5200, Advanced Placement

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Revision 26-1; Effective March 16, 2026

Advanced placement is an interest list (IL) option available to members terminated from the Medically Dependent Children Program (MDCP) due to:

  • no longer meeting the medical necessity (MN) determination for a nursing facility (NF) level of care (LOC); or
  • aging out of the program.

Members who choose advanced placement may be eligible to move up on the IL for one of the following 1915(c) Medicaid waiver programs: 

  • Community Living Assistance and Support Services (CLASS) 
  • Home and Community-based Services (HCS) 
  • Texas Home Living (TxHmL)
  • Deaf Blind with Multiple Disabilities (DBMD)

The original MDCP IL request date is used to move an eligible member up on the selected 1915(c) Medicaid waiver program IL. A member must have been previously or currently on the IL, to be eligible to move up the list. This includes members who were previously on the 1915(c) Medicaid waiver program IL, but the IL record was closed. A member is placed at the bottom of the requested 1915(c) Medicaid waiver program IL if the member was never on the IL. 

A member or legally authorized representative (LAR) can request advanced placement verbally or in writing, either alone or with a request for:

  • a state fair hearing; and 
  • first position, if the member was denied MN at reassessment.

A member or LAR must request advanced placement on or before the 120th day from the Date of Notice on Form H2065-D, Notification of Managed Care Program Services. Requests for advanced placement received after 120 days from the Date of Notice on Form H2065-D require supervisor approval.

Written notification selecting advanced placement is not required. However, PSU staff may accept Appendix XXIV, MDCP Medical Necessity Denial Attachment - Members or Appendix XXIX, Fair Hearing and Interest List Options for Aging Out of MDCP, as written notification the member or LAR wants to pursue advanced placement. 

Members who aged out of MDCP will only receive the advancement placement IL option to move up on another 1915(c) Medicaid waiver program’s IL. These members do not qualify for first position. 

PSU staff must complete the actions in: