APS Provider Investigations Policy Handbook

Handbook Revision, April 2017

APS Provider Handbook Updates (PATS 9882)

This revision clarifies existing policy and adds new policy to address requests from external stakeholders and district staff. The entire handbook was also copy edited.

Specifically, this revision:

  •   adds a definition for responsible party;

  •   adds language regarding confidentiality to the reporter section;

  •   clarifies that examples of ANE in section 2300 are only allegations and not examples of confirmed findings;

  •   adds a description of the Forensic Assessment Center Network (FACN);

  •   amends titles and other language regarding interviewing children to clarify interview setting as well as correct typographical errors;

  •   corrects headings and clarifies content of exploitation involving loans to assist investigators with investigations involving community providers;

  •   removes the word “verbatim” and clarifies who is being interviewed regarding obtaining electronic statements to resolve confusion;

  •   clarifies streamlined investigation criteria;

  •   adds mandatory reporter contact to abbreviated investigations;

  •   adds additional examples to the exploitation section of abbreviated investigations;

  •   adds documentation of a probable version of events to the abbreviated investigation;

  •   corrects formatting and typographical errors in the evidence list section;

  •   removes duplicate line of text from case merge instructions;

  •   adds language regarding providing SSLCs with investigation findings when the alleged victim is a resident of the SSLC and the investigation occurs away from the SSLC;

  •   adds procedures for the release of information to the SSLC administrator;

  •   adds procedures for an emergency release of findings to subsequent employers when the DP is eligible for EMR;

  •   clarifies time frame for instructions related to sending the client and perpetrator investigation finding letters;

  •   clarifies documentary requirements for EMR investigations;

  •   provides instruction regarding entering the provider administrator's information for reportable conduct findings; and

  •   edits outdated language in Appendix VI. 


1000 APS Provider Investigations Program Overview

1100 Legal Base

1200 Definitions

1300 DFPS Investigative Authority

1310 APS Provider Investigations Jurisdiction

1311 Entities Investigated by APS Provider Investigations

1311.1 Facilities for Individuals with an Intellectual Disability or Related Conditions

1311.2 Mental Health Providers

1311.3 Community Centers

1311.4 Local Authorities

1311.5 Home and Community-based Services (HCBS)

1311.6 Behavioral Health Services

1311.7 Managed Care

1311.8 Managed Care Organization (MCO)

1311.9 Home and Community Support Services Agency

1311.10 Consumer Directed Services

1311.11 Independent School Districts

1320 APS In-Home Jurisdiction

1330 Residential Child Care Licensing Jurisdiction

1340 Child Protective Services Jurisdiction

1400 Non-DFPS Jurisdiction

1410 Texas Department of Aging and Disability Services

1420 Texas Department of State Health Services

1430 University of Texas

1440 Attorney General of Texas

1450 Office of Inspector General

1500 Communication Assistance Interpreter Services

1510 Who May Provide Interpreter Services

1520 Cost of Services

1530 Methods of Communicating

1540 Confidentiality

1550 IMPACT Documentation of Communication Efforts

1600 Cultural Competency in Investigations

1700 Public Awareness

2000 Intake

2100 Priorities

2110 Changing Priorities

2200 Statewide Intake Procedures

2300 Examples of Abuse, Neglect, and Exploitation

2310 Anonymous Allegations

2311 The Reporter

2320 Intake Reports of a Similar Nature

2330 Incomplete Information

2340 After Hours

2350 Maintaining On-Call List

2360 Routing Coordinator

2370 Completing a Provider Information and Referral (I&R) Report

2380 Procedures for Handling I&R Reports

2381 Active Case

2382 Other State Agency Investigation

2383 Client Rights or Administrative Issues

2384 Misclassification

2385 I&Rs with Unknown Providers

2386 Maintaining Copies of I&Rs in District Offices

2390 Streamlined Chronic Caller List

2400 Children’s Advocacy Centers (CACs)

2410 Criteria for CAC Services

2411 CAC Coordination Procedures

2500 Forensic Assessment Center Network

2600 2500 Sexual Contact Between Individuals Receiving Services

2700 2600 Aggression Between Individuals Receiving Services

2800 2700 Sensitive and High Profile Cases

2810 2710 Procedure for Sensitive and High Profile Cases

2811 2711 Procedure for High Profile and Death Case Form

2900 2800 Intakes from Other States

3000 Investigation

3100 Notifications

3110 3101 Notifications Applicable to All Settings in Any Setting

3120 3110 Notifications to State Agencies and Law Enforcement

3121 3111 Notification to Law Enforcement

3122 3112 Notification to HHSC Office of Inspector General (OIG)

