Handbook Revision, February 15, 2021

This revision of the Adult Protective Services Handbook was published on February 15, 2021. Summaries of new or revised items are provided below.

Rewrite of APS Handbook

APS has reformatted its handbook from five chapters to 16.

This revision does the following throughout the handbook:

Reorganizes and clarifies information.
Makes Procedure and Documentation subheadings of other policy sections.

Additional revisions in each chapter are described below.

Reference tables showing the old and new locations of content appear at the end.

1000 Program Overview: Adult Protective Services (APS) (PATS 12217)

This revision does the following:

Adds policy about impartiality of interpreters.
Makes various minor updates.

2000 Statewide Intake (SWI) and Case Assignment (PATS 12218)

This revision does the following:

Removes supervisor consultation requirement for CRSRs.
Removes supervisor consultation requirement for assigning secondary APS specialists to cases.
Incorporates procedural memo PM 18-004, about procedure for after-hours Priority I intakes.

3000 Scope and Eligibility (PATS 12618)

This revision does the following:

Removes supervisor consultation for when HHSC Long-Term Regulatory does not assume jurisdiction of an allegation.
Removes consultation with regional attorney to determine if a release of information to the facility or provider agency is needed.
Clarifies information about when APS would investigate someone receiving hospice services.
Incorporates memo PM 18-001, about making referrals to Health and Human Services.

4000 Cases Involving Health and Human Services Commission (HHSC) or Other Settings (PATS 12612)

This revision does the following:

Changes consultation with regional attorney to as needed, rather than required, when APS provides consent to medical treatment for a client.
Updates information for who to contact when waste, abuse, or fraud within the Texas Health and Human Services system is suspected.

5000 Complex Cases (PATS 12422)

This revision does the following:

Removes the supervisor consultation requirement for approval to provide services for a client who is an undocumented person.
Removes the requirement for a subject matter expert (SME) consultation to make sure all relevant evidence is collected and all safety concerns are identified during complex investigations.

6000 Evidence Collection (PATS 12582)

This revision does the following:

Removes supervisor consultation requirement when evidence is unavailable or difficult to collect.
Clarifies that only an adult resident of the home can give APS permission to enter the home.
Removes language about using air cards.
Incorporates policy memo PR 18-003, about interview requirements during the investigation.
Clarifies instructions for when APS receives photos, video, or audio from people or entities outside DFPS.

7000 Guardianship Cases (PATS 12427)

This revision does the following:

Removes the supervisor consultation requirement to release criminal history information if the court orders the APS specialist to do so.
Adds a regional attorney consultation requirement to release criminal history information if the court orders the APS specialist to do so.
Removes the subject matter expert (SME) consultation requirement about the appropriateness of a guardianship referral.
Removes the term “probate” when referring to courts.
Adds information about APS involvement in guardianship referrals.
Clarifies to whom APS makes a guardianship referral when a client lives in Harris or Galveston County.

8000 APS Investigations (PATS 12642)

This revision does the following:

Updates requirements for verifying self-neglect is Resolved Before Initial Face-to-Face.
Clarifies that a self-neglect conclusion summary is not required when closing a case as Valid, Resolved Before Initial Face-to-Face.
Adds procedure for completing the Safety Assessment when the alleged victim is inaccessible for the initial face-to-face contact.
Clarifies that HHSC Provider Investigations investigates Medicaid-paid providers who are also family members or others with an ongoing relationship, regardless of whether they are on or off duty.

9000 Case Contacts (PATS 12219)

This revision does the following:

Adds procedure for how to handle safety and service contacts when the alleged victim or client dies, but the case will remain open to investigate the allegations.
Updates language for documentation requirement to reflect that the APS specialist enters documentation by 11:59 p.m. the next business day, rather than within 24 hours.
Incorporates policy release memo PR-19-001R, about safety and service contacts.
Updates language for verifying self-neglect is Resolved Before Initial Face-to-Face.
Clarifies that a self-neglect conclusion summary is not required when closing a case as Valid, Resolved Before Initial Face-to-Face.
Adds procedure for completing the Safety Assessment when the alleged victim is inaccessible for the initial face-to-face contact.

10000 Providing and Arranging for Services (PATS 12220)

This revision does the following:

Clarifies policy about when and to whom services can be provided.
Restructures policy section related to the APS service plan.
Clarifies policy about financial exploitation and Medicaid eligibility when resources have been transferred out of the client’s name.
Clarifies policy about methods of purchased client services (PCS).

11000 Maintenance and Intensive Case Services (PATS 12287)

This revision reorganizes and clarifies policy about Maintenance and Intensive Case Services.

12000 Death of an Alleged Victim or Client (PATS 12284)

This revision adds procedure for how to capture safety and service contacts when the client dies, but the case will remain open to investigate the allegation(s).

13000 Legal Actions, Legal Documents, and Other Non-Legal Remedies (PATS 12578)

This revision does the following:

Updates name for Emergency Order for Protective Services (EOPS) to Original Petition for Emergency Order for Protective Services.
Incorporates policy memo PR 18-001R, which is about requesting transaction holds from financial institutions and securities professionals.

14000 Case and Stage Closure (PATS 12221)

This revision adds language to the “Does not Meet” policy to clarify that a missing person, when there are no other allegations of abuse, neglect, or financial exploitation, is not appropriate for an APS investigation.

15000 Due Process and Release of Information (PATS 12617)

This revision does the following:

Removes Consumer Directed Services (CDS) information from the Employee Misconduct Registry (EMR) sections.
Changes the process for requesting case records when a school employee requests an administrative review.
Adds client protection as a reason for non-EMR due process.
Updates language for making an emergency release when a perpetrator may have access to children.
Adds information about Notice of Findings to Employer during the EMR process.
Removes information about Notice of Findings after non-EMR due process, when there is also an EMR hearing pending.
Adds information about a request for a rehearing in EMR cases.
Adds information to the judicial review process for EMR cases.

16000 Confidentiality and Integrity of Records (PATS 12285)

This revision does the following:

Removes reference to “administrative” when referring to desk review.
Adds that the Office of Inspector General is included as a law enforcement agency.
Incorporates memo for sharing confidential information with other entities to provide services, as necessary.
Updates procedure for release of case information to state supported living centers.
Clarifies the time frame for entering external documentation into IMPACT.
Updates the retention and destruction schedule for APS case records.

Appendices (PATS 12702)

This revision updates the following appendices:

Facilities and Jurisdictions
APS Decision-Making Tree
Definitions of Person Characteristics

All other APS appendices have been moved to the APS section of the DFPS intranet, incorporated into the main text of the handbook, or deleted.

Definitions of Terms (PATS 12700)

This revision creates a Definitions of Terms page that defines terms used throughout this handbook.

