Home and Community Based Services Resource Guide
Home and CommunityBased Services (HCS) Resource Guide
November 2019
November 2019
Home and Community-Based Services Resource Guide
TABLE OF CONTENTS
WHAT IS HCS?
4
WHAT IS THE MEDICAID LONG-TERM CARE INTEREST LIST AND HOW DOES A CHILD GET ON IT?
4
HOW DO I DETERMINE IF A CHILD MEETS CRITERIA FOR INTELLECTUAL AND DEVELOPMENTAL DISABILITY
SERVICES FROM THE LOCAL AUTHORITY?
5
WHO IS ELIGIBLE FOR HCS?
5
WHAT HAPPENS IF A CHILD RECEIVES AN HCS WAIVER SLOT?
6
WHAT ARE THE TYPES OF RESIDENTIAL PLACEMENTS AVAILABLE TO A CHILD IN HCS?
6
WHAT SERVICES ARE COVERED UNDER HCS?
7
HOW DO I SELECT AN HCS PROVIDER?
8
WHAT IS THE CASEWORKER'S RESPONSIBILITY TO CONDUCT FACE-TO-FACE VISITS FOR A CHILD IN HCS?
9
WHAT ROLE DOES SSI PLAY IN HCS?
9
A CHILD'S CURRENT HCS PLACEMENT IS NOT WORKING OUT, HOW DO I TRANSFER THE CHILD TO A NEW HCS
PROVIDER?
10
WHAT DOES PUTTING A CHILD'S HCS ON SUSPENSION MEAN?
10
IF I SEE SOMETHING CONCERNING IN AN HCS HOME OR WITH A CHILD, HOW DO I REPORT OR MAKE A
COMPLAINT?
11
APPENDIX
13
FINDING AN HCS PROVIDER: QUESTIONS TO ASK
13
2
November 2019
Home and Community-Based Services Resource Guide
Resource Guides
The purpose of Resource Guides is to provide information that helps you do your job better.
This information includes reference material, procedures, and guidelines that help you
complete the tasks you are required to do by policy.
It's important to remember that the information in Resource Guides does not substitute for
policy. We may sometimes include policy statements, but only to show you the policy to which
the information is related. We will highlight any policy that actually appears in the Resource
Guide, and will almost always include a link to the actual policy. For example:
Per 4222.2 Re-Allowing Placement:
If the caseworker learns of a detailed justification for changing the status of and considering
placements in a foster family that is on Disallowed Placement status, the caseworker must
elevate this consideration through the regional chain of command to the regional director.
The policy in the handbook always takes precedence over what is in the Resource Guide. We try
to keep policy and Resource Guides synchronized, but sometimes there is a delay. If you have
questions, always follow the policy in the Policy Handbook.
Resource Guides provide important information on a range of topics, for the purpose of
assisting and guiding staff to:
?
?
?
?
?
Make essential decisions.
Develop strategies to address various issues.
Perform essential procedures.
Understand important processes.
Identify and apply best practices.
The information in the Resource Guides is not policy (except where noted), and the actions and
approaches described here are not mandates. You should adapt the way you perform critical
tasks to the individual needs and circumstances of the children and families with whom you
work.
State office and field staff are working together to identify Resource Guide topics, define the
content, and develop the appropriate guides. CPS will regularly post Resource Guides as they
are developed, and update them as needed. Check the Resource Guides page, in the CPS
Handbook, to see new or revised Guides.
We hope these Guides provide useful information to guide and assist CPS staff in effectively
performing their job tasks. These Guides, combined with clear and concise policy in the
Handbook, should help staff provide a high level of service to children in Texas.
HOME AND COMMUNITY-BASED SERVICES (HCS)
3
November 2019
Home and Community-Based Services Resource Guide
There are several steps that must be taken before a child with an intellectual or developmental
disability (IDD) can be considered for a Home and Community-Based Services (HCS) waiver.
