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Appendix II: Jurisdictions

APS Provider Investigations November 2017

DFPS Investigative Authority

APS Provider Investigations Jurisdiction

APS In-Home Investigations Jurisdiction

Residential Child Care Licensing (RCCL) Jurisdiction

Child Protective Services (CPS) Jurisdiction

Day Care Facilities and Homes

DFPS Overlapping Jurisdiction

Independent School Districts

Non-DFPS Jurisdiction

Exceptions to Jurisdiction

DFPS Investigative Authority

APS Provider Investigations Jurisdiction

State Hospitals, State Supported Living Centers, State Center, and Contracted Services

Intermediate Care Facilities Serving Individuals with an Intellectual Disability or Related Conditions (ICF/IID)

Community Centers and Local Authorities for Mental Health and Intellectual Disabilities

Home and Community Support Service Agency (HCSSA)

Medicaid Home and Community-based Services (HCBS) Fee-for-Service (FFS) Programs

Deaf Blind Multiple Disabilities (DBMD) 1915(c) Medicaid Waiver Program

Community Living Assistance and Support Services (CLASS) 1915(c) Medicaid Waiver Program

Home and Community-based Services (HCS) or Texas Home Living (TxHmL) 1915(c) Medicaid Waiver Programs

Medically Dependent Children’s Program (MDCP) 1915(c) Medicaid Waiver Program

Community Attendant Services (CAS)

Primary Home Care (PHC)

Personal Care Services (PCS)

Youth Empowerment Services (YES) 1915(c) Medicaid Waiver Program

Home and Community Based Services-Adult Mental Health (HCBS-AMH) 1915(i) Medicaid Waiver Program

Managed Care

Managed Care Programs Provided by MCOs

NorthSTAR 1915(b) Behavioral Health Program

STAR Health

STARKids

STAR+PLUS

State Hospitals, State Supported Living Centers, the Rio Grande State Center’s ICF/IID, and Contracted Services

Contracted services include:

  •  foster care;

  •  day habilitation; and

  •  vocational services.

Service Description

Subject to Licensure

Jurisdiction

Phone Number

Comprehensive services, some including residential care, for individuals with:

  •  mental illness;

  •  intellectual disabilities; or

  •  pervasive developmental disorder.

Yes.

  •  APS PI; or

  •  DSHS Consumer Services and Rights Protection if there is no allegation of abuse or neglect.

APS PI: 1-800-647-7418

DSHS Consumer Services and Rights Protection:

(800) 252.8154 - Texas Only,

(512) 206.5760 - Outside Texas,

(800) 735.2988 - Relay Texas, Voice

(800) 735.2989 - Relay Texas, TTY

Intermediate Care Facilities Serving Individuals with an Intellectual Disability or Related Conditions (ICF/IID)

Service Description

Subject to Licensure

Jurisdiction

Phone Number

A protected setting that provides:

  •  24-hour supervision;

  •  food;

  •  shelter; and

  •  treatment, health, or rehabilitative services to four or more persons unrelated to the owner.

Yes.

APS PI

1-800-647-7418

Community Centers and Local Authorities for Mental Health and Intellectual Disabilities

Service Description

Subject to Licensure

Jurisdiction

Phone Number

Comprehensive services, some including residential care, for individuals with:

  •  mental illness;

  •  intellectual disabilities; or

  •  pervasive developmental disorder.

Yes.

  •  APS PI; or

  •  DSHS Consumer Services and Rights Protection if there is no allegation of abuse or neglect.

APS PI: 1-800-647-7418

DSHS Consumer Services and Rights Protection:

(800) 252.8154 - Texas Only,

(512) 206.5760 - Outside Texas,

(800) 735.2988 - Relay Texas, Voice

(800) 735.2989 - Relay Texas, TTY

Home and Community Support Service Agency (HCSSA)

Service Description

Subject to Licensure

Jurisdiction

Phone Number

HCSSAs provide home health care services in the individual’s home, such as:

  •  nursing care;

  •  assistance with ADLs;

  •  physical therapy; and

  •  hospice care.

Yes.

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA providers; and

  •  forwards any licensing concerns to DADS.

DADS has jurisdiction if:

  •  the concern involves only licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

APS PI: 1-800-252-5400

 

DADS: 1-800-458-9858

Medicaid Home and Community-based Services (HCBS) Fee-for-Service (FFS) Programs

Deaf Blind Multiple Disabilities (DBMD) 1915(c) Medicaid Waiver Program

Program Description

Provider Type

Jurisdiction and Contact

Provides home and community-based services to people who are deaf, blind, and have another disability. This program is an alternative to an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID).