3122.1 3112.1 Death of an Individual Receiving Services

3122.2 3112.2 Suspicion of Medicaid Recipient Fraud

3122.3 3112.3 Allegations Believed to Constitute a Crime in a State-Supported Living Center (SSLC), a State Hospitals, and ICF/IID Component of the Rio Grande State Center’s ICF/IID

3122.4 3112.4 When DFPS Is Not Going to Investigate

3123 3113 Notifying DFPS State Office of the Death of an Individual Receiving Services

3123.1 3113.1 Documenting the Death of Individual Receiving Services in IMPACT

3123.11 3113.11 Entering Contact Detail

3123.12 3113.12 Entering Person Detail

3123.13 3113.13 Entering Allegation Detail

3130 3120 Notification of Allegations Involving Independent School Districts

3140 3130 Notification of Allegations Involving Alleged Victims in CPS Conservatorship

3150 3140 Notification of Allegations Involving Individuals Receiving Services With Guardians

3160 3150 Exception to the Confidentiality of the Identity of the Reporter’s Identity

3170 3160 Notification Requirements for Facility, HCS, TxHmL, Local Authorities, and Community Center Investigations

3171 3161 Notification When an Alleged Perpetrator is a Direct Provider of a Facility, HCS or TxHmL Waiver Program Provider, LIDDA, LMHA, or Community Center Employee Is an Alleged Perpetrator

3172 3162 Notifications When the Administrator or CEO Is the Alleged Perpetrator

3173 3180 Notification to Provider for Allegations Involving a Contractor

3180 3170 Commencement Activities Required in SSLCs and the Rio Grande State Center’s ICF/IID Requirements State Supported Living Centers (SSLCs) and the ICF/IID Component of the Rio Grande State Center

3181 3171 Actions Required Within One Hour After SWI Receives an Intake

3182 3172 Actions Required Within 24 Hours After SWI Receives an Intake

3183 3173 Documenting Commencement Activities in IMPACT

3190 Notification Requirements for Community Provider Investigations

3191 Notification When a Community Provider Employee is an Alleged Perpetrator

3191 3192 Action Required When the Provider is Known at Intake

3192 3193 Action Required if Provider is Unknown at Intake

3192.1 3193.1 Initial TIERS Search

3192.2 3193.2 Medicaid Managed Care Organization (MCO)

3192.3 3193.3 Fee for Service (Not Managed Care)

3192.4 3193.4 Case Initiation

3193 3194 Action Required when the Provider is a CDS Employer

3194 3195 IMPACT Documentation

3200 Investigative Procedures

3210 Review the Intake

3211 Determine Whether a Partial or Full Referral Is Appropriate

3212 Determine Whether a Streamlined Streamline Investigation is Appropriate

3213 Determine Whether an Abbreviated or Full Investigation is Appropriate

3214 Develop an Initial Plan for the Full Investigation

3220 Planning the Full Investigation

3221 Conducting the Prior Case History Review

3221.1 Reviewing Review of Prior Case History

3221.2 Completing the Prior Case History Review

3221.2 3221.3 Procedures for Reviewing Conducting Prior Case History Reviews

3221.3 3221.4 Considerations for the Use of Prior Case History

3221.4 3221.5 Use of Prior Case History to Identify Additional Collaterals

3221.5 3221.6 Using IMPACT to Conduct the Principal Case History Search

3222 Investigation Contacts

3222.1 Initial Face-to-Face Requirements

3222.2 Follow-Up Face-to-Face Requirements

3222.3 Face-to-Face Requirements for Referrals

3222.4 3222.31 Documented Efforts to Interview Principals

3223 Investigations Involving the Office of the Inspector General (OIG)

3223.1 Planning the AP Interview With the Alleged Perpetrator When OIG Is Involved

3223.2 Interviewing an Alleged Perpetrator AP When OIG Is Involved

3223.3 Conducting Joint Interviews of Individuals Receiving Services and Witnesses

3224 Investigations Involving Children

3224.1 3224.46 Child Privacy

3224.1 Allegations Involving Children

3224.2 Interviewing Children in any Setting

3224.21 3224.22 Documenting Documentation of Interviews with Children

3224.21 Children as Alleged Victims or Collateral Witnesses

3224.23 Documenting an Interview with a Child in IMPACT

3224.3 3224.11 Intakes that Allege Sexual Abuse (SXAB) or and Serious Physical Injury as a Result of Physical Abuse (PHAB) or Neglect (NEGL) Abuse

