The purpose of this section is to make the most current policy and procedures readily available via a single resource. Memoranda containing policy or procedural information will be placed on this list at the time of distribution. They will remain on the list until the information contained is completely incorporated into the handbook.

Release Date Title

Changes announced on August 13, 2019, to Section 3651.5, Unable to Obtain Physician Signature, have been postponed. Changes to the handbook effective December 2, 2019, will be to correct the titles of Form 4800-D, Fair Hearing Request Summary, and Form 4807-D, Action Taken on Hearing Decision, throughout Section 4000.


Note: The files below will now be Revision 19-3 effective December 2, 2019. Revision 19-2, published September 6, 2019, is revised Appendix XVI, Long Term Services and Supports Codes and Modifiers.


Upcoming STAR+PLUS Handbook (SPH) Revision 19-2 – The files below show the changes that will be incorporated into the handbook effective December 2, 2019.

Section 4000, Complaint and Appeal Procedures


HHSC 16-06-003, Medicaid Type Program Identification for STAR+PLUS Home and Community Based Services and Community First Choice

Attachment: TP Code ME Waiver and CFC


HHSC 16-06-002, Policy and Procedures for Reassessment of Community First Choice Services

04-11-16 HHSC 16-04-004, STAR+PLUS Policy and Procedures for Community First Choice Services-Institution for Mental Disease Level of Care Process, and the IMD Workflow attachment
  Attachment: IMD Workflow

HHSC 16-04-003, Custom power wheelchair benefit for nursing facility residents enrolled in a STAR+PLUS managed care organization (MCO) and/or a Medicare-Medicaid Plan (MMP)


HHSC 16-03-002, Individual Service Plan Expiring Report Scan Call Review Process


HHSC 16-02-001, Community First Choice Fair Hearing Processes


HHSC 16-01-001, Form H2060, Needs Assessment Questionnaire, Completion Requirements for STAR+PLUS HCBS Members Receiving Community First Choice Services


HHSC 15-12-005, Notification of Home and Community Based Services STAR+PLUS Waiver End Date


HHSC 15-12-003, Personal Assistance Services, Emergency Response Services and Protective Supervision for HCBS STAR+PLUS Waiver Members


HHSC 15-12-002, Nurse Assessment, Training, and Supervision of Delegated Tasks for Community First Choice and Personal Care Services in Managed Care


HHSC 15-11-001, Authorizations for Community First Choice Personal Assistance Services or Habilitation


HHSC: 15-08-001, Processing Medical Necessity/Level of Care Assessments for Community First Choice (CFC) Services or Upgrading CFC Recipients to HCBS STAR+PLUS Waiver


HHSC: 15-07-004, Secure File Transfer Protocol Naming Convention for Community First Choice Assessments


HHSC: 15-07-002, Support Management in Community First Choice

Attachment: Community First Choice Support Management Handout

Attachment: Community First Choice Support Management Handout (Spanish)


HHSC: 15-07-001, Psychological Testing for Community First Choice Eligibility in STAR+PLUS


HHSC: 15-05-001, STAR+PLUS Policy and Procedures for Community First Choice Services

Attachment: STAR+PLUS Community First Choice Process Flows

Attachment: Responsible Entities in the CFC Assessment Process