Reference Tables

1000 Section
Before Rewrite	After Rewrite	Comments
APS 1000 Program Overview: Adult Protective Services (APS)	1000 Chapter: Program Overview: Adult Protective Services (APS)	(None)
1100 APS Purpose and Objectives	1100 APS Purpose and Objectives	(None)
1200 Adult Protective Services Client's Rights	1200 APS Clients’ Rights	(None)
1210 Interpreter Services for Principles With Limited English Proficiency (LEP) or Impaired Sensory or Speaking Ability	1220 Interpreter Services for Principles	(None)
1211 Documentation for LEP or Sensory or Speaking Impairments	1220 Interpreter Services for Principles	Subheading in 1220: Documentation for LEP or Sensory or Speaking Impairments
1220 Cultural Sensitivity	1210 Cultural Sensitivity	(None)
1221 Procedure for Delivering Protective Services in a Culturally Competent Manner	1210 Cultural Sensitivity	Includes: 1221 procedure 1211 Conducting Culturally Competent Casework 1221.1 Interviews 1221.2 SVC Planning 1221.3 Selection of Service Providers 1221.4 Use of Cultural Strengths
1300 Scope and Eligibility	3000 Scope and Eligibility	(None)
1310 APS Eligibility Criteria	3100 Alleged Victim Eligibility	(None)
1311 Substantial Impairment	3120 Substantial Impairment	(None)
1311.1 Disability Payments and APS Eligibility	N/A	Subheading in 3120: Disability Payments and APS Eligibility
1311.2 Chronic Substance Abuse and APS Eligibility	N/A	Subheading in 3120: Chronic Substance Abuse and APS Eligibility
1311.3 Examples of What Is and Is Not Considered Substantial Impairment	N/A	Subheading in 3120: Examples of What Is and Is Not Considered Substantial Impairment
1320 Procedure for Determining APS Eligibility	N/A	Absorbed in 3120: Substantial Impairment
1330 Perpetrators of Abuse, Neglect, and Financial Exploitation	3300 Perpetrators	(None)
1331 Perpetrators of Abuse and Financial Exploitation	3310 Perpetrators of Abuse and Financial Exploitation	(None)
1331.1 Procedure for Establishing Perpetrators of Abuse and Financial Exploitation	N/A	Subheading in 3310: Establishing Perpetrators of Abuse and Financial Exploitation
1331.2 Examples of Ongoing Relationship	N/A	Subheading in 3310: Examples of Ongoing Relationship
1331.3 Examples of What Is Not an Ongoing Relationship	N/A	Subheading in 3310: Examples of What is Not an Ongoing Relationship
1332 Perpetrators of Neglect	3320 Perpetrators of Neglect	(None)
1332.1 Procedure for Establishing Perpetrators of Neglect	N/A	Subheading in 3320: Establishing Perpetrators of Neglect
1332.2 Examples of Caretaker and Paid Caretaker Relationships	N/A	Subheading in 3320: Examples of Caretaker Relationships
1332.3 Examples of What Is Not a Caretaker or Paid Caretaker Relationship	N/A	Subheading in 3320: Examples of What Is Not a Caretaker Relationship
1333 Children as Perpetrators	3330 Minors as Perpetrators	(None)
1340 Allegations That APS Investigates	3200 Allegations	(None)
1341 Procedure for Assessing Allegations	N/A	Subheading in 3200: Assessing Allegations
1342 Neglect Allegations	3210 Neglect Allegations	(None)
1342.1 Procedure for Assessing Physical Neglect (PHNG) Allegations	Deleted	Info covered in Ch. 3 definitions section and in Ch. 8 elements weighed section
1342.2 Procedure for Assessing Mental Health Neglect Allegations (MHNG)	Deleted	Info covered in Ch. 3 definitions section and in Ch. 8 elements weighed section
1342.3 Procedure for Assessing Medical Neglect (MDNG) Allegations	Deleted	Info covered in Ch. 3 definitions section and in Ch. 8 elements weighed section
1343 Emotional or Verbal Abuse (EMAB) Allegations	N/A	Included in 3220 Abuse Allegations
1343.1 Procedure for Assessing Emotional or Verbal Abuse (EMAB) Allegations	Deleted	Info covered in Ch. 3 definitions section and in Ch. 8 elements weighed section
1344 Physical Abuse (PHAB) Allegations	N/A	Included in 3220 Abuse Allegations
1344.1 Procedure for Assessing Physical Abuse (PHAB) Allegations	Deleted	Info covered in Ch. 3 definitions section and in Ch. 8 elements weighed section
1345 Sexual Abuse (SXAB) Allegations	N/A	Included in 3220 Abuse Allegations
1345.1 Procedure for Assessing Sexual Abuse (SXAB) Allegations	Deleted	Info covered in Ch. 3 definitions section and in Ch. 8 elements weighed section
1346 Financial Exploitation (EXPL) Allegations	3230 Financial Exploitation (EXPL) Allegations	(None)
1346.1 Procedure for Assessing Financial Exploitation (EXPL) Allegations	Deleted	Info covered in Ch. 3 definitions section and in Ch. 8 elements weighed section
1346.11 Assessing Financial Exploitation Allegations Involving Loans	N/A	Subheading in 8623: Assessing Allegations Involving Loans
1350 Family Violence Allegations	5200 Cases Involving Family Violence	(None)
1351 Procedure for Assessing Family Violence Allegations	N/A	Subheading of 5200: Assessing Family Violence Allegations
1352 The Texas Address Confidentiality Program (ACP)	5210 The Texas Address Confidentiality Program (ACP)	(None)
1353 Procedure When an Alleged Victim’s Address Is Made Confidential Through the ACP	N/A	Subheading of 5210: When an Alleged Victim is an ACP Participant
1354 Documenting a Confidential Address in IMPACT and Marking the Case as Sensitive	N/A	Subheading of 5210: Documenting a Confidential Address in IMPACT and Marking the Case as Sensitive
1354.1 Documenting a Nonconfidential Substitute Address	N/A	Subheading of 5210: Documenting a Nonconfidential Substitute Address
1360 Death Allegations	3410 Death Allegations When There is Not an Open APS Case	(None)
1361 Procedure for Death Allegations	N/A	Absorbed in 3410
1370 Do Not Resuscitate (DNR) and Removal of Life Support Allegations	N/A	Subheading in new section 3420 (Consent to Medical Procedures or Treatment): Do Not Resuscitate (DNR) and Removal of Life Support
1371 Procedure for Do Not Resuscitate (DNR) and Removal of Life Support Allegations	N/A	Absorbed in 3420 subheading (1)
1380 Need for Consent to Medical Treatment Allegations	N/A	Subheading in new section 3420 (Consent to Medical Procedures or Treatment): Consent to Medical Treatment
1381 Procedure for Need for Consent to Medical Treatment Allegations	N/A	Absorbed in 3420 subheading (2)
1390 Allegations Involving Chronic Callers	2400 Chronic Callers	(None)
1391 Criteria for Establishing a Pattern for Chronic Callers	N/A	Subheading in 2400: Criteria for Chronic Callers
1392 Notifying Statewide Intake (SWI) About Chronic Callers	2410 Notifying SWI About Chronic Callers	(None)
1393 Procedures for Tracking the Chronic Caller List	2420 Tracking the Chronic Caller List	(None)
1394 Procedures for Removing an Individual From the Chronic Caller List	2430 Removing a Person from the Chronic Caller List	(None)
1400 Allegations Involving Other DFPS Programs	N/A	Some information moved to 4231.2
1410 Procedure for Assessing Allegations Involving Other DFPS Programs	N/A	Some information moved to 4231.2
1420 Assessing Residential Child Care Facility Allegations	4231.2 Allegations in Settings Regulated by HHSC Child Care Licensing (CCL)	(None)
1421 Procedure for Assessing Residential Child Care Facility Allegations	N/A	Absorbed in 4231.2
1430 Assessing Allegations in Settings Investigated by HHSC Regulatory Services Division Provider Investigations	4231 HHSC Provider Investigations (PI)	(None)
1500 Allegations in Facilities Investigated by Texas State Agencies Other Than DFPS	4210 HHSC Facility-based Programs	(None)
1510 Procedure for Allegations in Facilities Investigated by Texas State Agencies	N/A	Absorbed in 4210
1520 Examples of Allegations in Facilities Regulated by Other Texas State Agencies	N/A	Subheading in 4210: Examples of When APS Investigates Abuse, Neglect, and Financial Exploitation
1530 Procedure for Complaints That Do Not Allege Abuse, Neglect, or Financial Exploitation	3400 Complaints That Do Not Allege Abuse, Neglect, or Financial Exploitation	(None)
1540 Allegations Involving HHSC Long-Term Care Regulatory Services	4200 Allegations Involving HHSC Long-Term Care Regulatory	(None)
1541 Allegations in Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services	N/A	Some text is in 4212 Allegations in Assisted Living Facilities
1541.1 Procedure for Assessing Allegations in Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services	4212.1 Allegations in Facilities Requiring an Assisted Living Facility Licensure	(None)
1541.2 Procedure for Determining Whether an Assisted Living Facility is Licensed of Should Be Licensed by HHSC Long-Term Care Regulatory Services	N/A	Subheading in 4212: Determining Licensure Status
1541.21 Procedure for When a Facility’s Licensure Status Is Unknown	N/A	Subheading in 4212: When a Facility’s Licensure Status Is Unknown
1541.3 Procedure for Emergency Situations Involving Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services	N/A	Subheading in 4212.1: Emergency Situations Involving Facilities Requiring Licensure
1541.4 Procedure for Closure of Facilities Requiring Licensure by HHSC Long-Term Care Regulatory Services	N/A	Subheading in 4212.1 Closure of Facilities Requiring Licensure
1542 Allegations in Nursing Homes	4211 Allegations in Nursing Homes	Combined with 2673. Subheading ‘Nursing Home Discharge Planning’ moved to new section 4211.2—also 2 level subheading ‘Need for Alternate Placement at Discharge’
1542.1 Procedure for Allegations in Nursing Homes	N/A	Absorbed in 4211
1542.2 Examples of Situations Appropriate for APS Investigation	N/A	Subheading in 4211: Examples of Situations Appropriate for APS Investigation
1542.3 Examples of Situations Not Appropriate for APS Investigation	N/A	Subheading in 4211: Examples of Situations Not Appropriate for APS Investigation
1543 Allegations in Assisted Living Facilities	4212 Allegations in Assisted Living Facilities	Subheading ‘Discharge Planning and Alternate Placement’ moved to new section 4212.1
1543.1 Procedure for Allegations in Assisted Living Facilities	N/A	Absorbed in 4212
1550 Allegations Involving Schools	4320 Allegations Involving Schools	(None)
1560 Allegation Involving the Texas Department of State Health Services (DSHS)	4100 Allegations Involving HHSC Health Care Facilities	(None)
1561 Allegations in Hospitals and Hospices	4110 Allegations in Hospitals	(None)
1561.1 Procedure for Allegations in Hospitals	N/A	Subheading in 4110: Concerns with Hospital Discharge Planning
1561.2 Example of Ongoing Protective Services Following Hospital Discharge	N/A	Subheading in 4110: Examples of Hospital Discharge with a Need for Ongoing Protective Services
1561.3 Example of Hospital Discharge Without a Need for Ongoing Protective Services	N/A	Subheading in 4110: Examples of Hospital Discharge Without a Need for Ongoing Protective Services
1570 Allegations Occurring on Indian Reservations	5400 Cases Involving Native American Reservations	(None)
1571 Procedure for Allegations Involving Indian Nations	N/A	Absorbed in 5400
1600 Allegation Priorities	2100 Allegation Priorities	(None)
1610 Priority I Allegation: 24-Hour Face-to-Face	N/A	Made into Chart under 2100 Allegation Priorities
1611 Procedure for Priority I Allegations	N/A	Deleted – Duplicate language covered in 2100 Chart
1612 Example of Priority I Allegations	N/A	Made into Chart under 2100 Allegation Priorities
1620 Priority II Allegation: Three-Day Face-to-Face Contact	N/A	Made into Chart under 2100 Allegation Priorities
1621 Procedure for Priority II Allegations	N/A	Deleted – Duplicate language covered in 2100 Chart
1622 Examples of Priority II Allegations	N/A	Made into Chart under 2100 Allegation Priorities
1630 Priority II Allegation: Seven –Day Face-to-Face Contact	N/A	Made into Chart under 2100 Allegation Priorities
1631 Procedure for Priority III Allegations	N/A	Deleted – Duplicate language covered in 2100 Chart
1632 Example of Priority III Allegations	N/A	Made into Chart under 2100 Allegation Priorities
1640 Priority IV Allegations: 14-Day Face-to-Face	N/A	Made into Chart under 2100 Allegation Priorities
1641 Procedure for Priority IV Allegations	N/A	Deleted – Duplicate language covered in 2100 Chart
1642 Examples of Priority IV Allegations	N/A	Made into Chart under 2100 Allegation Priorities
1700 Case-Related Special Requests	2200 Case-Related Special Requests	(None)
1710 Types of APS Case-Related Special Requests	N/A	Subheading in 2200: Types of APS CRSRs
1720 Procedures for Handling CRSRs	2210 How to Handle CRSRs	(None)
1730 Documenting the CRSR	N/A	Subheading in 2210: How to Handle CRSRs
1740 Closing the CRSR	N/A	Subheading in 2210: Documenting the CRSR

