25-1, Updates handbook
Body
Revision 25-1; Effective Nov. 12, 2025
The following changes were made in the Intellectual and Developmental Disability Preadmission Screening and Resident Review (IDD-PASRR) Handbook.
| Section | Title | Change |
|---|---|---|
| 1100 | Definitions | Adds definitions for terms associated with the recent PASRR rule revision of 26 Texas Administrative Code (TAC) Chapter 303. Updates some definitions for clarity. |
| 1200 | Extenuating Circumstances and the Need for Consent | Adds new section to explain extenuating circumstances and need for consent for audio-visual communication in certain scenarios in PASRR. |
| 1210 | Extenuating Circumstances | Adds new section about extenuating circumstances in the PASRR rule. |
| 1220 | Consent | Adds new section, includes details about new consent Form 1035. |
| 1220.1 | Consent for PE or Resident Review | Adds new section to provide information about extenuating circumstances and consent for use of audio-visual communication to complete a PASRR level II evaluation (PE) or resident reviews. |
| 1220.2 | Consent for Quarterly SPT Meetings | Adds new section to provide information about extenuating circumstances and consent for use of audio-visual communication to complete quarterly service planning team (SPT) meetings. |
| 1220.3 | Consent for Transition Planning | Adds new section to provide information about extenuating circumstances and consent for use of audio-visual communication for transition planning meetings. |
| 1220.4 | Consent for Habilitation Coordination | Adds new section to provide information about frequency of habilitation coordination visits and the need for consent for audio-visual contacts in a month when an in-person visit is not required. |
| 2410 | Purpose, PASRR Status, and Staff Qualifications | Deletes comma in section title and updates text per plain language. |
| 2410.1 | PASRR Positive | Moves content to 2410. Changes title to PASRR Negative. Updates text. |
| 2410.2 | PASRR Negative | Moves content to 2410.1. Changes title to Staff Qualifications. |
| 2410.3 | Staff Qualifications | Deletes section, moves text to 2410.2. |
| 2420.2 | Change of Ownership Extensions | Updates PASRR Support email address. |
| 2420.3 | Information Gathered by a LIDDA Following an Alert to Conduct a PE | Updates text per plain language. |
| 2430 | Completing and Submitting the PE | Adds LMHA and LBHA, and information about extenuating circumstances and need for consent for audio-visual communication. Changes face-to-face to in person. |
| 2430.3 | Documentation Review for PE Completion | Adds reminder about people with dual-diagnoses. Adds other ways to collect information for PE completion. |
| 2430.4 | Information about Certain Community Programs in Section F0700 of the PE | Deletes section because it no longer applies after update to the PE form. Moves content from 2430.5. Is now Presenting Information About Community Services as Part of the PE. Updates text per plain language. |
| 2430.5 | Presenting Information about Community Services as Part of the PE | Renumbers from 2430.5 to 2430.4. Is now PE for Resident Review. Updates text per plain language. |
| 2430.6 | Completing Section F, Return to Community Living | Deletes because information is included in the PE item-by-item guide. Renumbers, is now When a DID is Required to Adequately Complete the PE. |
| 2430.7 | PE for Resident Review | Renumbers from 2430.7 to 2430.5. Is now PE Submission. |
| 2430.8 | When a DID is Required to Adequately Complete the PE | Renumbers from 2430.8 to 2430.6. Is now Specialized Services Recommendation Mapping. Corrects number when completing Other in PE. |
| 2430.9 | PE Submission | Renumbers from 2430.9 to 2430.7. Is now Fair Hearing Related to Negative PE. |
| 2430.10 | Specialized Services Recommendation Mapping | Renumbers from 2430.10 to 2430.8. Is now PE Retention Period. Updates text per plain language. |
| 2430.11 | Fair Hearing Related to Negative PE | Renumbers from 2430.11 to 2430.9. Is now Preadmissions Involving Two LIDDAs. Adds language related to use of Form 2360, Negative PASRR Evaluation Letter. |
| 2430.10 | PE Retention Period | Renumbers from 2430.12 to 2430.10. Adds language for clarity. |
| 2430.11 | Preadmissions involving Two LIDDAs | Renumbers from 2430.13 to 2430.11. |
| 2500 | PASRR Initial IDT and SPT Meeting | Adds information to clarify mandatory IDT participants. Adds information related to extenuating circumstances and need for consent for audio-visual communication. |
| 2520 | Confirmation of IDT and SPT Meeting Information | Updates information about not participating in IDT meetings in the PCSP form. Updates link to the LTC User Guide for PASRR. |
| 3100 | Diversion Coordinator Duties | Updates text per plain language and updates links to improve usability. |
| 3210 | Criteria for Diverting from NF Admission | Updates text per plain language. |
| 3220 | Requesting a Targeted NF HCS Diversion Slot | Updates text per plain language and updates links to improve usability. |