3224.4 3224.12 Intakes That Do Not Allege Sexual Abuse (SXAB) or Serious Physical Injury as a Result of Physical Abuse (PHAB) or Neglect (NEGL) Abuse

3224.5 3224.24 Coordinating Interviews with the Children’s Advocacy Centers

3224.6 3224.47 Interviewing Children at Attending a Public School

3224.61 Notifying the Responsible Party of an Interview Conducted at School

3224.7 3224.3 Interviewing Children Residing in a Facility or HCS Group Home

3224.8 3224.4 Interviewing Children in a Private Residence Community Provider Setting

3224.81 3224.41 Consent to Interview a Child in a Private Residence at Home

3224.82 3224.42 Consent to Visual Inspection and/or Photographs in a Private Residence

3224.83 3224.43 Parental Refusal to Allow a Child to be Interviewed in a Private Residence

3224.84 3224.44 Parental Refusal to Allow a Child to be Visually Inspected and/or Photographed in a Private Residence

3224.85 3224.45 Documentation of Consent or Refusal

3225 Investigative Procedure for SSLCs State Supported Living Centers, ICF/IID Component of the Rio Grande State Center’s ICF/IID, and Other ICF Facilities (Local Authorities and Community Centers)

3225.1 APS 24-Hour Commencement Checklist in a an SSLC and ICF/IID ICF/IID Component of the Rio Grande State Center

3225.11 Include the APS Facility 24-Hour Commencement Checklist in the Case Documentation for SSLC and ICF/IID Component of the Rio Grande State Center

3225.12 Initial Face-to-Face Requirements in State Supported Living Centers (SSLCs) and ICF/IID Component of the Rio Grande State Center’s ICF/IID

3225.2 Clinician in SSLC or State Hospital Requests That APS Not Forgo Interview With an Individual Receiving Services

3225.3 Facility Liaison in a an SSLC, State Hospital, ICF/IID Component of the Rio Grande State Center’s ICF/IID, LIDDA, LMHA, or Community Center