Caseworkers should ensure that the regional developmental disability specialist (DDS) is
included throughout the process when considering HCS, as the DDS has specific training and
understanding of the HCS program.
See 4118.2 Home and Community-Based Services (HCS).
WHAT IS HCS?
HCS stands for Home and Community-Based Services. HCS is a Medicaid long-term care
waiver for persons with intellectual and developmental disabilities, which provides
community-based medical and non-medical supports and services over the lifetime of an
individual who would otherwise end up in an institution, nursing home, or hospital.
Individuals gain access to the HCS waiver program through the HCS interest list or by being a
member of one of the several targeted groups identified by the Health and Human Services
Commission (HHSC). Children and youth in DFPS conservatorship are one of the identified
targeted groups. The regional DDS can help determine eligibility and appropriateness for an
HCS waiver.
WHAT IS THE MEDICAID LONG-TERM CARE INTEREST LIST AND HOW
DOES A CHILD GET ON IT?
When a child with a suspected or diagnosed intellectual or developmental disability comes into
care, the child must be placed on the Medicaid long-term care interest list. Individuals who are
placed on the interest list receive services on a first come, first served basis when services are
available. Being on the HCS interest list is not the same thing as having an HCS waiver.
To have a child placed on the Medicaid long-term care interest list, please contact the regional
DDS, who will provide assistance locating and contacting the Local Intellectual and
Developmental Disability Authority (LIDDA).
4
November 2019
Home and Community-Based Services Resource Guide
Per 4118 Additional Actions for Placing Children with Intellectual or Developmental
Disabilities:
Regardless of where a child with intellectual disabilities or related conditions is placed, DFPS
must immediately seek to place the child on all Medicaid Waiver lists for which the child is
eligible.
DFPS Rules, 40 TAC ¡ì700.1313(c)
HOW DO I DETERMINE IF A CHILD MEETS CRITERIA FOR
INTELLECTUAL AND DEVELOPMENTAL DISABILITY SERVICES FROM
THE LOCAL AUTHORITY?
The child must participate in a Determination of Intellectual Disability (DID) to determine if the
child meets criteria for IDD services, such as HCS.
Once the child under the conservatorship of DFPS is assessed and diagnosed with an
intellectual or developmental disability, the caseworker must contact the Regional DDS to assist
with scheduling a DID with the Local Intellectual and Developmental Disability Authority (LIDDA)
in the region the child is currently placed.
The DID:
?
?
Must be conducted before the date of the child¡¯s 16th birthday for any child under the
conservatorship of DFPs prior to their 16th birthday; and
Must be conducted within 90 days after their initial diagnostic assessment, if the child is placed
in DFPS managing conservatorship after their 16th birthday.
Please note, if a child moves out of the LIDDA¡¯s catchment area before the DID can be
conducted, the DID may need to be re-scheduled with a different LIDDA. Staff who contract
with the LIDDA complete the DID and will assess the child's IQ and adaptive behavior level.
WHO IS ELIGIBLE FOR HCS?
In addition to obtaining a DID, a child in DFPS conservatorship must meet one of the following
criteria to access an HCS CPS waiver:
?
A child currently residing in a General Residential Operation (GRO) serving Children
with Intellectual and Developmental Disabilities (Mission Roads Development Center or Casa
Esperanza) 1; or
5
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- about texas council on family violence tcfv
- hhsc contract 529 16 0007 00001al gov
- long term care regulatory provider letter
- texas health and human services commission
- introduction for texas providers
- texas health information exchange plan thsa
- texas health and human services office of inspector general
- texas health steps powerpoint bcbstx
- statement of work assessment of health human texas
- home and community based services resource guide
Related searches
- community based approaches to development
- sba resource guide 2019
- community based nursing journal articles
- community based health centers
- community based health care model
- community based mental health care
- community based health care program
- community based health care services
- community based hospitals
- cloud based services benefits
- community based smoking cessation programs
- employee personnel resource guide irs