6200, Transition Planning
Body
Revision 25-1; Effective Nov. 12, 2025
For a person planning to transition from an NF to a community program, the LIDDA must make sure an assigned ECC coordinator:
- completes the initial in-person visit within seven business days of being assigned;
- completes Form 1580, Texas Money Follows the Person Demonstration Project Informed Consent for Participation, as detailed in 13238, Money Follows the Person Demonstration Participation Process, of the LIDDA handbook;
- develops Form 1053, Transition Plan, with the SPT;
- makes sure the members of the SPT receive sufficient notice to participate in the SPT meeting, which is at least 10 business days before the scheduled meeting;
- makes sure the SPT uses the relocation assessment and evaluation, other assessments, such as medical and behavioral, and the latest Form 1054, Community Living Options, to guide the development of Form 1053;
- coordinates with the MCO SC and RS, as needed, to access community resources the person may need or be eligible for, including transportation, housing, medical, dental and other services; and
- shares a copy of the person’s completed Form 1053 with all members of the SPT within 10 business days after the meeting.
For an SPT meeting convened by the ECC coordinator, the ECC coordinator must make sure a sign-in sheet is provided to document the attendance of each participant, and the meeting date. If an SPT member participated by phone, the ECC coordinator must make sure the member’s name is included on the sign-in sheet. The ECC coordinator must maintain all sign-in sheets.
Note: Before the ECC coordinator conducts the SPT meeting for transitions via audio-visual communication in extenuating circumstances, the ECC Coordinator must gain consent. Refer to 1220 Consent, which includes more details.
6210 SPT Meeting Participation
Revision 25-1; Effective Nov. 12, 2025
All members of the SPT must work together to develop the Transition Plan. The SPT must include:
- The person and their LAR, if applicable
- MCO SC
- MCO RS
- NF staff, including providers of specialized services
- Habilitation coordinator
- ECC coordinator
- Program provider, once selected
- Permanency planner, if applicable*
- LMHA and LBHA if the person is receiving PASRR MI specialized services
- Anyone else the person or LAR requests
The ECC coordinator must participate in person or by phone at all SPT meetings the habilitation coordinator convenes. The habilitation coordinator must participate in person or by phone at all SPT meetings the ECC coordinator convenes.
The ECC coordinator and habilitation coordinator must make sure the community program provider and RS are invited to all SPT meetings, including those the habilitation coordinator convenes. However, the program provider and RS are only required to attend SPT meetings the ECC coordinator convenes related to transition planning.
*The habilitation coordinator must invite the person who develops a permanency plan to participate as a member of all SPT meetings. The habilitation coordinator uses the HHSC Permanency Planning Instrument for Children Under 22 Years of Age form and performs other permanency planning activities for a person younger than 22 years, if the person is at least 21 but younger than 22.
6220 Barriers Preventing a Transition to the Community
Revision 25-1; Effective Nov. 12, 2025
The ECC coordinator must:
- make sure that if barriers preventing a transition to the community are identified in Section 8 of Form 1054, Community Living Options, they are included in Section 6 of Form 1053, Transition Plan, in addition to any barriers the SPT may identify;
- make sure the SPT discusses the barriers, possible solutions to the barriers, and how the SPT can implement the solutions and any needed follow-up activities; and
- document the resolutions and actions for implementation in Section 6 of Form 1053.