TX HHS Form 1597. Level of Care Redetermination Cover Sheet

TX HHS Form 1597. Level of Care Redetermination Cover Sheet

The TX HHS Form 1597, Level of Care Redetermination Cover Sheet, is a crucial document that facilitates the process of reassessing an individual's level of care in Intellectual/Developmental Disability (IDD) programs. This form helps solve the problem of ensuring that individuals receive the appropriate level of care and support to meet their unique needs.

The form is typically used by the Intellectual/Developmental Disability Program Eligibility and Support (IDD PES) when requesting a Level of Care (LOC) redetermination from the Local Intellectual and Developmental Disability Authority (LIDDA). The required information includes the individual's Medicaid number, CARE ID, and LIDDA contact details. The form also outlines the responsibilities of the LIDDA, including completing a new LOC assessment and submitting the determination to IDD PES within 30 days.

The Level of Care Redetermination Cover Sheet is an essential tool for ensuring that individuals receive the necessary support and care to meet their unique needs. Key features include the required information, conditions, and responsibilities outlined in the form. By using this form, IDD PES can efficiently review LOC redetermination results and notify LIDDA and provider contacts of the outcome.

  • The form is used for Level of Care (LOC) redeterminations in Intellectual/Developmental Disability (IDD) programs.
  • Required information includes the individual's Medicaid number, CARE ID, and LIDDA contact details.
  • The LIDDA must complete a new LOC assessment and submit the determination to IDD PES within 30 days.
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-1597-level-care-redetermination-cover-sheet