DBMD services include:

  •  adaptive aids and medical supplies

  •  assisted living (licensed up to six beds)

  •  audiology

  •  behavior support services

  •  case management

  •  chore provider

  •  community First Choice (CFC) habilitation/personal assistance services

  •  CFC ERS

  •  dental treatment

  •  dietary services

  •  employment assistance

  •  environmental accessibility

  •  intervener

  •  minor home modification

  •  nursing services

  •  occupational therapy

  •  orientation and mobility

  •  physical therapy

  •  prescription drugs, if not covered through Medicare

  •  residential habilitation

  •  respite care

  •  speech, hearing and language therapy

  •  supported employment

  •  transition assistance services

HCSSA or

CDS employer

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA or CDS providers; and

  •  forwards any licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

Community Living Assistance and Support Services (CLASS) 1915(c) Medicaid Waiver Program

Program Description

Provider Type

Jurisdiction and Contact

Provides home and community-based services as a cost-effective alternative to an intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID).

CLASS Services include:

  •  adaptive aids and medical supplies

  •  behavioral support

  •  case management

  •  cognitive rehabilitative therapy

  •  CFC PAS/HAB

  •  CFC ERS

  •  continued Family Services

  •  dental and dental sedation

  •  employment assistance

  •  habilitation

  •  minor home modifications

  •  nursing

  •  occupational therapy

  •  physical therapy

  •  pre-vocational habilitation

  •  respite care

  •  specialized therapies (auditory enhancement/auditory integration training, dietary, therapeutic horseback riding, and massage, recreational, music, aquatic and hippo therapies)

  •  speech and language pathology

  •  supported employment

  •  Support Family Services

  •  Transition Assistance Services

HCSSA or

CDS employer

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA providers or CDS; and

  •  forwards any licensing concerns to DADS.

Call APS PI at:1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at:1-800-458-9858

Home and Community-based Services (HCS) or Texas Home Living (TxHmL) 1915(c) Medicaid Waiver Programs

Program Description

Provider Type

Jurisdiction and Contact

HCS provides community-based services and support for individuals of any age with intellectual disabilities who live:

  •  in their own homes;

  •  with family;

  •  with a contracted foster care provider; or

  •  in small group homes serving no more than four persons.

Services include:

  •  adaptive aids

  •  audiology

  •  behavioral support

  •  cognitive rehabilitation therapy

  •  CFC PAS/HAB

  •  CFC ERS

  •  day habilitation

  •  dietary

  •  dental treatment

  •  employment assistance

  •  minor home modifications

  •  nursing

  •  occupational therapy

  •  physical therapy

  •  residential assistance

  •  respite

  •  speech and language pathology

  •  supported employment

  •  transition Assistance Services

Providers of HCS do not require licensure. Providers are certified by DADS through the Medicaid Waiver Program. Providers may also be CDS employers.

*Local authorities provide service coordination.

APS PI

Call APS PI at:1-800-647-7418

 

DADS Consumer Rights and Services if there is no allegation of abuse, neglect, or exploitation.

Call DADS at:1-800-458-9858

TxHmL offers the following services and supports to people with an intellectual disability or related condition who live in their own homes or their family’s home:

  •  Respite

  •  Community support

  •  Day habilitation

  •  Nursing

  •  Employment assistance

  •  Supported employment

  •  Behavioral support

  •  Adaptive aids

  •  Minor home modifications

  •  Dental treatment

  •  CFC PAS/HAB

  •  CFC ERS

  •  Other therapies

Providers of TxHmL do not require licensure. Providers are certified by DADS through the Medicaid Waiver Program. Providers may also be CDS employers.

*Local authorities provide service coordination.

APS PI

Call APS PI at:1-800-647-7418

 

DADS Consumer Rights and Services if there is no allegation of abuse, neglect, or exploitation.

Call DADS at:1-800-458-9858

Medically Dependent Children’s Program (MDCP) 1915(c) Medicaid Waiver Program

Program Description

Provider Type

Jurisdiction and Contact

Provides services to support families caring for children under age 21 who are medically dependent and encourages the transition of children in nursing homes back to the community.

MDCP services include:

  •  adaptive aids;

  •  employment assistance;

  •  flexible family support services;

  •  minor home modifications;

  •  financial management services;

  •  respite services;

  •  supported employment; and

  •  transition assistance services.

