TX HHS Form 8603. Level of Need (LON) Review/Increase Cover Sheet

The TX HHS Form 8603, Level of Need (LON) Review/Increase Cover Sheet, is a crucial document for healthcare providers in Texas. This form helps solve the problem of determining the level of care required for individuals with intellectual disabilities or related conditions. It is typically used by intermediate Care Facilities/Intellectual Disability (ICF/ID) and Home and Community-based Services (HCS) providers to request an increase in the level of need for their clients.

The form requires specific information, including the provider's contact details, individual information, and LON increase requested. The provider must also indicate any necessary translations for correspondence sent to the legally authorized representative (LAR) or individual. Key features include the requirement to maintain current contact information in the CARE system and the need to complete the Intellectual Disability/Related Condition (ID/RC) Assessment before submitting the packet.

Upon submission, the program enrollment/utilization review team will review the form and notify the provider of any changes. The HCS Provider is responsible for ensuring that the individual's and LAR's contact information remains current in CARE screens C20 and C12. It is essential to note that the LON denial will be notified by faxed letter to the provider, while the individual or LAR will receive a notification by letter.

• The form is used for ICF/ID and HCS providers to request an increase in the level of need for their clients.
• Required information includes provider contact details, individual information, and LON increase requested.
• The form must be completed and submitted with a packet for review by the program enrollment/utilization review team.