| 3230 | Enrolling in HCS as a Diversion to NF Admission | Updates title to Enhanced Community Coordination Responsibilities for Enrolling in HCS as a Diversion from NF Admission. Adds brief description of ECC. Adds TAC references. Clarifies timeline for ECC coordinator assignment. Adds timelines for assigning an ECC coordinator and completing the first visit. Adds responsibility for IPC development. Changes pre-move visit language to mirror LIDDA handbook. Adds guidance about diverting to another LIDDA’s service area. Updates links to improve usability. |
| 3230.1 | Enhanced Community Coordination Funds | Renumbers from 3230.1 to 3240, now ECC Designated Funds. Adds new process for accessing ECC funds. |
| 3240 | Post Enrollment in HCS as a Diversion to NF Admission | Renumbers from 3240 to 3250, now Post Enrollment in HCS as a Diversion from NF Admission. Updates language to mirror similar sections. Updates links to improve usability. Adds guidance for holding SPT meetings up to 10 days early. |
| 4300 | Initial IDT and SPT Meeting | Updates text per plain language and updates link to improve usability. |
| 4310 | Attendance at Initial IDT and SPT Meeting | Adds guidance related to extenuating circumstances and need for consent for audio-visual communication. Updates text per plain language and updates link to improve usability. |
| 4410 | IDT Agrees to Habilitation Coordination | Updates text per plain language |
| 4420 | Refusal of Habilitation Coordination | Adds new guidance to send a copy of Form 1044 to the nursing facility. Adds language specific to maintaining documentation about specialized services and CLO. Updates links to improve usability. |
| 4500 | Developing Individual Profile and Habilitation Service Plan at First SPT Meeting | Updates text per plain language and links to improve usability. |
| 4530 | Frequency and Duration of Habilitation Coordination | Updates face-to-face to in-person and updates links to improve usability. |
| 5100 | Required Face-to-Face Visits | Changes title to Required In-Person Visits. Adds information about expected frequency of in-person visits and information about need for consent for audio-visual communication for habilitation coordination visits when in-person visits are not required. |
| 5300 | SPT Meetings | Adds video calls for SPT meetings. Updates text per plain language and updates link to improve usability. |
| 5320 | Quarterly SPT Meetings | Updates text per plain language. |
| 5320.1 | Required Activities during a Quarterly SPT Meeting | Updates title to Required Activities During a Quarterly SPT Meeting. Updates text per plain language and updates links to improve usability. |
| 5340.1 | Annual IDT/SPT Meeting | Updates title to Annual IDT and SPT Meeting. Updates text per plain language. |
| 5340.4 | Refusal of Habilitation Coordination | Updates text plain language and updates link to improve usability. |
| 5350 | SPT Member that is a Provider of Specialized Services | Updates title to SPT Member Who is a Provider of Specialized Services. Updates text per plain language. |
| 5400 | Develop and Revise Habilitation Service Plan and Individual Profile | Updates links to improve usability. |
| 5410 | Person-Centered Planning | Updates text per plain language and updates link to improve usability. |
| 5420 | Discovery Process | Updates text per plain language and updates links to improve usability. |
| 5430 | Developing Habilitation Service Plan and Individual Profile | Updates text per plain language and updates links to improve usability. |
| 5430.3 | Frequency and Duration of Habilitation Coordination | Changes face-to-face to in-person and updates links to improve usability. |
| 5440.3 | Revising the HSP to Address Barriers Identified During CLO | Updates text per plain language and updates links to improve usability. |
| 5460 | Documents in an Individual’s Habilitation Packet | Updates links to improve usability. |
| 5460.1 | Individual Profile | Updates links to improve usability. |
| 5460.2 | Habilitation Service Plan | Changes face-to-face to in-person. Updates links to improve usability. |
| 6000 | Transition from NF to Community | Updates title to Enhanced Community Coordination Responsibilities for Nursing Facility Transfers. Adds text. |
| 6100 | Assigning a Service Coordinator or Enhanced Community Coordinator and Working with the Relocation Specialist | Updates title to Assigning an ECC Coordinator and Working with the Relocation Specialist. |
| 6110 | Assigning an Enhanced Community Coordination (ECC) Coordinator | Updates title to Duties Related to Transitioning from an NF. Clarifies timeline for ECC coordinator assignment and timing of initial visit. Updates text per plain language. |
| 6110.1 | Unassigning an ECC Coordinator | Deletes section and merges content with 6110. Updates links to improve usability. |
| 6120 | Working with the Relocation Specialist | Updates text per plain language. |
