TX HHS Form 1042. Pre-Move Site Review

The TX HHS Form 1042, Pre-Move Site Review, is a crucial tool for ensuring a smooth transition or diversion of individuals from nursing facilities, medium or large community ICF/IID settings, or those receiving Home and Community-based Services (HCS) crisis diversion slots. This form helps identify essential supports that must be in place before the individual's transition or diversion.

The Pre-Move Site Review Form requires vital information about the individual, including personal details, community provider contact information, and type of residence. It also assesses the suitability of the potential site for the individual's needs, considering factors such as cleanliness and repair. The form emphasizes the importance of staff or family member interviews to gauge concerns about the site and its ability to meet the individual's identified needs.

The form highlights key responsibilities, including the service planning team's obligation to reconvene if essential supports are not in place or issues arise regarding the site's suitability. The Enhanced Community Coordination (ECC) coordinator must conduct another pre-move site review following resolution of any issues. Key points and requirements include:

• The form is used for individuals transitioning or diverting from nursing facilities, medium or large community ICF/IID settings, or those receiving HCS crisis diversion slots.
• The Pre-Move Site Review Form assesses the suitability of potential sites for individual needs.
• The service planning team must reconvene if essential supports are not in place or issues arise regarding site suitability.