HCSSA or

CDS employer

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA or CDS providers; and

  •  forwards any licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

Community Attendant Services (CAS)

Program Description

Provider Type

Jurisdiction and Contact

Provides non-technical, non-skilled, in-home attendant services to people who need help with personal care tasks. CAS is available to eligible adults and children whose health problems cause them to be functionally limited in performing activities of daily living.

CAS services include:

  •  escort;

  •  home management; and

  •  personal care.

 

HCSSA or

CDS employer

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA or CDS providers; and

  •  forwards any HCSSA licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

Primary Home Care (PHC)

Program Description

Provider Type

Jurisdiction and Contact

Provides non-technical, medically related personal care service to adults whose health problems cause them to be functionally limited in performing activities of daily living, according to a statement of medical need.

PHC services include:

  •  escort;

  •  home management; and

  •  personal care.

 

HCSSA or

CDS employer

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA or CDS providers; and

  •  forwards any licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

Personal Care Services (PCS)

Program Description

Provider Type

Jurisdiction and Contact

Provides personal care services to individuals under age 21 needing assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) because of a physical, cognitive, or behavioral limitation that is related to the recipient’s disability or chronic health condition.

 

HCSSA or

CDS employer

*Case management is provided by case managers employed by DSHS.

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA or CDS providers; and

  •  forwards any licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

Youth Empowerment Services (YES) 1915(c) Medicaid Waiver Program

Program Description

Provider Type

Jurisdiction and Contact

Provides comprehensive home and community-based mental health services to youth between the ages of 3 and 18, who have a serious emotional disturbance.

YES services include:

  •  adaptive aids and supports;

  •  community living supports;

  •  employment assistance;

  •  family supports;

  •  minor home modifications;

  •  non-medical transportation;

  •  paraprofessional services;

  •  pre-engagement services;

  •  respite services (in-and out-of-home);

  •  camp;

  •  licensed child care center;

  •  registered child care home;

  •  residential child care (DFPS);

  •  specialized therapies;

  •  supported employment;

  •  supportive family-based alternatives; and

  •  transitional services.

Local mental health authority and DSHS contracted providers.

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by LMHA or HCSSA providers; and

  •  forwards any HCSSA licensing or LMHA concerns to DADS..

Call APS PI at: 1-800-252-5400

 

Child Care Licensing:

  •  investigates allegations of abuse, neglect, or exploitation by LMHA providers within the services of Licensed Child Care Center, Registered Child Care Home, and Residential Child Care

Call CCL at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  There is a complaint involving the LMHA; and

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

Home and Community Based Services-Adult Mental Health (HCBS-AMH) 1915(i) Medicaid Waiver Program

Program Description

Provider Type

Jurisdiction and Contact

Provides home and community-based services to adults with serious mental illness designed to support long-term recovery. Services can be provided in individual homes, assisted living facilities, and small community-based residences.

Services include:

  •  host home/companion care;

  •  supported home living;

  •  supervised living services;

  •  assisted living;

  •  psychosocial rehabilitation services;

  •  employment services;

  •  supported employment;

  •  employment assistance;

  •  minor home modifications;

  •  home delivered meals;

  •  transition assistance;

  •  adaptive aids;

  •  transportation services (non-duplicative of state plan medical transportation);

  •  community psychiatric supports and treatment;

  •  peer support;

  •  respite care (short term);

  •  substance use disorder services;

  •  nursing;

  •  recovery management; and

  •  flexible funds.

Local mental health authority, HCCSAs, and DSHS-contracted private providers.

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by LMHA or HCSSA providers; and

  •  forwards any HCSSA licensing or LMHA concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  there is a complaint involving the LMHA; and

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

Managed Care Organizations

Service Description

Provider Type

Jurisdiction and Phone Number

Provides health care through a network of doctors, hospitals, and other health care providers responsible for managing and delivering quality, cost-effective care.

  •  Acute services, and

  •  Long term supports and services (LTSS).

Managed care organizations include:

  •  Aetna Better Health

  •  Amerigroup

  •  BCBSTX

  •  Children’s Medical Center

  •  Cigna-HealthSpring

  •  CHRISTUS

  •  Community First

  •  Community Health Choice

  •  Cook Children’s

  •  Driscoll

  •  El Paso First

  •  FirstCare

  •  Molina Healthcare of Texas

  •  Parkland

  •  Scott and White

  •  Sendero

  •  Seton

  •  Superior HealthPlan

  •  Texas Children’s

  •  United Healthcare

MCOs

APS PI investigates allegations of abuse, neglect, or exploitation by an officer, employee, agent, contractor, or subcontractor of an MCO.

