1500, PSU Online Database Resources

Body

1510 Community Services Interest List

Revision 26-2; Effective June 1, 2026

Community Services Interest List (CSIL) is an online database used by Interest List Management (ILM) unit and Program Support Unit (PSU) staff. CSIL maintains an interest list and tracks individuals waiting to receive services for Long Term Services and Supports (LTSS) waiver programs including:

  • Community Living Assistance and Support Services (CLASS);
  • Home and Community-based Services (HCS);
  • Medically Dependent Children Program (MDCP);
  • STAR+PLUS Home and Community Based Services (HCBS) program; and
  • Texas Home Living (TxHmL).

PSU staff use CSIL to verify an individual’s status on the interest list. CSIL is also used to prevent dual enrollment in another Medicaid waiver program when an individual is entering MDCP. PSU staff must select the appropriate closure reasons and close the CSIL record when an individual is enrolled in MDCP.

1520 Health and Human Services Commission Benefits Portal

Revision 26-2; Effective June 1, 2026 

The Texas Health and Human Services Commission (HHSC) Benefits Portal is an online database used by:

  • Program Support Unit (PSU);
  • Access and Eligibility Services (AES); and 
  • Fair and Fraud Hearings (FFH) staff. 

The HHSC Benefits portal provides access to applications, case documents and other case and client information. The HHSC Benefits Portal also provides access to the Texas Integrated Eligibility Redesign System (TIERS) and important details about AES tasks.

1530 Health and Human Services (HHS) Enterprise Administrative Report and Tracking System

Revision 26-2; Effective June 1, 2026 

The Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System (HEART) is an online database used by Program Support Unit (PSU) staff. HEART is a repository of current and historic case records for individuals, applicants and members.

PSU staff use HEART to:

  • review an individual, applicant or member’s case history;
  • open new case records;
  • update existing case records;
  • upload forms, documents and screenshots;
  • add narratives of case actions;
  • set due date reminders for case actions;
  • track progress on cases;
  • create relationships between case records; and
  • close case records.

PSU staff document every case action, including phone calls, mail dates, fax dates, form receipt dates and any other relevant information in the HEART narrative. Complete the HEART documentation so that someone without knowledge of the case can follow along in HEART and come to the same case action decision. 

PSU staff must refer to Appendix XXXI, HEART Case Record Assignment Procedures, for more information on processing information or data received from, or relating to, an individual, applicant or member.

1540 Service Authorization System Online

Revision 26-2; Effective June 1, 2026 

Service Authorization System Online (SASO) is an online database used by Program Support Unit (PSU) staff. It helps prevent dual enrollment in the Medically Dependent Children Program (MDCP) and another Medicaid waiver program. 

PSU staff must ensure the individual does not have an open enrollment with another Medicaid waiver program by reviewing the SASO Enrollment and Service Authorization records. PSU staff review these records for the following Medicaid waiver programs, which maintain individual service plans (ISPs) in SASO:

  • Community Living Assistance & Support Services (CLASS) (Service Group (SG) 2);
  • Deaf Blind with Multiple Disabilities (DBMD) (SG 16);
  • Home and Community-based Services (HCS) (SG 21); and
  • Texas Home Living (TxHmL) (SG 22).

Note: SASO was the primary system of record for MDCP before Nov. 1, 2016. Beginning Nov. 1, 2016, the TMHP LTCOP became the primary system of record for MDCP members. 

1550 Texas Integrated Eligibility Redesign System

Revision 26-2; Effective June 1, 2026

Texas Integrated Eligibility Redesign System (TIERS) is an online database used by Program Support Unit (PSU) staff. PSU staff use TIERS to verify an individual, applicant or member’s:

  • age; 
  • case mailing address and county of residence; 
  • Medicaid eligibility; 
  • managed care enrollment; and 
  • enrollment in the Youth Empowerment Services (YES) waiver.

Searching TIERS for Verification Information

PSU staff can find the information noted above in TIERS by:

  • selecting Inquiry under the My TIERS Functions;
  • choosing the option Individual; and 
  • entering the following information for the individual, applicant or member on the Individual-Search page:
    • first and last name;
    • Social Security number (SSN);
    • Medicaid identification (ID) number noted in TIERS as the Individual #;
    • date of birth (DOB); or 
    • case number.

Information for the individual, applicant or member will populate in the Search Results field at the bottom of the Individual-Search page. PSU staff can find the specific information they need to verify using the information in the Search Results field. 

Age

The DOB can be found in the Search Results field at the bottom of the Individual-Search page.

Case Mailing Address and County of Residence

PSU staff can find the case mailing address and county of residence by selecting the link for the individual, applicant or member’s Case # in the Search Results field at the bottom of the Individual-Search page. This will open the Case/Application – Search/Summary page which contains the current county of residence and case mailing and residence addresses.

The case mailing address and case residence address for an individual, applicant, or member may be different. All correspondence must be mailed to the case mailing address.

An individual, applicant, member, legally authorized representative (LAR) or managed care organization (MCO) may provide PSU staff with a different mailing address than the TIERS case mailing address. PSU staff must complete the following activities within two business days of receiving a different mailing address than the TIERS case mailing address:

  • verify an individual, applicant, member, AR or LAR’s knowledge of two of the following about the individual, applicant or member:
    • SSN;
    • DOB; or
    • Medicaid ID number;
  • verify that the person who self-identifies as a LAR is listed as the AR in:
    • TIERS;
    • the most recent signed Form H1200, Application for Assistance – Your Texas Benefits; or 
    • Form H1826, Case Information Release, completed and signed by the individual, applicant or member;  
  • advise the:
    • person to contact the following entities to update their address in TIERS:
      • the Social Security Administration (SSA) if the individual, applicant or member receives Supplemental Security Income (SSI); or
      • 2-1-1, or 877-541-7905, if the individual, applicant or member is medical assistance only (MAO); and
    • MCO to help the applicant or member contact the SSA or 2-1-1, or 877-541-7905, to update their address; and
  • make sure the person or MCO understands the importance of immediately updating the individual, applicant or member’s address as any future correspondence will be mailed to the case mailing address noted in TIERS.