3226 Five-Day Status Report in ICF/IID Investigations

3227 Investigative Procedures for Community Provider Investigations

3227.1 Permission to Enter a Private Residence

3227.2 Allegations of Abuse, Neglect, or Exploitation Committed Outside Regularly Scheduled Provider Hours

3227.3 Allegations of Exploitation

3228 Investigating Exploitation Allegations Involving Loans

3229 Exploitation Allegations and Medicaid Fraud

3300 Collecting Testimonial Evidence

3310 Conducting Face-to-Face Interviews

3320 Conducting Telephone Interviews

3330 Interviewing Individuals

3331 Interviewing Persons Who Have Relocated In Texas -State

3332 Interviewing Reporters

3333 Interviewing Video Surveillance Monitors

3334 Interviewing Wards of the State

3335 Planning the Interview

3335.1 Structure of the Interview

3335.2 Answering the Investigative Questions

3335.3 Witness’s Opportunity to See or Hear the Incident

3340 Analysis of Evidence During Investigation

3341 Assessing Credibility During Interviews

3341.1 Influences on Testimony Affecting Credibility

3341.2 Deception

3341.3 Confronting Discrepancies

3342 Obtaining Statements

3342.1 Procedures for Obtaining Electronic Statements

3342.11 Policy Exceptions

3342.12 Interviews Conducted in Language Other Than English

3342.13 Obtaining Statements Using Mobile Protective Services (MPS)

3342.14 Obtaining Signatures on Electronic Statement Forms in MPS

3342.15 Ensuring Integrity and Security of Electronic Signatures

3342.16 How to Synchronize an Electronic Device in a Mobile Environment

3342.2 Witness Statements on Allegations in a Public Area

3342.3 Witnesses Who Have Direct Knowledge

3342.4 Witnesses and Principals Who Request to Record Interviews

3342.5 Witnesses Who Refuse to Cooperate With the Interview

3342.6 Witnesses Who May Give Circumstantial Evidence

3342.7 Witness Statement of Confession

3342.8 Investigator’s Notes

3342.9 Use of Polygraph

3350 Request for Anonymity

3351 Individual Receiving Services Requesting Anonymity

3352 Employees Requesting Anonymity

3353 External Witness Requesting Anonymity

3400 Collecting Documentary Evidence

3410 Documentation of Medical or Physical Exam

3420 Individuals’ Records

3430 Provider Records

3431 Duty Roster or Time Sheets

3432 Provider Policy, Procedure, or Training Issues

3433 Personnel Records

3434 Consumer Directed Services (CDS) Records

3435 Documenting Individual and Provider Records in IMPACT

3436 Obtaining Evidence from External Sources

3437 Collection and Documentation of Evidence Obtained from Social Media

3500 Collecting Demonstrative Evidence

3510 Photographs

3511 Photographing the Scene of an Incident

3512 Photographing Injuries

3512.1 Documentation of Refusal by Client to Be Photographed

3512.2 Documentation of a Client Who Is Unresponsive

3512.3 Sharing Photographs of Injuries with OIG Before Completion of Investigation

3513 Instructions for Digital Photographs

3513.1 Storing and Printing Digital Photographs

3520 Diagrams

3530 Timelines

3540 Video Surveillance

3541 State Supported Living Centers

3542 State Hospitals and Mental Health ICF/IID Component of the Rio Grande State Center

3543 Other Types of Video Recordings

3544 Documenting Video Information in IMPACT

3545 Storing Video Surveillance Information

3600 Collecting Physical Evidence

3610 Suspicious Injuries

3620 Sexual Assault Evidence

3700 Referrals

3710 Examples of Issues or General Complaints Appropriate for Referral

3711 Client Rights Issues

3712 Administrative Issues

3713 Clinical Issues

3714 Theft Issues in SSLC, State Hospital, HCS, TxHmL, LIDDA, LMHA, and Community Center Settings

3720 Full Referral

3721 Partial Referrals Made During the Investigation

3800 3730 Streamlined Investigations in All Settings

3731 Eligibility Criteria for Streamlined Investigations

3810 3732 Streamlined Investigation Procedures for All Settings

3900 3740 Abbreviated Investigations

3910 Abbreviated Investigation Procedure

3920 3742 Documenting an Abbreviated Investigation

3741 Injury of Unknown Origin, Emotional/Verbal Abuse, Neglect, or Exploitation

3930 3741.1 Injuries of Unknown Origin

3940 3741.2 Emotional or Verbal Abuse

3950 3741.3 Neglect

3960 3741.4 Exploitation

3970 3743 Peer Review

3971 3743.1 Referral to the Professional Board

3860 Reporting Requirements for DFPS Employees

4000 Documentation and Case Closure

4100 General Documentation Requirements

4110 Case Closure

4120 Time Frames for Completing Investigations

4121 Time Frames for Completing an Investigation in Non-SSLC Settings

4122 Time Frames for Completing an Investigation in SSLCs and the Rio Grande State Center's ICF/IID SSLC and ICF/IID Component of Rio Grande State Center Settings

