Adults Receiving Waiver Services
If the person was receiving waiver services before the loss of SSI eligibility, a new Form H1746-A, MEPD Referral Cover Sheet , is not needed to explore ongoing waiver eligibility. If it is indicated that the person was receiving waiver services, verify ongoing enrollment. Use the chart below to send an email to the appropriate mailbox based on the type of waiver program in the Long-Term Services and Support (LTSS) Summary screen.
The subject line of the email must be: SSI Termination: Client Initials -XXX where XXX is the last 3 digits of the person’s Medicaid ID number. Example: SSI Termination: JG-123
Waiver Program Email STAR+PLUS Waiver (SPW) Medically Dependent Children Program (MDCP) HHSC Managed Care Program Support Community Living Assistance and Support Services (CLASS) Home and Community-based Services (HCS) Texas Home Living (TxHML) HHSC IDD-Program Eligibility and Support Deaf Blind with Multiple Disabilities (DBMD) Patrick Koch and Casey Zwerneman Youth Empowerment Services (YES) HHSC Yes Waiver
Include the following information in the body of the email:
• Full name of recipient
• Full Medicaid ID number
• Full Social Security number
• The following statement: This person’s SSI benefits have been terminated. Case history indicates this person was previously receiving [insert name of Waiver program] services. Please confirm current Waiver enrollment status.
Suspend the case pending a response. Document the program response in case comments and take appropriate action to complete the case when a response is received.