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Revision 25-1; Effective May 16, 2025
An individual can be placed on multiple interest lists (ILs) but may only enroll in one Medicaid waiver program at a time.
Program Support Unit (PSU) staff must refer the individual to the Interest List Management (ILM) Unit at 877-438-5658 to add an individual to the Medically Dependent Children Program (MDCP) IL for the first time.
An individual may choose to:
- pursue eligibility for another program and decline MDCP at the time of interest list release (ILR); or
- decline MDCP at the time of the ILR but choose to remain on the MDCP IL.
Individuals who decline MDCP at the time of the ILR but choose to remain on the MDCP IL will move to the bottom of the IL.
PSU staff must email the ILM unit to add an individual who was previously on the MDCP IL back to the bottom of the list on the same day PSU staff deny or terminate MDCP eligibility. The email must include:
- an email subject line that reads New IL Request for XX [first letter of the individual’s first and last name];
- the following items in the body of the email:
- the individual’s name;
- Social Security number (SSN) or Medicaid identification (ID) number;
- date of birth (DOB);
- phone number;
- contact person such as the individual or legally authorized representative (LAR); and
- waiver type: MDCP.
PSU staff must refer to 6300.3, Voluntarily Declined Services, within two business days of notification the individual declines MDCP or wants to continue receiving or pursue eligibility for another program.
2310 Contacting the ILM Unit to Reopen a Closed Interest List Release
Revision 25-1; Effective May 16, 2025
Program Support Unit (PSU) staff must email the Interest List Management (ILM) unit within two business days of receipt of a request to reopen a closed interest list release record in the Community Services Interest List (CSIL) database. The email must include the following:
- an email subject line that reads: MDCP Reopen Request for XX [individual’s first and last initials];
- the following items in the body of the email:
- individual’s name;
- interest list identification (ID) number;
- individual’s Medicaid ID number or Social Security number (SSN);
- the individual or legally authorized representative’s (LAR’s) contact name and phone number; and
- reason for the request to reopen such as the application for an alternate 1915(c) Medicaid waiver program was denied and the individual now wishes to reapply for MDCP.
The ILM unit responds to the request within five business days.
PSU staff must complete the following activities if the exception is granted:
- contact the individual to begin the application process;
- document the reopen request in the Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System (HEART) case record;
- upload the ILM unit’s decision email to the HEART case record; and
- keep the HEART case record open until MDCP eligibility is approved or denied.
PSU staff must complete the following activities if the exception is not granted:
- upload the ILM unit’s decision email to the HEART case record; and
- close the HEART case record.
2320 Earliest Date for Adding an Individual Back to the Interest List After Denial or Termination
Revision 18-0; Effective September 4, 2018
The earliest date an individual may be added back to the Community Services Interest List (CSIL) database, for the same program the individual is denied, is the date the individual is determined to be ineligible for the program.
Example: The individual is released from the Medically Dependent Children Program (MDCP) interest list on August 2. The individual is denied eligibility for MDCP on August 28, and a notification is sent to the individual of ineligibility. The first date the denied individual can be added back to the MDCP interest list is August 28.
Example: The individual’s MDCP services are terminated July 31 due to denial of medical necessity (MN). The first date the individual can be added back to the MDCP interest list is August 1. The earliest date an individual may be added back to the CSIL database for the same program the individual is terminated from is the first date the individual is no longer eligible for the terminated program, which in this example is August 1.