2000 Section
Before Rewrite	After Rewrite	Comments
APS 2000: Investigations	2000 Statewide Intake and Case Assignment	(None)
2000 Investigation Stage	8000 Investigations	(None)
2100 Case Assignment	2300 Case Assignment	(None)
2110 Statewide Intake (SWI) Case Assignment	2300 Case Assignment	(None)
2111 Procedure for Statewide Intake (SW) Case Assignment	N/A	Absorbed in 2300
2120 Maintaining On-Call Information in IMPACT for Case Assignment	2310 On-Call Information in IMPACT for Case Assignment	(None)
2121 Procedure for On-Call Information in IMPACT for Case Assignment	N/A	Absorbed in 2310
2130 Evaluating Investigations for Special Needs	2330 Intake with Special Considerations	Sections 2131-2132.2 are now subheadings in section 2320
2131 Routing Coordinator Review for Special Needs Case Assignment	2330 Intake with Special Considerations	Absorbed in section
2131.1 Procedure for Routing Coordinator Review for Special Needs Case Assignment	2330 Intake with Special Considerations	Subheading in 2330: Routing Coordinator Review
2132 Supervisor Notification of Special Needs Case Assignment	2330 Intake with Special Considerations	Subheading in 2330: Supervisor Actions after Notification
2132.1 Procedure for Supervisor Following Notification of Special Needs Case Assignment	2330 Intake with Special Considerations	Absorbed in section
2133 Supervisor Review of Recidivistic Cases	2331 Recidivistic Cases	(None)
2133.1 Procedure for Supervisor Review of Recidivistic Cases	N/A	Absorbed in 2133
2134 High Profile Cases	2332 High Profile Cases	(None)
2134.1 Procedure for High Profile Cases	N/A	Absorbed in 2332
2140 Assigning Secondary APS Specialists	2340 Assignment of Secondary APS Specialists	(None)
2141 Procedure for Assigning Secondary APS Specialists	N/A	Absorbed in 2340
2142 Documentation for Secondary APS Specialists	N/A	Absorbed in 2340
2200 Case Initiation	9200 Case Initiation	(None)
2210 Determining Appropriate Contacts for Case Initiation	N/A	Subheading in 9200: Determining Appropriate Contacts for Case Initiation
2211 Procedure for Case Initiation	9210 Completing a Case Initiation	(None)
2212 Procedure When Initiation Cannot Be Completed in 24 Hours	N/A	Subheading in 9210: If Case Initiation Cannot Be Completed in 24 Hours
2213 Documentation of Case Initiation	N/A	Subheading in 9210: Documenting the Case Initiation
2214 Examples of Case Initiation Narrative Documentation	N/A	Subheading in 9210: Examples of Narrative Documentation for Case Initiation
2220 Changing Allegation Priorities	8130 Changes in Allegation Priorities	(None)
2221 Procedure for Changing Allegation Priorities	N/A	Absorbed in 8130
2222 Documentation for Changing Allegation Priorities	N/A	Absorbed in 8130
2230 Situations Involving Current Danger Factors (Immediate Interventions)	8140 Current Danger Factors and Immediate Interventions	(None)
2231 Procedure for Situations Involving Current Danger Factors	N/A	Subheading in 8140: Procedure for Situations Involving Current Danger Factors
2232 Documentation of Situations Involving Current Danger Factors	N/A	Subheading in 8140: Documentation of Situations Involving Current Danger Factors
2233 Self-Neglect Resolved Before Initial Face-to-Face Contact	9300 Self-Neglect Resolved Before Initial Face-to-Face	(None)
2233.1 Procedure for Determining Self-Neglect Resolved Before Initial Face-to-Face Contact	N/A	Subheading in 9300: Determining Self-Neglect Resolved Before Initial Face-to-Face
2233.2 Documentation for Self-Neglect Resolved Before Initial Face-to-Face Contact	N/A	Subheading in 9300: Documenting Self-Neglect Resolved Before Initial Face-to-Face
2240 Initial Face-to-Face Contact With the Alleged Victim	9400 Initial Face-to-Face Contact With the Alleged Victim	(None)
2241 Procedure for Initial Face-to-Face Contact With the Alleged Victim	N/A	Absorbed in 9400
2242 Documentation for Initial Face-to-Face Contact With the Alleged Victim	N/A	Subheading in 9400: how to Document Initial Face-to-Face Contact
2250 Alleged Victim Cannot Be Located for Initial Face-to-Face Contact	9410 Alleged Victim Cannot Be Seen for Initial Face-to-Face Contact	(None)
2251 Procedure for When an Alleged Victim Is Not Located at Initial Face-to-Face Contact	N/A	Absorbed in 9410
2252 Alleged Victim Is Inaccessible or Unable to Communicate for Initial Face-to-Face Contact	9420 Alleged Victim Is Inaccessible for Initial Face-to-Face Contact	(None)
2253 Procedure for When the Alleged Victim Is Inaccessible for Initial Face-to-Face Contact	N/A	Absorbed in 9420
2260 Alleged Victim Refuses to Cooperate With APS Investigation	8210 Alleged Victim Refuses to Cooperate With APS Investigation	(None)
2261 Procedure When Alleged Victim Refuses to Cooperate With APS Investigation	N/A	Subheading in 8210: When the Alleged Victim Refuses to Cooperate
2261.1 Procedure for Choosing a Disposition When an Alleged Victim Has Refused to Cooperate With the APS Investigation	N/A	Subheading in 8210: How to Choose a Finding When the Alleged Victim Refuses to Cooperate
2262 Documentation for Alleged Victim Refuses to Cooperate With APS Investigation	N/A	Subheading in 8210: How to Document When the Alleged Victim Refuses to Cooperate
2270 Referring Cases to Law Enforcement	8400 Referrals to Law Enforcement	(None)
2271 Procedure for Referring Cases to Law Enforcement	N/A	Absorbed in 8400
2300 Evidence Collection	6000 Evidence Collection	(None)
2310 Procedure for Evidence Collections	N/A	Subheading in 6000: How APS Collects Evidence
2320 Types of Evidence Collections	N/A	Subheading in 6000: Types of Evidence
2330 Testimonial Evidence (Interviewing)	6100 Testimonial Evidence	(None)
2331 Documentation of Persons Associated With the Case	N/A	Subheading in 16240 Documentation of Principals and Collaterals
2332 Documentation of Information About Principals	N/A	Subheading in 16240 Information About Principals
2332.1 Privacy Rights Regarding the Social Security Number	N/A	Subheading in 16240 Social Security Number
2333 Documentation of Investigation Contacts	9000 Case Contacts	(None)
2334 Written Statements	6110 Written Statements	(None)
2334.1 Procedures for Written Statements	N/A	Subheading in 6110: Obtaining Written Statements
2334.2 Ensuring the Integrity and Security of Documents Obtained Using the Tablet PC	N/A	Subheading in 6000: Situations When Others May Use the Tablet PC
2340 Conducting Interviews	N/A	Deleted – just a heading and did not include any information
2341 Interviewing Alleged Victims	6121 Interviewing an Alleged Victim or Client	(None)
2341.1 Procedures for Interviewing Alleged Victims	N/A	Some absorbed in 6121. Some in 6121.1 Permission to Enter the Home
2341.11 Denial or Revocation of Permission to Enter	6121.11 Denial or Revocation of Permission to Enter	(None)
2341.12 Transporting an Alleged Victim for an Interview	6121.2 Transportation for an Alleged Victim or Client	(None)
2341.13 Conducting the Interview with the Alleged Victim	N/A	Absorbed in 6121
2342 Interviewing Alleged Perpetrators	6122 Interviewing an Alleged Perpetrator	(None)
2342.1 Procedure for Interviewing Alleged Perpetrators	N/A	Absorbed in 6122
2342.2 Procedure for Not Interviewing Alleged Perpetrators	N/A	Subheading in 6122: When Interviewing an Alleged Perpetrator is Not Required
2342.3 Procedure for Determining Disposition of Allegations Without the Alleged Perpetrator	N/A	Subheading in 6122: Determining a Disposition Without Interviewing the Alleged Perpetrator
2343 Interviewing Collaterals	6123 Interviewing a Collateral	(None)
2343.1 Procedure for Interviewing Collaterals	N/A	Absorbed in 6123
2344 Interviewing the Reporter	6123.1 Interviewing the Reporter	(None)
2344.1 Procedure for Interviewing the Reporter With Firsthand Knowledge	N/A	Subheading in 6123.1: Reporter With Firsthand Knowledge
2344.12 Procedure for Interviewing the Reporter Without Firsthand Knowledge	N/A	Subheading in 6123.1: Reporter Without Firsthand Knowledge
2344.2 Documentation for Interviews With the Reporter	N/A	Subheading in 6123.1: Documentation for Reporter Interviews
2345 Interviewing Medical or Mental Health Staff	6123.2 Interviewing Medical or Mental Health Staff	(None)
2345.1 Procedure for Interviewing Medical or Mental Health Staff	N/A	Subheading in 6123.2: Conducting Interviews of Medical or Mental Health Staff
2346 Interviewing Law Enforcement	6123.3 Interviewing Law Enforcement	(None)
2346.1 Procedure for Interviewing Law Enforcement	N/A	Absorbed in 6123.3
2346.2 Documentation for Interviews With Law Enforcement	N/A	Absorbed in 6100
2347 Interviewing Minors	6124 Interviewing a Minor	(None)