| 6130 | Relocation Specialist and MCO SC Responsibilities | Updates text per plain language. |
| 6140 | Enhanced Community Coordination Funds | Changes title to ECC Designated Funds. Adds new process for reaccessing ECC funds. |
| 6200 | Transition Planning | Updates text per plain language. Adds timeline for sending transition plan to SPT. Adds information about extenuating circumstances. Adds link to new section 1200, Consent. Updates links to improve usability. |
| 6210 | SPT Meeting Participation | Adds required SPT members. Adds permanency planner to SPT, if applicable. Merges 6210.1, 6210.2 and 6210.3 into 6210. |
| 6210.1 | ECC Coordinator Participation | Deletes 6210.1 and merges information with 6210. |
| 6210.2 | Habilitation Coordinator Participation | Deletes 6210.2 and merges information with 6210. |
| 6210.3 | Program Provider and Relocation Specialist Participation | Deletes 6210.3 and merges information with 6210. |
| 6220 | Barriers to Preventing | Moves 6320 information here. Updates text per plain language and updates links to improve usability. |
| 6300 | Developing and Revising the Transition Plan | Deletes section because information is covered in 6220. Moves 6330 here and updates title to Documents in a Person’s Transition Packet. Removes instructions for completing Form 1053. Adds guidance for developing Form 1063, Individual Profile. Updates links to improve usability. |
| 6310 | Transition Plan | Deletes section because information is included in Form 1053 Transition Plan instructions. |
| 6320 | Barriers Preventing a Transition of the Community | Changes section number to 6220. |
| 6330 | Documents in an Person’s Transition Packet | Updates title to Documents in a Person’s Transition Packet. Changes number to 6300. Removes instructions for completing Form 1053. Adds guidance for development of Form 1063, Individual Profile. |
| 6340 | Individual Profile | Deletes 6340, includes information in 6300. |
| 6350 | Sharing the Transition Plan, Individual Profile, and Transition Packet | Changes number to 6310. Adds guidance for sharing Individual Profile. |
| 6360 | SPT Member Believes Transition Plan Does Not Accurately Reflect SPT Decisions | Changes number to 6320. |
| 6400 | Pursuing the Selected Community Medicaid Program for Transition | Updated reference to 6500. Updates link to improve usability. |
| 6500 | Transitioning to the HCS Program | Updates title to Enrollment in HCS as an NF Transition. Updates text per plain language. |
| 6520 | Requesting a Targeted NF HCS Transition Slot | Updates text per plain language and updates link to improve usability. |
| 6530 | Transitioning to the Community by Enrolling in HCS | Updates title to Enrollment in HCS as an NF Transition. Updates language to mirror LIDDA Handbook. Updates links to improve usability. Adds TAC references and requirement to complete Form 1580, Texas Money Follows the Person Demonstration (MEPD) Project Informed Consent for Participation. Adds guidance for IPC development. Clarifies that the pre-move visit must be made in person. Adds guidance for transitioning to another LIDDA’s service area. |
| 6540 | Transition Day | Adds guidance for when the ECC coordinator is required to be present. |
| 6600 | Post-Transition to the HCS Program | Updates title to Post Enrollment in HCS as an NF Transition. Adds information from 6610. Updates text per plain language and updates links to improve usability. |
| 6610 | Post-Move Monitoring Visits | Deletes section and merges content with 6600. |
| 6620 | Monitoring Activities for One Year Post-Move | Renumbers to 6610. Updates text per plain language and updates link to improve usability. Adds link to Form 8665. Adds guidance for convening SPT meetings up to 10 days early. Adds guidance about LIDDA quarterly reporting. |
| 6700 | Transitioning to a Community Medicaid Program | Updates title to Transitioning to a Community Medicaid Program Other than the HCS Program. Updates text per plain language and updates link to improve usability. Adds guidance for transition planning. |
| 6710 | Transition Day | Adds guidance for when ECC coordinator is required to be present. |
| 6800 | Post-Transition into a Community Medicaid Program | Updates title to Post Transition from an NF to a Community Medicaid Program Other than the HCS Program. Updates text per plain language and updates link to improve usability. |
| 6900 | Readmission to a Nursing Facility | Adds guidance for Transition Plan development and for returning to a different community residence. Language changed to mirror LIDDA Handbook. Updates links to improve usability. |
| 7120 | Training Completed Within the First 60 Days of Habilitation Coordination | Updates text per plain language. |
| 7130 | Training Completed Within the First Year of Habilitation Coordination | Adds new section about person-centered planning requirements. |
| 7140 | LIDDA Responsibilities of Habilitation Coordinator | Adds new section about competency and documentation. |