4123 Time Frames for Delivering the Investigation Report

4124 Extension Request

4125 Reasons for an Extension Request

4126 Extraordinary Circumstances

4127 Completing Documenting the Extension Request Form

4130 Review and Monitoring of Extension Requests

4200 Final Analysis of Evidence

4210 Evaluating Different Types of Evidence

4211 Evaluating Testimonial Evidence

4211.1 Comparing Statements to Other Evidence

4211.2 Assessing a Statement’s Internal Strengths and Weaknesses

4212 Evaluating Documentary Evidence

4213 Evaluating Physical and Demonstrative Evidence

4220 Importance of Documentation

4221 Documentation Techniques

4230 Identifying Sources and Use of Direct Quotes

4240 IMPACT and the Provider Abuse and Neglect Report

4241 Evidence List in IMPACT

4242 Summary of Evidence in IMPACT

4243 Closing Summary in IMPACT

4244 Analysis of Evidence in IMPACT

4300 Using the Analysis Headings in IMPACT

4310 Required Documentation for Headings

4320 Elements of the Definitions of Abuse, Neglect, and Exploitation

4321 Elements of the Definitions of Physical Abuse

4321.1 To Confirm Physical Abuse (Option 1)

4321.2 To Confirm Physical Abuse (Option 2)

4321.3 To Confirm Physical Abuse (Option 3)

4322 Elements of the Definition of Sexual Abuse

4322.1 To Confirm Sexual Abuse (Option 1)

4322.2 To Confirm Sexual Abuse (Option 2)

4322.3 To Confirm Sexual Abuse (Option 3)

4322.4 To Confirm Sexual Abuse (Option 4)

4322.5 To Confirm Sexual Abuse (Option 5)

4322.6 To Confirm Sexual Abuse (Option 6)

4322.7 To Confirm Sexual Abuse (Option 7)

4322.8 To Confirm Sexual Abuse (Option 8)

4322.9 To Confirm Sexual Abuse (Sexual Exploitation) (Option 9)

4323 Elements of the Definition of Exploitation

4323.1 To Confirm Exploitation in Any Setting a Facility, Local Authority, Community Center, HCS, or TxHmL (Option 1)

4323.2 To Confirm Exploitation in Community Providers (Excluding HCS and TxHmL) (Option 2)

4323.3 To Confirm Exploitation by Theft in Community Providers (Excluding HCS and TxHmL) (Option 3)

4324 Elements of the Definition of Verbal or Emotional Abuse

4325 Elements of the Definition of Neglect

4400 Reaching a Disposition

4410 Dispositions of Confirmed, Unconfirmed, and Inconclusive

4411 Confirmation of Sexual Abuse

4412 The Difference Between Unfounded and Unconfirmed

4413 Unknown Perpetrators

4414 Basis for Designating a Perpetrator as a Systems Issue

4420 Concerns and Recommendations

4430 Use of Prior Case History to Document Concerns and Recommendations

4440 Administrative and Procedural Notes

4450 Authentication

4500 Determining the DADS / and DSHS Classification

4600 Requirements for Case Closure

4610 IMPACT Documentation for Normal Closure

4611 Person Detail Page

4612 Contacts and Summaries

4613 Allegation Detail Page

4613.1 Facility Allegation Detail

4613.2 Investigator Findings


4614 Provider Investigation Conclusion

4614.1 Facility or Provider Information: Resource (Facility or Provider) Searches

4614.2 Investigations Involving More Than One Facility or Provider

4614.3 Investigations Involving Multiple Addresses for the Same Provider

4614.4 Completing a Search

4615 Provider Investigation Conclusion: Location of Incident

4615.1 Community-Based Settings: HCS, Licensed ICFs/IID, Community Centers, and Community Provider Residential Settings

4615.2 Facility Settings: SSLCs, State Hospitals, and Rio Grande State Center

4616 Documenting Use of Prior Case History in IMPACT

4620 IMPACT Documentation for Rapid Closure

4621 Person Detail Page

4622 Contacts and Summaries

4623 Allegation Detail Page

4624 Provider Investigation Conclusion

4624.1 Closure Reason: Administrative Referral

4624.2 Closure Reason: Clinical Issue Referral

4624.3 Closure Reason: Client Rights Referral

4624.4 Closure Reason: Theft

4624.5 Closure Reason: Duplicate Referral/Already Investigated

4624.6 Closure Reason: Does Not Meet the Definition of APS Provider Investigations

4624.7 Closure Reason: Reclassification

4624.8 Closure Reason: Administrative Closure

4630 Closing a Case Without Completing a Client Abuse and Neglect Reporting (DADS AN-1-A) Form

4640 DFPS Policy for Supervisory Approval Process in IMPACT

5000 Case Record

5100 Case Merge

5110 General Information on Case Merge

5111 Case Merges in IMPACT

5120 When to Merge Provider Investigations Before Stage Completion

5130 What Happens to Merged Cases

5200 Case Split in IMPACT

5300 Paper Case File

5310 Arranging the Paper Case File

5320 Physical Case File Submission to RMG

6000 Legal Actions and Legal Involvement

6100 General Procedures

6110 Grievance Hearings

6120 APS Regional Attorneys

6130 Entitlement and Redaction Specialists

6140 Office of General Counsel

6200 Cooperation With Investigative Services

6300 Staff Receiving Funds That Accompany a Subpoena

7000 Release of Information

7100 Confidentiality of Investigative Process and Report

7110 Confidentiality of Reporter and HIV/AIDS Information

7200 Release of the Provider Abuse and Neglect Report

7210 Time Frames for Delivering the Investigation Report to Providers

7210 7220 Release of Provider Abuse and Neglect Report to Providers

7211 7221 Release of the Provider Abuse and Neglect Report to Facilities, Community Centers, Local Authorities, HCS, TxHmL and ICF/IID Programs

7212 7222 Release of Information to Community Provider and Appropriate HHS agency (Excluding HCS and TxHmL)

7213 Release of Information to State Supported Living Centers (SSLCs)

7213.1 Procedures for Release of Information to an SSLC

7220 7230 Release to Law Enforcement

7230 7240 Release to HHSC Office of Inspector General (OIG)