2347.1 Procedure for Interviewing Minors Without Prior Consent	6124.2 Interviewing a Minor Without Requesting Consent	(None)
2347.2 Procedure for Seeking Consent Before Interviewing a Minor	6124.1 Requesting Consent to Interview a Minor	(None)
2347.3 Procedure for Interviewing Minors at School	6124.3 Interviewing a Minor at School	(None)
2350 Photographic Evidence	6310 Photos, Audio, and Video as Evidence	Some information also in 6311-6312
2351 Procedure for Taking Pictures	N/A	Absorbed in 6310
2351.1 Sensitive Photography	N/A	Subheading in 6212: Sensitive Photos of an Alleged Victim
2351.2 Photographing Living Environments	6313 Taking Photos of a Living Environment	(None)
2352 Documentation for Photographs	N/A	Subheading in 6310: Documentation for Photos
2360 Collecting Documentary Evidence	6400 Documentary Evidence	(None)
2361 Types of Documentary Evidence	N/A	Subheading in 6400: Typed of Documentary Evidence
2361.1 Documentation for Documentary Evidence	N/A	Subheading in 6400: Documentation for Documentary Evidence
2362 Collecting Demonstrative Evidence	6300 Demonstrative Evidence	(None)
2362.1 Types of Demonstrative Evidence	N/A	Absorbed in 6300
2362.2 Procedure for Collecting Demonstrative Evidence	N/A	Absorbed in 6300
2362.3 Documentation for Demonstrative Evidence	N/A	Absorbed in 6300
2363 Diagrams as Evidence	6320 Diagrams and Drawings as Evidence	(None)
2363.1 Procedure for Diagrams as Evidence	N/A	Absorbed in 6320
2363.2 Documentation for Drawings and Diagrams for Evidence	N/A	Absorbed in 6320
2370 Physical Evidence	6200 Physical Evidence	(None)
2371 Examples of Physical Evidence	N/A	Absorbed in 6200
2372 Physical Evidence Procedure	N/A	Absorbed in 6200
2373 Documentation for Physical Evidence	N/A	Absorbed in 6200
2380 Record Checks	6410 Records Checks	(None)
2381 Criminal History Records Check	6412 Criminal History Records Checks	(None)
2381.1 Required Criminal History Records Checks	N/A	Some in 6412.1 Required Criminal History Records Checks. Some in 7310 Criminal History Records Checks and Referrals to HHSC OGS
2381.2 Optional Criminal History Records Checks	6412.2 Optional Criminal History Records Checks	(None)
2381.3 Criminal History Records Checks From Sources Other Than DPS	6412.3 Criminal History Records Checks From Sources Other Than DPS	(None)
2381.4 Available Information Is Insufficient for Criminal History Records Checks	6412.4 Insufficient Information for Criminal History Records Checks	(None)
2381.5 Criminal History Records Checks and Referrals to HHSC Guardianship Services	7310 Criminal History Records Checks and Referrals to HHSC OGS	(None)
2381.6 Procedure for Obtaining Criminal History Information	6412.5 Process of Obtaining Criminal History Information	(None)
2381.7 Using Criminal History Information to Reach a Finding	N/A	Subheading in 8620: Using Criminal History Information to Reach a Finding
2382 DFPS Principal Case History	N/A	Subheading in 6411: DFPS Case History of Principals
2382.1 Procedure for Using DFPD Principal Case History to Assess Alleged Victims	N/A	Absorbed in subheading for 6411
2400 Assessment Tools	N/A	Moved to Intranet
2410 Safety Assessment	8100 Safety Assessment	(None)
2411 Procedure for Completing the Safety Assessment	N/A	Absorbed in 8100
2412 Documentation for the Safety Assessment	8120 Documentation of the Safety Assessment	(None)
2420 Assessing Indicators of a Lack of Capacity to Consent When a Client Refuses or Withdraws From Protective Services	10300 Possible Lack of Capacity to Consent When a Client Refuses or Withdraws From Services	(None)
2421 Procedure for Assessing Indicators of a Lack of Capacity to Consent When a Client Refuses or Withdraws From Protective Services	10310 Assessing Indicators (Signs) of a Lack of Capacity to Consent	(None)
2421.1 Procedure When the Alleged Victim Refuses Protective Services	N/A	Subheading under 10320: Client Refuses Protective Services
2421.2 Procedure for When a Client Withdraws from Protective Services	N/A	Subheading under 10320: Client Withdraws from Services
2421.3 Documentation for When a Client Refuses or Withdraws From Protective Services	N/A	Subheading under 10320: Documentation for When a Client Refuses or Withdraws from Services
2422 Procedure for Seeking Medical or Mental Health Evaluations	10330 Seeking Medical or Mental Health Evaluations	(None)
2423 Documentation for Seeking Medical or Mental Health Evaluations	N/A	Subheading under 10330: Documentation for Seeking Medical or Mental Health Evaluations
2430 Undue Influence	6121.3 Undue Influence	(None)
2431 Procedure for Undue Influence	N/A	Subheading in 6121.3 Procedure for Cases That May Involve Undue Influence
2440 Remedying Fiduciary Exploitation	N/A	Subheading in 3230: Fiduciary Exploitation
2441 Procedures for Determining Fiduciary Exploitation	N/A	Information absorbed in 8623
2442 Procedures for Remedying Fiduciary Exploitation	10610 Financial Exploitation by a Fiduciary	(None)
2500 Monitoring Alleged Victim’s Safety During Investigations	N/A	Deleted – just a header and does not include any information
2510 Safety Contacts	9510 Safety Contacts	(None)
2511 Procedures for Safety Contacts	N/A	Subheading under 9510: Criteria for Safety Contacts
2511.1 Safety Contacts When the Alleged Victim Refuses to Cooperate	9511 Safety Contacts When the Alleged Victim Refuses to Cooperate	(None)
2511.2 Safety Contacts When the Alleged Victim Cannot Be Located During the Investigations	9530 Safety and Service Contacts When APS Cannot Find the Client	2511.2 and 3662.2 were combined
2511.3 Safety Contacts When the Alleged Victim Dies During the Investigation	9540 Safety and Service Contacts When the Client Dies	2511.3 and 3262.3 were combined
2512 Documentation of Safety Contacts	N/A	Subheading under 9510 Documentation of Safety Contacts
2520 Supervisor Consultations	9600 Supervisor Consultations	Combined 2520 and 3264
2521 Procedure for Supervisor Consults	N/A	Absorbed into 9600
2521.1 Documentation for Supervisor Consults	N/A	Subheading under 9600: Documentation of Supervisor Consultations
2530 Subject Matter Expert (SME)	9700 Subject Matter Expert (SME) Consultations	(None)
2531 Procedure for SME Consults	N/A	Absorbed into 9700
2531.1 Documentation for SME Consults	N/A	Subheading under 9700: Documentation for SME Consultations
2540 Additional Allegations Discovered and New Reports Received During the Investigation Stage	8310 New Allegations During the Investigation	(None)
2541 Procedure for New Intake Reports Received During the 8Investigation Stage	8320 New Intakes During the Investigation	(None)
2542 Procedure for New Allegations Discovered by the APS Specialist	N/A	Subheading in 8310: APS Specialist Discovers New Allegations
2550 Alleged Victim Moves or Cannot Be Located Before the Investigation is Complete	8220 Alleged Victim Moves or Cannot Be Located During the Investigation	(None)
2551 Procedure for When an Alleged Victim Cannot Be Located During the Investigation	N/A	Absorbed in 8220
2551.1 Procedure for Using DFPS Person Locator Services	N/A	Subheading in 8220: DFPS Person Locator Services
2552 Procedure When an Alleged Victim Moves Within Texas	N/A	2^nd level subheading in 8220: When an Alleged Victim Moves-Within Texas
2553 Procedure Used When an Alleged Victim Moves Out of Texas	N/A	2^nd level subheading in 8220: When an Alleged Victim Moves- Out of Texas
2600 Complex Investigations	5000 Complex Cases	(None)
2610 Community Involvement in Complex Investigations	5110 Community Support	(None)
2611 Procedure for Working With Local Code Enforcement	N/A	Subheading in 5110: Local Code Enforcement
2612 Procedure for Working With Local Animal Control	N/A	Subheading in 5110: Animal Control
2613 Procedure for Working With the Texas Department of Public Safety	N/A	Subheading in 5110: Texas Department of Public Safety
2614 Procedure for Working With Children’s Advocacy Centers (CACs)	N/A	Subheading in 5110: Children’s Advocacy Centers (CACs)
2615 Procedure for Working With the Forensic Assessment Center Network	N/A	Subheading in 5110: Forensic Assessment Center Network (FACN)
2620 Special Task Units	N/A	Subheading of 5120: Special Task Units (STUs)
2621 Procedure for Special Task Units	N/A	Absorbed in subheading of 5120
2630 Investigations Involving Family Violence Reports	5230: Family Violence Materials	(None)
2631 Examples of Indicators of Family Violence	N/A	2^nd level subheading in 5200: Examples of Indicators of Family Violence
2632 Procedure for Family Violence Investigations	5220 Investigations Involving Family Violence	(None)