Call 1-800-252-5400

Managed Care Programs Provided by MCOs

NorthSTAR 1915(b) Behavioral Health Program

Program Description

Provider Type

Jurisdiction and Contact

Provides delivery of mental health and chemical dependency services to residents of Dallas, Ellis, Collin, Hunt, Navarro, Rockwall and Kaufman counties.

Behavioral Health Organization (BHO) or LMHA

APS PI investigates allegations of abuse, neglect, or exploitation by BHO or LMHA providers.

Call 1-800-252-5400

STAR Health

Program Description

Provider Type

Jurisdiction and Contact

Comprehensive health care system to coordinate and improve access to health care for:

  •  children in DFPS conservatorship (under age 18).

  •  young adults in CPS extended foster care (ages 18 through 20);

  •  young adults who were previously under DFPS conservatorship and have returned to foster care through voluntary foster care agreements (ages 18 through 20); and

  •  young adults eligible for Medicaid for Former Foster Care Children (coverage through the STAR Medicaid Managed Care plan of their choice from age 21 through the month of their 26th birthday).

STAR Health provides a full-range of Medicaid covered medical and behavioral health services for children in DFPS conservatorship and young adults in DFPS paid placements.

Services include:

  •  physical and behavioral healthcare;

  •  dental services;

  •  vision services;

  •  pharmacy;

  •  personal Care Services;

  •  service coordination;

  •  clinical service management and disease management;

  •  health Passport;

  •  help-lines for consumers and healthcare providers;

  •  physical, occupational, speech, and other health-related services;

  •  complex case management for children with high medical or behavioral health needs;

  •  NurseWise 24 hour medical advice line; and

  •  psychotropic medication review.

MCO or

HCSSA

*Service coordination is provided by the MCO

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA or MCO providers; and

  •  forwards any HCSSA licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only HCSSA licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

STARKids

Program Description

Provider Type

Jurisdiction and Contact

Medicaid program for children and adults 20 years old or younger who have disabilities. Provides basic medical and long-term services and supports through the health plan’s provider network.

Individuals also will get MDCP waiver services through the health plan’s provider network, if eligible.

Provides benefits such as:

  •  prescription drugs;

  •  hospital care;

  •  primary and specialty care;

  •  preventive care;

  •  personal care services;

  •  private duty nursing; and

  •  durable medical equipment and supplies.

MCO,

HCSSA, or

CDS employer

*Service coordination is provided by the MCO

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA, CDS, or MCO providers; and

  •  forwards any HCSSA licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction if:

  •  the concern involves only HCSSA licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

STAR+PLUS

Program Description

Provider Type

Jurisdiction and Contact

Combines acute care and long term services and supports delivered through providers contracted with MCOs. Provides a continuum of care with a wide range of options and increased flexibility to meet individual needs.

Services provided include:

  •  personal assistance services;

  •  nursing services;

  •  physical therapy;

  •  occupational therapy;

  •  speech pathology services;

  •  adaptive aids (including dental);

  •  medical supplies;

  •  minor home modifications;

  •  emergency response systems;

  •  assistive living;

  •  adult foster care;

  •  meals;

  •  dental services;

  •  transitional assistance services; and

  •  respite care (in-home).

MCO,

HCSSA, or

CDS employer

*Service coordination is provided by the MCO

APS PI:

  •  investigates allegations of abuse, neglect, or exploitation by HCSSA, CDS, or MCO providers; and

  •  forwards any HCSSA licensing concerns to DADS.

Call APS PI at: 1-800-252-5400

 

DADS has jurisdiction, if:

  •  the concern involves only HCSSA licensing issues; or

  •  there is no allegation of abuse, neglect, or exploitation.

Call DADS at: 1-800-458-9858

APS In-Home Investigations Jurisdiction

Adult Foster Care

Boarding Home Facilities

Retirement Center

When an alleged victim is abused, neglected, or exploited by a family member, paid caretaker, or an individual with an ongoing relationship with the alleged victim, APS specialists conduct investigations according to the table below:

 

If the alleged incident occurred:

Then:

at the home of the person or elsewhere when the facility or community center was not responsible for supervision,

an in-home investigation is conducted.

on the grounds of the facility, community center, or elsewhere when the facility or community center was responsible for supervision,

both in-home and provider investigations are conducted.

at the home of the person and the investigator suspects abuse, neglect, or exploitation by the individual’s family member, an individual with an ongoing relationship, or a paid caretaker

an in-home investigation is considered.

