Revision 19-4; Effective September 9, 2019

 

5100 HCS, TxHmL, or PASRR Persons with IDD

Revision 19-4; Effective September 9, 2019

 

For a person enrolled in the Home and Community-based Services (HCS) Program, Texas Home Living (TxHmL) Program or a resident of a nursing facility (NF), the person’s designated local intellectual and developmental disability authority (LIDDA) is the LIDDA for the local service area in which the person resides.

 

5200 Community First Choice (CFC)

Revision 19-4; Effective September 9, 2019

 

For a person determined eligible for, enrolling in, or enrolled in CFC services provided through a Medicaid managed care organization (MCO), the person’s designated local intellectual and developmental disability authority (LIDDA) is the LIDDA for the local service area in which the person resides.

 

5300 All Others

Revision 19-4; Effective September 9, 2019

 

For a person who is not described previously in this section, the following guidelines are used to determine the person’s designated local intellectual and developmental disability authority (LIDDA):

  • If an adult person does not have a legally authorized representative (LAR), the person’s designated LIDDA is the LIDDA for the local service area in which the person resides.
  • If an adult person does not have an LAR and resides in a state supported living center (SSLC), the person’s designated LIDDA is the LIDDA that recommended his or her admission to the SSLC.
  • If an adult or minor person has an LAR, then the designated LIDDA is the LIDDA for the local service area in which the LAR resides.
  • If an adult or minor person has an LAR who does not live in Texas, then the designated LIDDA is the LIDDA for the local service area in which the person resides.
  • If an adult person’s LAR is the Health and Human Services Commission (HHSC), then the designated LIDDA is the LIDDA for the local service area in which the county court of jurisdiction for the guardianship is located.
  • If a minor person’s LAR is the Department of Family and Protective Services (DFPS), then the designated LIDDA is the LIDDA for the local service area in which the minor person resides, if the minor person is receiving DFPS services and residing with a kin caregiver or in a foster family home or foster group home in which the primary caregiver is a foster parent living in the home; or the LIDDA for the local service area in which DFPS obtained conservatorship, if the minor person is receiving DFPS institutional services.

 

5400 Unique Situations

Revision 19-4; Effective September 9, 2019

 

At its discretion, Texas Health and Human Services Commission (HHSC) may determine the designated local intellectual and developmental disability authority (LIDDA) for any person or assign a LIDDA the duties of the designated LIDDA for any person.

A non-designated LIDDA is not prohibited from serving a person who is currently being served by his/her designated LIDDA. In such a situation, the designated LIDDA must enter in an agreement with the non-designated LIDDA to provide the service. The designated LIDDA reports all service encounters for the person.

The determination of the designated LIDDA, for intellectual and developmental disability (IDD) services, is not relevant to a person’s admission to a state mental health facility.