25-2, Annual Revisions

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Revision 25-2; Effective Sept. 24, 2025

The following sections were revised in the Independent Living Services Standards for Providers Handbook:

SectionTitleChange
2DefinitionsAdds definition of consumer choice.
5.4EligibilityUpdates eligibility requirements.
5.8Termination of ServicesRemoves the term goals met.
5.9Waiting ListProvides exceptions to the wait list order.
6.1OverviewClarifies wording and moves some language to new section 6.7.
6.4Services Requiring HHSC Program ApprovalUpdates language.
6.5Services Requiring a PrescriptionCorrects typo.
6.7Comparable Benefits and InsuranceAdds new section.
7.4Administrative RateUpdates administrative rate.
8.3.1Record StorageChanges title to Record Retention. Moves text from section 8.3.2 and removes the paper format requirement.
8.3.2Record RetentionDeletes section.
8.6.3Program IncomeUpdates language to match Code of Federal Regulations.
10Reporting and Quality AssuranceRequires case notes at least every 60 days.
10.2.2.1Form 3455, Staff Information FormAdds section.
10.2.4HHSC Request for Advance or Reimbursement (RAR)Updates title and text.
Appendix A.2Assistive Technology for People with Significant DisabilitiesAdds examples.
Appendix C.2Home ModificationsUpdates use of rehabilitation engineers.
Appendix C.3.2Required ProceduresRequires gait training and physical therapy to be provided when recommended.
Appendix C.4Vehicle Modification Individual ServiceUpdates hyperlink and text.
Appendix C.4.1Overview of Vehicle Modification EquipmentUpdates hyperlink and text.
Appendix EIndependent Living Skills Training (Individualized Skills Training Only)Changes title to Vision Services and updates to include sections from Appendices G, I and J.
Appendix E.1IL Skills Training for Blindness and Low VisionAdds section.
Appendix E.2Orientation and Mobility ServicesAdds section.
Appendix E.3Services for People Who Are DeafblindAdds section.
Appendix E.4Eyeglasses and Contact LensesAdds section.
Appendix GOrientation and Mobility ServicesChanges title to Physical Rehabilitation, Therapeutic Treatment and Durable Medical Equipment and updates text.
Appendix HPhysical Rehabilitation, Therapeutic Treatment and Durable Medical EquipmentChanges title to ILS Purchased Services Standards Areas of Emphasis and updates text.
Appendix IServices for People Who Are DeafblindDeletes appendix.
Appendix JVision ServicesDeletes appendix.
Appendix KILS Purchased Services Standards Areas of EmphasisDeletes appendix.

25-1, Miscellaneous Revisions

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Revision 25-1; Effective Feb. 2, 2025

The following sections were revised in the Independent Living Services Standards for Providers Handbook:

SectionTitleChange
5.4EligibilityUpdates text.
8.4.1.2Staff Training and DevelopmentUpdates text.
Appendix DDiabetes Self-Management EducationUpdates text.

24-1, Revision Updates Language and Policies Throughout Handbook

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Revision 24-1, Effective Aug. 21, 2024

The following sections were revised in the Independent Living Services Standards for Providers Handbook:

SectionTitleChange
5.2Application for ServicesUpdates language. Adds requirements for documentation at application, digital signatures, and the process to request services at closure.
5.8Termination of ServicesUpdates language. Adds requirements for documentation at application, digital signatures, and the process to request services at closure.
6.1OverviewUpdates language. Adds information about single purchased services budget category, substantial services, setting a cap on purchases, when comparable benefits may be waived, and prior approval requirements for structural changes to a residence.
6.4Services Requiring HHSC Program ApprovalUpdates language. Adds information about single purchased services budget category, substantial services, setting a cap on purchases, when comparable benefits may be waived, and prior approval requirements for structural changes to a residence.
7.3Contract Work Plan and BudgetUpdates language. Adds information about the administrative overflow budget category.
Chapter 10Reporting and Quality AssuranceUpdates language. Clarifies the frequency of quality assurance duties by the service provider. 
Appendix C.2Home ModificationsUpdates language. Adds information about structural changes of a residence and purchasing a previously modified vehicle.
Appendix C.4.5.2Purchasing a Previously Modified VehicleAdds section.

23-1, Revision Updates Language and Policies Throughout Handbook

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Revision Notice 23-1; Effective Nov. 13, 2023

The following sections were revised in the Independent Living Services Standards for Providers Handbook:

SectionTitleChange
Chapter 1OverviewUpdates terminology and statute references.
Chapter 2DefinitionsUpdates language and adds new terms.
Chapter 3Scope of Independent Living ServicesUpdates language.
Chapter 4Consumer RightsRevises title to Personal Rights. Updates phone number for complaints to ILS program.
Chapter 5Service Delivery ProcessUpdates language. Moves Voter Registration to Chapter 5 and numbers it 5.3.
Chapter 6Purchased Goods and Services for ConsumersRevises title to Purchased Goods and Services. Updates language and adds items to unallowable purchases.
Chapter 7Contract Application and AwardUpdates language. Adds information related to staff bonuses and administrative caps.
Chapter 8Organization and AdministrationUpdates language.
Chapter 9Technical Assistance and TrainingUpdates language.
Chapter 10Reporting and Quality AssuranceUpdates language throughout chapter. Adds numerous sections and reorders numbering sequence. 
Chapter 11Contract MonitoringUpdates language.
Appendix AAssistive TechnologyUpdates language.
Appendix BCounselingUpdates language.
Appendix CComplex Rehabilitation TechnologyUpdates language and adds information related to home and vehicle modifications.
Appendix DDiabetes Self-Management Education ServicesUpdates language.
Appendix EIndependent Living Skills TrainingUpdates language.
Appendix FInterpreter, Translator, and Communication ServicesUpdates language.
Appendix GOrientation and Mobility ServicesUpdates language. Changes to process for the service.
Appendix HPhysical Rehabilitation, Therapeutic Treatment and Durable Medical EquipmentRevises title. Updates language and adds information about CPAP and oxygen.
Appendix IServices for People Who Are DeafblindUpdates language.
Appendix JVision ServicesUpdates language and requirements for eyeglasses.
Appendix KILS Purchased Services Standards Areas of EmphasisUpdates language.