Section 7100 the program provider is not required to develop an Implementation Plan (IP) for an HCS service provided through the Consumer Directed Services (CDS) Option, which is a responsibility of the CDS employer. Also, clarifies in Section 7240 that once the IP has been developed, the IP must be signed and dated by the individual, LAR and the program provider to verify that they have participated in the development of the IP. Minor wording changes were made in other sections.