2633 Documentation for Family Violence Investigations	N/A	Subheading in 5220: Documentation for Investigations Involving Family Violence
2634 Types of Criminal Offenses	N/A	Moved to Intranet
2640 Alleged Victim Dies During the Investigation	12100 Alleged Victim Dies During the Investigation	(None)
2641 Notifying Office of the Inspector General When an Alleged Victim Dies	N/A	Subheading in 12100: Notifying Office of the Inspector General
2642 Procedure When Alleged Victim Dies Before the Initial Face-to-Face is Completed	12110 Alleged Victim Dies Before the Initial Face-to-Face is Completed	(None)
2643 Procedure When Alleged Victim’s Death is Related to Natural Causes, Accident, or Self-Neglect	12120 Alleged Victim’s Death is Related to Natural Causes, Accident, or Self-Neglect	(None)
2643.1 Documentation of Death Due to Natural Causes or Accident	N/A	Subheading in 12120: Documentation of Death Due to Natural Causes or Accident
2643.2 Documentation of Death Due to Self-Neglect	N/A	Subheading in 12120: Documentation of Death Due to Self-Neglect
2643.3 Procedure for Rapid Closure When Alleged Victim’s Death is Related to Natural Causes, Accident, or Self-Neglect	12121 Rapid Closure When Alleged Victim’s Death is Related to Natural Causes, Accident, or Self-Neglect	(None)
2643.31 Documentation of Rapid Closure When Death is Due to Natural Causes, Accident, or Self-Neglect	N/A	Subheading in 12121: Documentation of Rapid Closure
2644 Procedure When Alleged Perpetrator’s Actions Did Not Contribute to Alleged Victim’s Death	12130 Alleged Perpetrator’s Actions Did Not Contribute to Alleged Victim’s Death	(None)
2644.1 Documentation of Death When Alleged Perpetrator’s Actions Did Not Contribute to Alleged Victim’s Death	N/A	Subheading in section 12130: Documentation When Alleged Perpetrator’s Actions Did Not Contribute to Alleged Victim’s Death
2644.2 Procedure for Rapid Closure When the Alleged Perpetrator’s Actions Did Not Contribute to Alleged Victim’s Death	12131 Rapid Closure When the Alleged Perpetrator’s Actions Did Not Contribute to Alleged Victim’s Death	(None)
2644.21 Documentation of Rapid Closure When Alleged Perpetrator’s Actions Did Not Contribute to Alleged Victim’s Death	N/A	Subheading in 12131: Documentation of Rapid Closure
2645 Procedure When Alleged Perpetrator Is EMR-Eligible	N/A	Subheading in 12130: When an Alleged Perpetrator is EMR-Eligible
2646 Procedure When Alleged Perpetrator’s Actions May Have Contributed to the Alleged Victim’s Death	12140 Alleged Perpetrator’s Actions May Have Contributed to the Alleged Victim’s Death	(None)
2646.1 Documentation When the Alleged Perpetrator’s Actions May Have Contributed to the Alleged Victim’s Death	N/A	Subheading under 12140: Documentation When the Alleged Perpetrator’s Actions May Have Contributed to the Death
2647 Adult Fatality Review Team	12300 Adult Fatality Review Team	(None)
2647.1 Procedure for Referring a Case to the Adult Fatality Review Team	N/A	Subheading in 12300: Referring a Case to the Adult Fatality Review Team
2650 Investigations Involving Guardianship Wards	7000 Guardianship Cases	(None)
2651 Financial Exploitation Allegations Involving a Guardian of the Estate	7130 Financial Exploitation Allegations Against a Guardian of the Estate	(None)
2652 Alleged Perpetrator Role for Allegations of Neglect Involving Wards	7120 Neglect of a Ward	(None)
2652.1 Procedure for Determining Perpetrator Role for Allegations of Neglect Involving Wards	N/A	Absorbed in 7120
2653 Gaining Access to the Ward During an Investigation	7110 APS Access to the Ward	(None)
2653.1 Procedure for Gaining Access to the Ward During an Investigation	N/A	Absorbed in 7110
2660 Investigations Involving Other DFPS Programs	4000 Cases Involving Health and Human Services Commission (HHSC) or Other Settings	Deleted – duplicate information throughout new Chapter 40000
2661 Procedure for Investigations in Residential Child Care Facilities	N/A	Some information moved to 4231.2, other information was deleted
2662 Procedure for Investigations Involving Persons Served by Mental Health and Intellectual Disabilities Programs	N/A	Deleted – just a header, does not contain any information under
2662.1 Circumstances That Require an HHSC Regulatory Services Division Provider Investigation	N/A	Absorbed in 4231.1
2662.2 Circumstances That Require an APS In-Home Investigation	N/A	Subheading in 4231.1: Actions Taken by APS
2663 Procedure for Providing Emergency Protective Services During an HHSC Regulatory Services Division Provider Investigation in an HCS Program	N/A	Subheading in 4231.11: Emergency Protective Services During an HHSC PI Investigation in an HCS Program
2670 Investigations Involving Certain Types of Facilities	N/A	Deleted – just a header, does not contain any information under
2671 Investigations Involving Schools	4320 Allegations Involving Schools	Combined with 1550
2671.1 Procedure for investigations Involving Schools	N/A	Absorbed in 4320
2672 Investigations in Boarding Home Facilities	4310 Allegations in Boarding Home Facilities	(None)
2672.1 Procedure for Investigations Involving Boarding Home Facilities	N/A	Subheading in 4310: Investigations Involving Boarding Home Facilities
2673 Investigations Involving Residents of Nursing Homes	4211 Allegations in Nursing Homes	Combined with 1542
2673.1 Procedure for Investigations of Allegations of Financial Exploitation of a Resident of a Nursing Home	4211.1 Financial Exploitation of a Resident of a Nursing Home	(None)
2680 Allegations Involving Paid Caretakers	8500 Allegations Involving Paid Caretakers	(None)
2681 Procedure for Allegations Involving Paid Caretakers	N/A	Subheading in 8500: Investigating Allegations Involving Paid Caretakers
2681.1 Alleged Victim Makes a Loan to a Paid Caretaker	8510 Loans to a Paid Caretaker	(None)
2700 Determination of Findings in an Investigation	8600 Determination of Findings in an Investigation	(None)
2710 Allegation Disposition	8610 Allegation Disposition (Finding)	(None)
2711 Procedure for Determining the Validity of the Allegation	N/A	Deleted – just a title header with no information
2711.1 Factors Weighed in Determining Neglect by a Caretaker or Paid Caretaker	N/A	Subheading in new section 8621: Determining Neglect by a Caretaker
2711.2 Factors Weighed in Determining Self-Neglect	N/A	Subheading in new section 8621: Determining Self- Neglect
2711.3 Factors Weighed in Determining Abuse	8622 Abuse Allegations	(None)
2711.31 Factors Weighed in Determining Physical Abuse	N/A	Absorbed in 8622
2711.32 Factors Weighed in Determining Sexual Abuse	N/A	Absorbed in 8622
2711.33 Factors Weighed in Determining Emotional or Verbal Abuse	N/A	Absorbed in 8622
2711.4 Factors Weighed in Determining Financial Exploitation	8623 Financial Exploitation Allegations	(None)
2712 Procedure for Evaluating Credibility of the Evidence	8630 Evaluation of Credibility of Evidence	(None)
2713 Procedure for Determining Allegation Findings	8620 Determination of the Validity of the Allegation	(None)
2714 Documentation of Conclusion Justification	8643 Conclusion Justification	See also: 8641 Self-Neglect Conclusion Summary
2715 Example of Conclusion Justification	N/A	Subheading in 8643: Example
2800 Risk of Recidivism Assessment	8700 Risk of Recidivism Assessment (RORA)	(None)
2810 Procedure for Completing the Risk of Recidivism Assessment (RORA)	N/A	Absorbed in 8700
2811 Risk-Based Contact Standards	8710 Risk-Based Contact Standards	(None)
2900 Investigation Closure	14100 Investigation Stage Closure	(None)
2910 Procedure for Investigation Closure	14000 Case and Stage Closure	(None)
2920 Documentation When Closing the Investigation Stage	N/A	Subheading in 14100: Documentation When Closing the Investigation Stage
2921 Investigation Closure Reason Codes	14110 Investigation Stage Closure Codes	(None)
2921.1 Rapid Closure Codes and Dispositions of Other	14111 Rapid Closure Codes and Dispositions of Other	(None)
2921.11 Moved/Unable to Locate	N/A	Subheading in 14111: Moved/Unable to Locate
2921.12 Administrative Closure	N/A	Subheading in 14111: Administrative Closure
2921.13 Does Not Meet Definition of APS	N/A	Subheading in 14111: Does Not Meet Definition of APS
2921.14 Client Died	N/A	Subheading in 14111: Client Died
2921.15 Duplicate Referral/Already Investigated	N/A	Subheading in 14111: Duplicate Referral/Already Investigated
2921.16 Reclassification	N/A	Subheading in 14111: Reclassification
2921.17 Other Agency or Out of State	N/A	Subheading in 14111: Other Agency or Out of State
2921.2 Procedure for Supervisory Review of Investigation Stage Closure	14120 Supervisory Review of Investigation Stage Closure	(None)

