HCS Revisions

HCS Revisions

26-3, Updates handbook

Revision 26-3; Effective April 10, 2026

The following changes(s) were made:

Section	Title	Change
13110	Home and Community-based Services Available Through the Consumer Directed Services Option	Replaces use of individual with person.
13120	Informing the Individual/LAR of the Consumer Directed Services (CDS) Option	Updates title to Informing the Person Receiving Services or LAR of the CDS Option. Replaces use of individual with person.
13121	Service Back-up Plans	Updates title to Service Backup Plans. Replaces use of individual with person.
13130	Service Planning	Replaces use of individual with person.
13140	Enrolling the Individual in the Consumer Directed Services Option	Updates title to Enrolling the Person Receiving Services in the CDS Option. Replaces use of individual with person.
13150	Entering Consumer Directed Services on the Individual Plan of Care	Updates title to Entering CDS on the IPC. Replaces use of individual with person.
13160	Monitoring Consumer Directed Services	Updates title to Monitoring CDS. Replaces use of individual with person.
13180	Termination from the Consumer Directed Services Option	Updates title to Termination from the CDS Option. Replaces use of individual with person. Updates TAC references.
13190	Service Delivery Transfers from one Consumer Directed Services Agency to Another	Updates title to Service Delivery Transfers from one CDS Agency to Another. Replaces use of individual with person.
13200	Consumer Directed Services Resources	Updates title to CDS Resources. Updates TAC references.
Appendix XII	Abuse, Neglect, and Exploitation Training and Competency Test	Updates title to Abuse, Neglect and Exploitation Training and Competency Test. Updates TAC references.

26-2, Updates Appendix X

Revision 26-2; Effective March 16, 2026

The following changes(s) were made:

Section	Title	Change
Appendix X	Approved Diagnostic Codes for Persons with Related Conditions List	Updates linked codes list

26-1, Adds Form 2186 to handbook

Revision 26-1; Effective Feb. 24, 2026

The following changes(s) were made:

Section	Title	Change
Forms	Forms	Adds Form 2186, Home and Community-based Service (HCS) and Texas Home Living (TxHmL) Implementation Plan for Individualized Skills and Socialization, to list.

25-1, Updates Section 11000

Revision 25-1; Effective April 29, 2025

The following changes(s) were made:

Section	Title	Change
11000	Maintaining Medicaid Eligibility	Replaces individual with person throughout entire section
11100	Financial Eligibility Guidelines for Texas Home Living and Home and Community-based Services	Updates Required Medicaid Codes and Type Program table. Updates how to contact Medicaid for the Elderly and People with Disabilities (MEPD) or Texas Works and the contact information for the Department of Family and Protective Services (DFPS).
11200	Responsibility to Reestablish Medicaid Eligibility	Adds “or authorized representative” to clarify who is responsible for reestablishing Medicaid eligibility.
11300	Responsibility to Monitor Medicaid Eligibility	Adds new section with information about the responsibility to monitor Medicaid eligibility.