7240 7250 Release to the Office of the Attorney General of Texas (OAG)

7250 7260 Release of Investigation Records Involving Confirmed Non-Clinical Abuse, Neglect, or Exploitation to Professional Boards (Excluding State Hospitals and State Supported Living Centers)

7260 7270 Release to Other Employers

7261 7271 Sending Notice of Intent to Release Findings

7261.1 7271.1 Timely Request for an Administrative Review

7261.2 7271.2 Request for Records for an Administrative Review

7262 7272 Administrative Review

7263 7273 Procedure for Administrative Review

7264 7274 Conducting Release Hearings

7264.1 7274.1 Receipt or Non-Receipt of Request for a Release Hearing

7264.2 7274.2 Release Hearing and Subsequent Activities

7265 7275 Notification and Release of Findings

7265.1 7275.1 Notification of Decision

7265.2 7275.2 Release of Findings

7265.3 7275.3 Emergency Release of Findings

7265.31 7275.31 Notice of Emergency Release of Findings to the Designated Perpetrator

7270 7280 Release of In-Home Investigations to Facility or Provider Agencies

7300 Notifications

7310 Notifying the Reporter

7320 Notifying the Victim and Perpetrator Individual Receiving Services and Alleged or Designated Perpetrator

7400 Request for an Appeal of Findings

7410 Appeal Requiring Additional Investigation

7411 Commissioner to Commissioner Review

7420 Request for a Comparison Review Based on OIG Findings

7500 Request for Records

7510 Individual Receiving Services or Representative

7520 Disability Rights Texas

7530 Grievance Hearing Officers

7600 Central Registry Searches for the Child Care Licensing (CCL) Division

7610 Central Registry Match Procedures

7620 Licensing Division Actions

7630 Release Hearings

7700 Records Retention

8000 The Employee Misconduct Registry

8100 Determining EMR Eligibility

8110 The EMR-Eligible Employees Employee

8111 Definition of Reportable Conduct

8112 Definition of Harm

8120 Required Information for EMR-Eligible Investigations

8130 Entering the Finding of Confirmed – Reportable Conduct in IMPACT

8140 Managerial Review of EMR-Eligible Investigations

8200 The APS-EMR Database

8210 Responsibilities of the EMR Coordinator

8300 Notice of Findings to Provider

8310 Reportable Conduct Determined After Submission of the Original Provider Abuse and Neglect Report

8320 Administrator Administrator’s or Contractor’s CEO Requests an Appeal of the Findings

8400 Notifying Subsequent Employers of About the Findings Before the EMR Hearing

8500 Notice of Hearing to an Employee Designated as a Perpetrator

8510 Request for an EMR Hearing by the Employee

8520 Late Request for an EMR Hearing

8600 The EMR Hearing

8610 Rescheduling an EMR Hearing

8620 Withdrawing a Request for an EMR Hearing

8630 Failure to Appear for an EMR Hearing

8640 The Decision of the Administrative Law Judge

8650 Request by an Employee for a Judicial Review

8651 8660 Providing Notice if a Finding Is Modified or Reversed After Judicial Review

8700 Information Forwarded to DADS for Recording in the EMR

9000 3800 Emergency Services

9100 3810 Emergency Services for Individuals Receiving Home and Community-based (HCS) Services from a an HCS Waiver Service Provider

9200 3820 Emergency Services for Adults Living in a an HCS Home but not Receiving HCS Services

9300 3830 Emergency Services for Children Living in a an HCS Home but not Receiving HCS Waiver Services

9400 3850 Requesting Assistance Through Statewide Intake for HCS Emergency Situations

9500 3840 Emergency Services for Individuals Receiving Services in Intermediate Care Facilities (ICFs/IID)

9600 Identifying and Reporting Abuse, Neglect, or Exploitation

9610 Identifying Abuse, Neglect, or Exploitation of an Adult Who Has a Disability or Is 65 or Older

9620 Reporting Abuse, Neglect, or Exploitation of an Adult

9630 Identifying Abuse or Neglect of a Child

9640 Reporting Abuse or Neglect of a Child

Appendix I: Actions That Constitute a Crime

Appendix II: Jurisdictions

Appendix III: Using the Tablet PC for Obtaining and Storing Statements and Diagrams

Appendix IV: Instructions for Release of School Investigations

Appendix V: Definitions of Person Characteristics

Appendix VI: Investigator Safety