3000 Section
Before Rewrite	After Rewrite	Comments
Chapter 3000: Service Delivery	N/A	Deleted – just a title header and does not contain any information.
3000 Service Delivery	10000 Providing and Arranging for Services	(None)
3100 Determining Eligibility, Addressing Financial Resources, and Incorporating Cultural Considerations	N/A	Deleted – just a title header and does not contain any information.
3110 Determining Eligibility for Services	3110 is now a new section in Chapter 3000: Automatic Eligibility	Original section ‘Determining Eligibility for Services’ absorbed in 10000
3120 Achieving Goals	3120 is now a new section in Chapter 3000: Substantial Impairment	Information in original section ‘Achieving Goals’ is now in 10100: Service Delivery Goals
3130 Providing Services Regardless of the Person’s Financial Resources	N/A	Deleted – already included in other sections of policy in Chapter 3000: Eligibility
3140 Incorporating Cultural Competency in Service Delivery	N/A	Subheading under 10100: Cultural Competency in Service Delivery
3200 APS Service Plan	10200 APS Service Plan	(None)
3210 Developing the APS Service Plan	N/A	Subheading under 10200: When to Develop the APS Service Plan
3211 Offering Least Restrictive Alternatives	10210 Offering the Least Restrictive Alternatives	(None)
3212 Using Legal Alternatives	10220 Using Legal Alternatives (Court Actions)	(None)
3212.1 Documenting Legal Actions in the Service Plan	N/A	Subheading under 10220: Documenting Legal Actions in the Service Plan
3213 Making a Reasonable Effort	10230 Making a Reasonable Effort	(None)
3214 Documenting the Service Plan	N/A	Subheading under 10200: How to Document the APS Service Plan
3214.1 Service Plan Actions, Action Results, and Outcomes	10240 Entering Action Categories, Action Results, and Outcomes in the Service Plan, 10241 Action Categories, 10242 Action Results	(None)
3215 Documentation of Contacts During Service Delivery	9100 Requirement for Contacts, 9110 Timeframe for Contacts	(None)
3220 Strengths and Needs Assessment	11210 Strengths and Needs Assessment	(None)
3221 Procedure for Completing a Strengths and Needs Assessment (SNA)	N/A	Absorbed in 11210
3230 Case Outcomes	14300 Case Outcomes	(None)
3240 Additional Allegations Discovered and New Reports Received During the Intensive Case Services Stage	11300 New Allegations During a Service Stage	(None)
3241 New Intakes During the Intensive Case Services Stage	11400 New Intake During a Service Delivery Stage	(None)
3250 Service Plan Outcomes	10243 Outcomes	(None)
3260 Monitoring the Service Plan	10250 Monitoring the Service Plan	(None)
3261 Service Contacts	9520 Service Contacts	(None)
3262 Procedures for Service Contacts	9521 Service Contacts in the Month of Progression, 9521.1 Progression to Maintenance, 9521.2 Progression from Maintenance to ICS, 9521.3 Progression to ICS, 9522 Changes to Contact Standards During ICS	(None)
3262.1 Service Contacts When the Client Withdraws From Services by Failing to Respond	9523 Service Contacts When the Client Fails to Respond	(None)
3262.2 Service Contacts When the Client Cannot Be Located During Service Delivery	9530 Safety and Service Contacts When APS Cannot Find the Client	2511.2 and 3662.2 were combined
3262.3 Service Contacts when Client Dies During Service Delivery	9540 Safety and Service Contacts When the Client Dies	3262.3 and 2511.3 were combined
3263 Documentation of Service Contacts	N/A	Subheading in 9520: Documentation of Service Contacts
3264 Supervisor Consultations	9600 Supervisor Consultations	Combined 2520 and 3264
3264.1 Procedure for Supervisor Consults	N/A	Absorbed into 9600
3264.11 Documentation for Supervisor Consults	N/A	Subheading in 9600: Documentation for Supervisor Consultations
3270 Client Withdraws From Services During Maintenance or ICS	10320 Client Refusing or Withdrawing from Services	(None)
3271 Documenting the Client’s Withdrawal From Services	N/A	Subheading in 10320: Documentation When a Client Refuses or Withdraws from Services
3280 Case Closure During Service Delivery	14200 Service Stage Closure	(None)
3281 Procedure for Case Closure During Service Delivery	N/A	Absorbed under 14200
3282 Documentation When Closing a Case During Service Delivery	N/A	Subheading under 14200: Documentation When Closing a Case During Service Delivery
3283 Service Delivery Closure Reason Codes	14210 Service Stage Closure Codes	(None)
3284 Supervisor Review of Case Closure	14220 Supervisory Review of Service Stage Closure	(None)
3300 Maintenance Cases	11100 Maintenance Cases	(None)
3310 Procedure for Maintenance Cases	N/A	Absorbed in 11100
3311 Service Contacts in Cases Involving HHSC Office of Guardianship Services	9524 Service Contacts in Cases Involving HHSC Office of Guardianship Services	(None)
3320 Additional Allegations Discovered and New Reports Received Involving a Maintenance Case	11300 New Allegations During a Service Delivery Stage, 11400 New Intakes During a Service Delivery Stage	(None)
3321 Procedure for New Intake Reports Received During Maintenance Cases	N/A	Absorbed in 11300 and 11400
3400 Community Resources	1300 Community Resources	(None)
3410 IMPACT Community Resource Databases	N/A	Moved to Intranet
3411 Information and Referral (I&R) Network: 2-1-1 Texas	N/A	Moved to Intranet
3412 Medicare	N/A	Moved to Intranet
3413 Medicaid	N/A	Moved to Intranet
3414 STAR Medicaid Managed Care Program	N/A	Moved to Intranet
3420 Using Legal Resources	13000 Legal Actions, Legal Documents, and Other Non-Legal Remedies	(None)
3430 Community Resource Coordination Groups for Adults (CRCGAs)	N/A	Moved to Intranet
3440 Representative Payees and Money Management	N/A	Moved to Intranet
3450 Community-Based Long-Term Care	10400 Community-Based Long-Term Care	(None)
3451 Service Planning and Community Based Long-Term Care	10410 Service Planning and Community Based Long-Term Care	(None)
3452 Accessing HHSC Long-Term Care Regulatory Services	10420 Access to HHSC Long-Term Care Services	(None)
3453 When Services Are Not Available for HHSC Long-Term Care Regulatory Services	10430 HHSC Long-Term Care Services Not Available	(None)
3454 Resolution When a Client Rejects Alternative Services	N/A	Subheading under 10430 When a Client Refuses Alternative Services
3455 Using Purchased Client Services (PCS) for Personal Attendance Care	N/A	Moved to Intranet
3500 Service Delivery in Complex Cases	5120 Supports for Service Delivery	(None)
3510 Providing Services to APS Clients Who Are Victims of Family Violence	5240 Services for Victims of Family Violence	(None)
3511 Procedure for Providing Family Violence Literature to APS Clients	N/A	Absorbed in 5240
3512 Procedure for Developing a Family Violence Safety Plan	5250 Developing a Family Violence Safety Plan	(None)
3513 Documenting the Family Violence Safety Plan	N/A	Subheading in 5250: Documenting the Family Violence Safety Plan
3520 Service Delivery to Noncitizens	5300 Cases Involving Noncitizens	(None)
3521 Noncitizens and Use of PCS Funds	5310 Noncitizens and Use of PCS Funds	(None)
3522 Noncitizen with a Permanent Resident Card or Other Appropriate Immigration Documents	5311 Noncitizen Who Has Immigration Documents	(None)
3523 Noncitizen Without Appropriate Immigration Documents	5312 Noncitizen Without Appropriate Immigration Documents	(None)
3524 Change of immigration Status	5320 Change of immigration Status	(None)
3525 The Mexican Consulate and El Desarrollo Integral de la Familia (DIF)	5330 Consulates and Other Foreign Entities When Working with Noncitizens	Split into Subheadings in 5330: Mexican Consulate & El Desarrollo Integral de la Familia (DIF)
3526 Consulates of Countries Other Than Mexico	N/A	Subheading in 5330: Consulates of Countries Other Than Mexico
3527 Transporting Clients Who Do Not Have Valid Immigration Documents	5340 Transportation of Clients Who Do Not Have Valid Immigration Documents	(None)
3528 Crossing an International Border	5350 International Border	(None)
3530 Service Delivery From Other Agencies to APS Clients With Intellectual Disabilities or Mental Health Diagnoses	10500 Clients With Intellectual Disabilities or Mental Health Diagnoses Receiving Services From HHSC	(None)