Adult Foster Care

When three or fewer residents served are unrelated to the owner:

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Room, meals, and assistance with one or more personal care services such as meals, dressing, movement, bathing and grooming, medication, and general oversight of physical and mental well-being.

No, if three or fewer residents unrelated to the owner are served. (Example: A group that includes the owner’s grandmother plus two other unrelated residents does not require a license.)

Adult foster care homes for three or fewer persons may be:

  •  contracted through DADS; or

  •  neither licensed nor contracted.

APS In-Home, if the adult foster care home is not required to be licensed, regardless of whether it is contracted.

Call:

1-800-252-5400

Exception: DADS has jurisdiction if the facility’s capacity (number of beds) is four or more even if the facility is not currently at capacity.

Boarding Home Facilities

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Includes:

  •  a room;

  •  meals;

  •  laundry services;

  •  transportation; and

  •  assistance with self-medication.

Does not include personal care services.

No.

APS In-Home (when the alleged perpetrator is one APS investigates)

Call:

1-800-252-5400

Retirement Center

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Provides:

  •  a room (residents rent or own the room or apartment); and

  •  a common dining area.

Does not provide:

  •  personal care; or

  •  medication assistance (though individual residents may hire providers to come in).

No.

APS In-Home

Call:

1-800-252-5400

Residential Child Care Licensing (RCCL) Jurisdiction

This includes:

  •  basic child care institutions;

  •  residential treatment centers; and

  •  foster homes.

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Residential care and related services to children.

Yes.

Residential Child Care Licensing

Call:

1-800-252-5400

Child Protective Services (CPS) Jurisdiction

If the alleged incident occurred:

Then:

At the home of the individual receiving services and the investigator suspects abuse or neglect by a family member…

A CPS investigation is considered.

Call:

1-800-252-5400

Day Care Facilities and Homes

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Child day care (no residential care).

Yes.

Day Care Licensing

Call:

1-800-252-5400

DFPS Overlapping Jurisdiction

If…

then…

the alleged perpetrator is a provider and the investigator suspects the individual receiving services is being abused, neglected, or exploited by a family member who is not a paid provider …

APS PI investigates the allegation involving the Medicaid provider and APS In-Home investigates the allegations involving the family member.

the alleged perpetrator is a provider and the investigator suspects the individual receiving services is in a state of self-neglect unrelated to the provider’s actions …

APS PI investigates the allegation involving the Medicaid provider and APS In-Home investigates the allegation of self-neglect.

the alleged perpetrator is a provider and the investigator suspects the individual receiving services is being abused or neglected by a family member and the individual is a child …

APS PI investigates the allegation involving the provider and CPS investigates the allegation involving the family member.

Independent School Districts

Allegations of abuse, neglect, or exploitation involving an individual receiving services committed by an employee of an independent school district (ISD) are investigated according to the following table:

If…

then…

the individual receiving services is under 18 years of age and the ISD is not a contractor of the provider …

the incident is reported to the superintendent of the ISD and to Child Protective Services for investigation.

the individual receiving services is 18 years of age or older and the ISD is not a contractor of the provider …

an APS In-home investigation is conducted, if the individual meets criteria of substantial impairment.

the ISD is a contractor of the provider …

a provider investigation is conducted.

Non-DFPS Jurisdiction

Nursing Facilities

Day Activity Health Services (DAHS)

Adult Foster Care

Assisted Living Facilities

Hospitals, Centers, Facilities, Clinics

Drug and Alcohol Treatment Centers

Texas Juvenile Justice Department

Criss Cole Rehabilitation Center

Texas School for the Blind and Visually Impaired

Texas School for the Deaf

Nursing Facilities

This includes:

  •  nursing homes;

  •  skilled nursing facilities;

  •  long-term care facilities; and

  •  in-patient hospice facilities.

Service Description

Subject to Licensure

Jurisdiction and Phone Number

  •  Skilled nursing

  •  Physician services

  •  Dietary services

  •  Pharmaceutical services

  •   Activity services

Yes.

Texas Department of Aging and Disability Services (DADS)

Call:

1-800-458-9858

Day Activity Health Services (DAHS)

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Health, social, and related support services meeting the needs of persons age 65 or older or adults with functional impairments.

Does not include overnight care.

Yes.

DADS

Call:

1-800-458-9858

Adult Foster Care

When four or more residents served are unrelated to the owner:

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Room, meals, and assistance with one or more personal care services such as meals, dressing, movement, bathing and grooming, medication, general oversight of physical and mental well-being.

