Revision 25-1; Effective Nov. 12, 2025

6110 Duties Related to Transitioning from an NF

Revision 25-1; Effective Nov. 12, 2025

When the habilitation coordinator notifies the appropriate LIDDA staff that a person or legally authorized representative (LAR) wants to transition to the community and has selected a community program, the LIDDA must make sure an ECC coordinator:

• is assigned within three business days after HHSC releases a 1915(c) waiver slot;
• complies with the rules governing service coordination for a person with an intellectual disability as required in 26 Texas Administrative Code (TAC) Chapter 331, LIDDA Service Coordination, and 26 TAC 263.901, LIDDA Requirements for Providing Service Coordination in the HCS Program;
• provides intensive and flexible support to achieve success in a community setting, including arranging for support needed to prevent and manage a crisis, such as Transition Support Team (TST), crisis respite or crisis intervention services;
• provides pre- and post-transition services;
• monitors the person for the first 365 days* after transition or diversion, as required by the LIDDA Performance Contract;
• maintains a case load of no more than 30 people, even if the ECC coordinator provides service coordination to other people who are not covered under this section; and
• enhances the person’s natural supports and promotes successful community living.

If, during transition planning, a person indicates they are no longer interested in transitioning to the community, the LIDDA unassigns the ECC coordinator and notifies the relocation specialist (RS) and the habilitation coordinator that the person is no longer interested in transitioning to the community.

*Important: If, by 30 days before ECC is scheduled to end, the service planning team (SPT) believes the person will require more than 365 days of enhanced monitoring, the ECC coordinator must contact IDDMFPSupport@hhs.texas.gov for guidance.

6120 Working with the Relocation Specialist

Revision 25-1; Effective Nov. 12, 2025

The ECC coordinator must review the relocation assessment and evaluation conducted by the RS and invite the RS and managed care organization (MCO) service coordinator (SC) to all service planning team (SPT) meetings for transition planning. The RS becomes a member of the SPT.

Note: The MCO SC is already an SPT member and is invited to all SPT meetings unless the person objects. The habilitation coordinator should ask the person or LAR directly if they agree with the MCO service coordinator’s attendance at interdisciplinary team (IDT) and SPT meetings and must document evidence of this discussion in the person’s record. 

6130 Relocation Specialist and MCO SC Responsibilities

Revision 25-1; Effective Nov. 12, 2025

The MCO SC and RS, as members of the SPT, assist a person with accessing:

• housing, transportation, medical, dental, and prescriptions, depending on the program the person chooses; and
• Supplemental Transition Services (STS) funding if the person qualifies.

STS is available to pay for essential items not covered by Transition Assistance Services (TAS), which is a waiver program service. STS may be used when TAS funds have been exhausted. The RS will provide the ECC coordinator with a copy of the completed STS form signed by the MCO, the RS and the ECC coordinator.

Note: For people transitioning to the Home and Community-based Services (HCS) program, the ECC coordinator is responsible for completing and submitting the assessment for TAS funding. For people transitioning to the Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD) or Home and Community Based Services (HCBS) (STAR+PLUS Waiver) program, the RS is responsible for completing and submitting the assessment for TAS funding.

6140 ECC Designated Funds  

Revision 25-1; Effective Nov. 12, 2025

ECC-designated funds are available to LIDDAs through the performance contract for a person who is transitioning to the community. The purpose of the funds is to enhance a person’s natural supports and promote successful community living. Funds are intended to pay for:

• one-time emergency assistance, such as:
  • security deposits or utility assistance;
  • nutritional supplements;
  • clothing; and
  • medication;
• items to address a person's special needs, including minor home modifications not funded by other sources;
• transportation to and from trial visits with community providers; and
• educational tuition assistance, such as vocational programs through community colleges so a person can develop job skills.

All other funds, including TAS, STS, waiver, non-waiver and third-party or community resources must be exhausted. All purchases must be approved before ECC-designated funds may be used.

LIDDA staff may access ECC funds by completing Form 8658, Enhanced Community Coordination (ECC) Designated Funds Request and Authorization, and submitting it to IDDMFPSubmissions@hhs.texas.gov.