Medicaid Eligibility and Managed Care Enrollment 

PSU staff can check for Medicaid eligibility and managed care enrollment by selecting the hyperlink of the individual’s name in the Search Results field at the bottom of the Individual-Search page. The Individual-Summary screen will appear. 

In the Individual-Summary screen, PSU staff can find the individual, applicant or member’s:

  • Medicaid eligibility by:
    • hovering over the Individual # field and selecting Medicaid/CHIP/CHIP perinatal History. The Medicaid/CHIP/CHIP perinatal History screen:
      • shows current and previous types of assistance the individual, applicant or member has received; or
      • will be empty if the individual or applicant has never received Medicaid; 
  • Managed care enrollment by:
    • hovering over the Individual # field and selecting Managed Care. The managed care information will appear in the Individual Managed Care History field. The data elements in the Individual Managed Care History field include the:
      • Provider — The name of the provider contracted by the MCO to deliver services to members.
      • Plan — The name and plan code of the MCO providing Medicaid services to the member.
      • Program — For STAR Health managed care members, FOSTER CARE MANAGED CARE will appear in this field. For all other managed care members, STAR KIDS will appear in this field. 
      • County — Individual’s County of Residence.
      • Begin Date — The date enrollment began under this plan.
      • End Date — The date enrollment ended under this plan.
      • Status — Describes the type of action.
      • Eligibility — Choices are CANDIDATE (applicant), ENROLLED (active) and SUSPENDED (closed).
      • Candidature — Describes the individual’s status.

Enrollment in the YES Waiver

PSU staff can check for enrollment in the YES waiver by selecting the hyperlink of the individual’s name in the Search Results field at the bottom of the Individual-Search page. The Individual-Summary screen will appear. In the Individual-Summary screen, PSU staff can determine if the individual, applicant or member is enrolled in the YES waiver by:

  • hovering over the Individual # field and selecting LTSS Eligibility Periods. The LTSS Eligibility Periods Details screen:
    • shows if the individual, applicant or member has received or is currently receiving the YES waiver or any long-term services and supports (LTSS); and
      • the dates of enrollment in YES or any LTSS.

Note: The individual, applicant, or member is considered enrolled in the YES waiver or another LTSS if there is no end date. 

1560 Texas Medicaid & Healthcare Partnership Long Term Care Online Portal

Revision 26-2; Effective June 1, 2026

The Texas Medicaid & Healthcare Partnership (TMHP) Long Term Care Online Portal (LTCOP) is an online database used by:

  • Program Support Unit (PSU); 
  • managed care organizations (MCOs);
  • Office of the Medical Director (OMD) staff; and
  • TMHP staff. 

The TMHP LTCOP maintains the STAR Kids Screening and Assessment Instrument (SK-SAI) and STAR Kids individual service plan (SK-ISP) that contains the services and cost limits for members.

The MCO must submit the SK-SAI through the TMHP LTCOP to process a determination of medical necessity (MN) and cost limit. MCOs submit the SK-SAI as an:

  • initial SK-SAI for an applicant being assessed for the Medically Dependent Children Program (MDCP);
  • annual SK-SAI for a member’s ongoing eligibility for MDCP program; or
  • a significant change in status SK-SAI Assessment for an MDCP member requesting a change to their cost limit.

The MCO must generate an amended SK-ISP when a significant change occurs in a member’s condition. The MCO must keep amended SK-ISPs in the MCO’s member case file. The MCO does not provide the amended SK-ISP to PSU staff and does not enter the amended SK-ISP in the TMHP LTCOP. PSU staff must advise the MCO that PSU staff do not process SK-ISPs resulting from a significant change if the MCO uploads an amended SK-ISP to the MCOHub.

The MCO uses the TMHP LTCOP to:

PSU staff use the TMHP LTCOP to:

  • review an applicant’s or member’s case history;
  • verify the MCO has submitted the SK-SAI and SK-ISP timely;
  • verify the SK-SAI has an approved MN and a Patient-Driven Payment Model (PDPM) for Long-Term Care (LTC) level under the cost limit;
  • verify the SK-ISP has the correct date range and identifies at least one unmet need;
  • adjust SK-ISP date ranges, if applicable;
  • update the MDCP Enrollment Form and save the form;
  • approve, invalidate and terminate ISPs;
  • monitor the status of MN denials;
  • add case notes to the narrative history;
  • generate Form H2065-D, for approvals and MN denials; and
  • generate reports.

1570 MCOHub

Revision 26-2; Effective June 1, 2026 

The MCOHub is a secure online bulletin board used by Program Support Unit (PSU) and managed care organizations (MCOs). The MCOHub contains forms and documents uploaded by PSU staff and MCOs. PSU staff and MCOs use the MCOHub for all communications sent between the two parties.

PSU staff and the MCO are:

  • Only required to upload the English versions of forms to the MCOHub.
  • Not required to upload the Spanish versions of forms to the MCOHub.

PSU staff must electronically back up documents from the MCO’s ISP and SPW folder daily to prevent loss of form history. PSU staff must not back up documents directly in the MCOHub. Instead, PSU staff must move files daily to a secure location.

The MCOHub automatically purges documents every 14 days due to the volume of documents uploaded.