Local Intellectual & Developmental Disabilities Authority (LIDDA) Services
LIDDA services include determining a person’s eligibility for services, enrolling an individual into programs, and coordinating on-going services for an individual to improve quality of life. Other important responsibilities include placing individuals on statewide and local interest lists, providing crisis respite services in a least restrictive setting, helping students transitioning from school services, state facilities, SSLC or Nursing Facilities into community-based services, and aiding families who request residential services for children and adults.
Intake and Screening
This is the central point of entry for all Intellectual & Developmental Disabilities Services. This is where the initial screening for eligibility begins and where information is provided about all service options available in the Center, community, and state.
This assessment determines whether a person has an intellectual or developmental disability, and whether a person is a member of the priority population for developmental disabilities services. The term IDD includes many severe, chronic conditions that are due to mental and/or physical impairments. IDD can begin at any time, up to 18 years of age for an intellectual disability and up to 22 years of age for developmental disabilities. It usually lasts throughout a person's lifetime. Studies show that somewhere between 1% and 3% of Americans have intellectual disabilities. People who have IDD have significant limitations in adaptive behaviors with major life activities such as: language, mobility, learning, reasoning, problem solving, self-help, and independent living. IDD can be caused from genetic conditions (Down Syndrome, Fragile X Syndrome), problems during pregnancy or Fetal Alcohol Syndrome, problems at time of birth, health problems such as whooping cough, measles, and exposure to environmental toxins. Additional common diagnoses include Epilepsy, Cerebral Palsy, Developmental Delay, and Autism Spectrum Disorder.
Statewide & Local Interest Lists
The state has federal authority to limit the number of persons served in the HCS and Texas Home Living Medicaid Waiver program. The number of requests is greater than the number of available program “slots,” creating an Interest List of persons requesting the HCS or Texas Home Living Waiver when funds become available. For persons residing in one of Helen Farabee Center’s counties, the LIDDA is responsible for the addition of a person to the Interest List and also for contacting each individual on the local HCS and Texas Home Living Interest List on a biennial basis to ascertain his or her continued interest in HCS or Texas Home Living services. This Center has a local General Revenue interest list for services maintained and monitored by the IDD Intake staff with the LIDDA.
Transition from Schools
Transition Services assist individuals approaching 22 years of age as they move from receiving services through a school district to receiving services from the Helen Farabee Centers or other community-based programs. The Service Coordinator (LIDDA) works with school districts to participate in the student’s annual Transition – Admission, Review and Dismissal (ARD) Meetings held at the schools. Information about all service options is shared annually with all school districts, and when requested at the Transition ARD Meetings.
Community Resource Coordination Group (CRCG)
LIDDA staff attend CRCG meetings with various community agencies to staff important cases to link children and their families to services needed within the local service area.
IDD Crisis Intervention Services (CIS)
Therapeutic supports are provided by the certified authorized provider to address stressors that result from challenging behaviors. The CIS provides training and information on IDD programs and services for collaboration to families, agencies in the community, and staff to attempt to prevent and reduce crises. After hours on-call for crisis is 1-800-621-8504.
Continuity of Care: Enrollment
Enrollments into General Revenue, Community First Choice, Home and Community Services (HCS), Texas Home Living (TxHmL), and PASRR are completed by LIDDA staff. Additionally, staff are responsible for facilitating enrollments into State Supported Living Centers (SSLC) and for providing information about private ICF/IID (Intermediate Care Facility for Individuals with Intellectual Disabilities) programs, when individuals indicate a preference for these services. When individuals are recommended for enrollment in a Medicaid HCS or ICF/IID program upon discharge from a state hospital. SSLC or nursing facility, LIDDA staff facilitate the transfer and completes the enrollment into the HCS or referral to ICF/IID program chosen by the individual or family. LIDDA staff enroll individuals into a Texas Home Living or HCS Medicaid Waiver program who are transitioning from a Nursing Facility.
This is defined as assistance in accessing medical, social, educational, and other appropriate services and supports that will help an individual achieve a quality of life and community participation acceptable to the individual and LAR on the individual’s behalf: Crisis Prevention & Management; Monitoring; Assessment; Service Planning and Coordination. This service is further defined by the program that the individual participates in and the individual’s place of residence. Service Coordination is provided to participants in Home and Community Based Services Medicaid Waiver program, the Texas Home Living Medicaid program, Pre-Admission Screening & Resident Review (PASRR), Community First Choice (CFC), and General Revenue funded services. Service Coordination is provided to eligible individuals who live in the community (own home, family home, host home or residential group home), in State Supported Living Centers, and Nursing Facilities.
Pre-Admission Screening & Resident Review (PASRR)
Individuals who reside in a Nursing Facility are evaluated to determine their eligibility for specialized services, to include Service Coordination to assist with transition planning to a community living setting. Individuals who transition from or divert from a Nursing Facility to reside in the community receive enhanced community coordination to facilitate a successful transition to their new living environment.
More information on the PASRR program found at the HHSC link: https://hhs.texas.gov/doing-business-hhs/provider-portals/resources/preadmission-screening-resident-review-pasrr
Community First Choice
Community First Choice (CFC) provides certain services and supports to individuals living in the community who are enrolled in the Medicaid program and meet CFC eligibility requirements. Services and supports may include: Activities of daily living (eating, toileting, and grooming), activities related to living independently in the community, and health-related tasks (personal assistance services); acquisition, maintenance, and enhancement of skills necessary for the individuals to care for themselves and to live independently in the community (habilitation); providing a backup system or ways to ensure continuity of services and supports (emergency response services); and training people how to select, manage and dismiss their own attendants (support management). In Texas, CFC may be available to people enrolled in Medicaid, including those served by: 1915 (c) waiver programs, Medicaid managed care; and personal care services for children. Individuals may use the Consumer Directed Services (CDS) option for certain CFC services. CFC is also available through managed care organizations for individuals who meet eligibility criteria.
Information about eligibility for this program found at the HHSC link: https://hhs.texas.gov/services/health/medicaid-chip/programs/community-first-choice.
Continuity of Care
Individuals who live in a State Supported Living Center (SSLC) are provided information and educational opportunities to learn about their options for moving to a community setting. Individuals who leave a SSLC to reside in the community receive enhanced community coordination to facilitate a successful transition to their new living environment. LIDDA staff complete court commitment requests for individuals that require voluntary or involuntary admissions to a SSLC. LIDDA staff assist in making referrals for alternate placement of an Intermediate Care Facility (ICF/IID) residential group home within the state based on the individual or LAR’s desire.
More information on ICF/IID facilities found at the HHSC link: https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/intermediate-care-facilities-icfiid
More information on SSLC facilities found at the HHSC link: https://hhs.texas.gov/services/disability/intellectual-or-developmental-disabilities-idd-long-term-care/state-supported-living-centers-sslcs
Permanency Planning is a philosophy and planning process that focuses on obtaining family support for children and young people with intellectual and developmental disabilities and facilitating permanent living arrangements for them in natural home environments. The LIDDA manages the completion of the planning process, documentation and reporting for all individuals under age 22 residing in institutional settings (public and private) in the Center’s service area.
More information on Permanency Planning found at the HHSC link: https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/local-intellectual-developmental-disability-authority-lidda/permanency-planning-children
For more information about services, please contact the Helen Farabee Centers intake line at 1-800-669-4166. Local intake number for IDD services can be reached at 940-397-3335 or 940-397-3383.