Yes, if four or more residents unrelated to the owner are served (Type C).

DADS:

Call:

1-800-458-9858

This includes when the facility does not have a license, but meets the criteria to have one (four or more residents).

Assisted Living Facilities

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Room, meals, and assistance with one or more personal care services such as meals, dressing, movement, bathing and grooming, medication, and general oversight of physical and mental well-being.

May be licensed as Type A or B.

Yes.

DADS

Call:

1-800-458-9858

Hospitals, Centers, Facilities, and Clinics

This includes:

  •  medical hospitals;

  •  private psychiatric hospitals;

  •  dialysis facilities;

  •  rural health clinics;

  •  outpatient occupational and physical therapy facilities;

  •  ambulatory surgical centers;

  •  birthing centers; and

  •  abortion clinics.

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Various medical services.

Yes.

Texas Department of State Health Services (DSHS)

Call:

1-888-973-0022

Drug and Alcohol Treatment Centers

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Various inpatient and outpatient services to individuals with substance abuse issues.

Yes.

DSHS

Call: 1-800-832-9623

Texas Juvenile Justice Department

This includes:

  •  training schools;

  •  halfway houses;

  •  foster family and foster group homes; and

  •  residential contract facilities.

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Various services to teens who have been adjudicated in court because of criminal behavior.

Yes.

Texas Juvenile Justice Department (TJJD)

For state institutions, programs, services or facilities, call 1-866-477-8354

For community-based programs, services, or facilities, call 1-877-786-7263

Criss Cole Rehabilitation Center

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Comprehensive vocational rehabilitation training facility for individuals with visual impairments.

No.

Texas Workforce Commission (TWC))

Call:

1-800-252-3642

or

1-800-628-5115

Texas School for the Blind and Visually Impaired

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Various services to individuals with visual impairments.

Yes.

Texas School for the Blind and Visually Impaired

Call:

1-512-454-8631 (ask for the superintendent’s office)

Texas School for the Deaf

Service Description

Subject to Licensure

Jurisdiction and Phone Number

Various services to individuals with hearing impairments.

Yes.

Texas School for the Deaf

Call:

1-512-462-5353

Exceptions to Jurisdiction

How does APS PI determine if it has jurisdiction to investigate in situations when a person served by the program is also an employee of the program?

If the alleged victim is …

and the alleged perpetrator is …

then, does APS PI investigate?

an individual receiving services and an employee of the provider

A direct provider of the provider agency who is assigned to the care and treatment of the individual receiving services

Yes.

an individual receiving services and an employee of the provider

a direct provider of the provider agency who is not assigned to the care and treatment of the individual receiving services

No. The allegation is referred to the administrator of the provider.

An individual receiving services and an employee of the provider as part of treatment plan or supported employment

a direct provider of the provider agency

Yes.

An individual receiving services and an employee working for a private sector employer as part of treatment plan or supported employment

an employee working for the same private sector employer as the alleged victim

No. The allegation is referred to the administrator of the private sector employer.

An individual receiving services

An individual receiving services and an employee of the provider as part of treatment plan or supported employment

No. The allegation is referred to the administrator of the provider.

An individual receiving services

An individual receiving services who is employed by the provider

Yes.

How does APS PI determine if it has jurisdiction to investigate allegations of abuse, neglect and exploitation in a licensed facility?

If…

then…

an HCSSA employee is suspected of abusing, neglecting, or exploiting the individual receiving services while the individual is in a skilled nursing facility for respite services …

APS PI investigates the allegation involving the HCSSA employee.

DADS investigates all other allegations in a skilled nursing facility.

an HCSSA employee is suspected of abusing, neglecting, or exploiting an individual receiving services while the individual lives in an assisted living facility (ALF) …

APS PI investigates the allegation involving the HCSSA employee.

DADS investigates all other allegations in ALFs.

a private psychiatric hospital contracts directly with DSHS …

APS PI investigates the allegation of abuse, neglect, or exploitation.

DSHS has authority to investigate allegations of abuse, neglect, or exploitation in all other private psychiatric hospitals.

See also the HHS Long-Term Care Provider Search website.

APS PI staff use this site to help assess jurisdiction. APS PI staff search by provider type, name of provider, or location. As in IMPACT, it may be necessary for APS PI staff to leave out some information to return a result. For example, APS PI staff do not include Drive, Street, or Road in the address or Inc in the provider name.

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