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Revision 25-1; Effective Nov. 12, 2025
For a person who transitioned from an NF to the HCS program, an ECC coordinator must:
- conduct at least three on-site visits of community services delivery sites* at the following intervals using Form 1043, Post-Move Monitoring:
- within seven calendar days after enrollment in the HCS Program;
- between eight and 45 calendar days; and
- between 46 and 90 calendar days;
- during the post-move monitoring visits:
- assess if supports identified on Form 1053, Transition Plan, continue to be in place;
- address any concerns of the person, program provider, staff or family member;
- identify any gaps in care; and
- address such gaps, if any, to reduce the risk of crisis, re-admission to an NF or another negative outcome.
Note: The ECC coordinator must conduct post-move monitoring at all sites where essential supports are provided. More frequent on-site visits may be required to determine if supports continue to be in place and any areas of concern are being addressed during the first 90 calendar days after enrolling in HCS.
6610 Monitoring Activities for One Year Post-Move
Revision 25-1; Effective Nov. 12, 2025
For one year* following a person’s transition from an NF to the HCS program, an ECC coordinator must:
- conduct at least monthly in-person visits with the person;
- conduct HCS SPT meetings at least every 90 days**, or more frequently if there is a change in the person’s needs or if requested by the person or LAR;
- revise Form 8665, Person-Directed Plan, as necessary, and coordinate the person’s services and supports with the HCS service coordinator, if applicable;
- ask about any recent hospitalizations, emergency department contacts, increased physician visits or other crises, including medical crises. If the person experiences such, convenes the HCS SPT to identify all necessary revisions to the person’s Form 8665 to address the added need for services;
- make sure the person receives timely assessments of behavioral, medical, nursing, professional therapies and nutritional management needs, as necessary, and as indicated on Form 8665;
- record the person’s physical, behavioral, and mental health care status sufficiently to readily identify when changes in the person’s status occurs;
- conduct service planning;
- monitor all services identified on Form 8665, including:
- making sure the program provider implements services;
- reviewing the HCS Program provider’s implementation plans and provider records;
- visiting service delivery sites, as needed, to determine if the person’s needs are being met; and
- monitoring critical incidents involving the person and convening the HCS SPT to develop a plan for needed prevention or intervention services for the person; and
- monitor the person while on suspension from the HCS Program at least monthly, maintain communication with the program provider and provide reports to HHSC upon request.
*If, by 30 days before ECC is scheduled to end, the SPT believes the person will require more than 365 days of enhanced monitoring, the ECC coordinator must contact IDDMFPSupport@hhs.texas.gov for guidance.
**SPT meetings may be held up to 10 business days before the next SPT meeting is due. The SPT meeting schedule does not reset.
Per the IDD Submission Calendar, the LIDDA shall submit quarterly reporting using a format prescribed by HHSC.