3531 Roles and Responsibilities of APS	N/A	Absorbed into 10500
3540 Financial Exploitation and Medicaid Eligibility	N/A	Subheading in 3230: Financial Exploitation and Medicaid Eligibility
3541 Financial Exploitation of Income and Medicaid Eligibility	N/A	Subheading in 10620: Income
3542 Financial Exploitation of Resources and Medicaid Eligibility	N/A	Subheading in 10620: Resources
3550 Facilitating Hospital and Nursing Home Admissions	10710 Voluntary Admission to Hospital or Nursing Home	(None)
3551 APS Role in Completing Hospital and Nursing Home Admission Forms	10730 APS Role in Completing Hospital and Nursing Home Admission Forms	(None)
3552 Involuntary Hospital and Nursing Home Admissions	10720 Involuntary Admission to Hospital or Nursing Home Admissions	(None)
3560 Managing the Affairs and Assets of Clients	10800 Management of Clients’ Affairs and Assets	(None)
3561 Procedures for Managing the Affairs and Assets of Clients	N/A	Subheading under 10800: Procedures for APS Specialists
3570 Client Dies During Service Delivery	12200 Client Dies During a Service Delivery Stage	(None)
3571 Procedure When a New Intake Is Received Before Client’s Death During Service Delivery	12210 New Intake Is Received Before Client’s Death During a Service Delivery Stage	(None)
3572 Procedure When a Client’s Death is Related to Natural Causes, an Accident, or Self-Neglect During Service Delivery	12220 Death Is Related to Natural Causes, an Accident, or Self-Neglect During a Service Delivery Stage	(None)
3572.1 Documentation When a Client’s Death Results From Natural Causes, an Accident, or Self-Neglect	N/A	Subheading under 12220: Documentation When a Client’s Death Results From Natural Causes or an Accident
3572.2 Documentation When a Client Dies From Self-Neglect	N/A	Subheading under 12220: Documentation When a Client Dies From Self-Neglect
3573 Client’s Death May Involve Allegations Validated in the Investigation Stage	12230 Client’s Death May Involve Allegations Validated in the Investigation Stage	(None)
3573.1 Documentation When a Client’s Death May Involve Allegations Validated in the Investigation Stage	N/A	Subheading under 12230: Documentation When a Client’s Death May Involve Allegations Validated During the Investigation Stage
3573.2 Corrections to the Allegation Detail When investigated Allegations Contributed to a Client’s Death During Service Delivery	12231 Corrections to the Allegation Detail When Investigated Allegations Contribute to a Client’s Death During a Service Delivery Stage	(None)
3574 Procedure When a Client’s Death May Involve New Incidents of Allegations Investigated or Validated During the Investigation Stage	12240 Client’s Death May Involve New Incidents of Allegations Investigated or Validated During the Investigation Stage	(None)
3574.1 Documentation When a Client’s Death May Involve New Incidents of Allegations Investigated or Validated During the Investigation Stage	N/A	Subheading under 12240: Documentation When a Client’s Death May Involve New Incidents of Allegations Investigated or Validated During the Investigation Stage
3575 Client’s Death Involves New Allegations of Abuse or Neglect by an Alleged Perpetrator	12250 Client’s Death Involves New Allegations of Abuse or Neglect by an Alleged Perpetrator	(None)
3575.1 Documentation When a Client’s Death Involves New Allegations of Abuse or Neglect by an Alleged Perpetrator	N/A	Subheading under 12250: Documentation When a Client’s Death Involves New Allegations of Abuse or Neglect by an Alleged Perpetrator
3600 Purchased Client Services	10900 Purchased Client Services (PCS)	(None)
3610 Methods of Purchased Client Services	N/A	Moved to PCS Guide on Intranet
3611 State Term Contract Procurement Cards	N/A	Moved to PCS Guide on Intranet
3611.1 State Term Contract Procurement Card Issuance Requirements	N/A	Moved to PCS Guide on Intranet
3611.2 Procedures for Using State Term Contract Procurement Cards	N/A	Moved to PCS Guide on Intranet
3611.3 Transaction Limits on Procurement Cards	N/A	Moved to PCS Guide on Intranet
3611.4 Returns of Goods Purchased With a Procurement Card	N/A	Moved to PCS Guide on Intranet
3611.5 Decline of a Procurement Card	N/A	Moved to PCS Guide on Intranet
3611.6 Security for a Procurement Card	N/A	Moved to PCS Guide on Intranet
3611.7 Fraudulent Use, Disputed Transactions, or Lost or Stolen Procurement Cards	N/A	Moved to PCS Guide on Intranet
3611.8 Reconciling the Billing Statement for a State Term Contract Procurement Card	N/A	Moved to PCS Guide on Intranet
3611.9 Documenting Purchases Made With a State Term Contract Procurement Card	N/A	Moved to PCS Guide on Intranet
3612 Purchase Order for Placement Services	N/A	Moved to PCS Guide on Intranet
3612.1 Placement Procedures	N/A	Moved to PCS Guide on Intranet
3612.2 Determining the Rate for a POPS	N/A	Moved to PCS Guide on Intranet
3612.3 Documentation Requirements for POPS	N/A	Moved to PCS Guide on Intranet
3612.4 Documentation Requirements for Subsequent 60-Day Placements	N/A	Moved to PCS Guide on Intranet
3620 Contracts	N/A	Moved to PCS Guide on Intranet
3621 Claims Processing	N/A	Moved to PCS Guide on Intranet
3621.1 Procedure for Claims Processing	N/A	Moved to PCS Guide on Intranet
3630 Restrictions Involving Purchased Client Services	N/A	Subheading under 10900 Restrictions on Purchased Client Services
3631 Assessing the Need for Purchased Client Services	10910 Assessing the Need for Purchased Client Services	(None)
3632 Client’s Budget and Financial Resources	10911 Client’s Budget and Financial Resources	(None)
3640 Developing a Service Plan When Using Purchased Client Services	N/A	Information under subheading in 10200 When to Develop the APS Service Plan
3641 Client’s Participation in Service Planning	N/A	Information under subheading in 10200 Client’s Participation in Service Planning
3650 Procedure for Obtaining Approval for Purchased Client Services	10920 Obtaining Approval for Purchased Client Services, 10921 Cost and Required Approval, 10922 Additional Requirements for PCS	(None)
3651 Documenting Approvals for Purchased Client Services	N/A	Subheading in 10922: Documentation of Approvals
3660 Verbal Authorization of Purchased Client Services	N/A	Moved to PCS Guide on Intranet
3670 APS Service Authorization	N/A	Moved to PCS Guide on Intranet
3671 Modifying the Initial Service Authorization	N/A	Moved to PCS Guide on Intranet
3680 Monitoring Purchased Client Services	N/A	Moved to PCS Guide on Intranet
3690 Specific Purchases	N/A	Moved to PCS Guide on Intranet
3691 Providing Emergency Protective Services in Home-and-Community-based Services (HCS) Programs	N/A	Moved to PCS Guide on Intranet
3692 Storage Unit Fees	N/A	Moved to PCS Guide on Intranet
3692.1 Procedure for Payment of Storage Unit Fees	N/A	Moved to PCS Guide on Intranet
3693 Applied Income Payment in Nursing Facility	N/A	Moved to PCS Guide on Intranet
3693.1 Procedure for Payment of Applied Income	N/A	Moved to PCS Guide on Intranet
3694 Obtaining an Emergency Medical of Mental Health Assessment	N/A	Moved to PCS Guide on Intranet
3695 Care of an APS Client’s Pet	N/A	Moved to PCS Guide on Intranet
3696 Travel Purchases	N/A	Moved to PCS Guide on Intranet
3696.1 Procedure for Travel Purchases	N/A	Moved to PCS Guide on Intranet
3696.2 Documentation Requirements for Travel Purchases	N/A	Moved to PCS Guide on Intranet
3700 Consignment Agreements	N/A	Section deleted – obsolete information
3710 Definitions of Consignment Agreements	N/A	Section deleted – obsolete information
3720 Procedures for Consignment Agreements	N/A	Section deleted – obsolete information
3730 Determining Rate for Goods or Services Purchased Using a Consignment Agreement	N/A	Section deleted – obsolete information
3740 Responsibilities of Regional Management and Contract Staff	N/A	Section deleted – obsolete information
3750 Documentation Requirements for Goods or Services Purchased Using a Consignment Agreement	N/A	Section deleted – obsolete information

4000 Section
Before Rewrite	After Rewrite	Comments
Section 4000: Legal Actions	13100 Initiating Legal Actions	(None)
4100 Legal Representation	13110 Legal Representation	(None)
4110 Court Costs and Filing Fees	13130 Court Costs and Filing Fees	(None)
4111 Filing Fees for Eviction of Alleged Perpetrator	13131 Filing Fees for Eviction of Alleged Perpetrator	(None)
4120 General Procedures for Initiating Legal Actions	N/A	Information was split into 13100 & 13110
4130 Documentation of Legal Actions	13140 Required Documentation of Legal Actions	(None)
4131 Documentation of the Guardianship Detail Page	N/A	Subheading in 13140: Documenting the Guardianship Detail Page – also in Ch. 7000
4140 Consultation With Regional Attorneys	13120 Consulting with Regional Attorney	(None)
4150 Completion of Legal Forms by the APS Specialist	13150 Legal Forms Completed by the APS Specialist	(None)
4151 Procedures for Completing of Legal Forms	N/A	Subheading in 13150: How to Complete Legal Forms
4152 APS Legal Forms Online	N/A	Deleted – information and link included in 13100
4200 Court-Authorized Entry	13200 Court-Authorized Entry	(None)
4210 Procedures for Seeking an Order for Court-Authorized Entry	N/A	Subheading in 13200: Seeking an Order for Court-Authorized Entry
4300 Access to Records	13300 Access to Records	(None)
4310 Procedure for Seeking Legal Action to Access Records	N/A	Subheading in 13300 Seeking Legal Action to Access Records
4400 Interference With Investigation or Protective Services	13400 Interference With Investigation or Protective Services	(None)
4410 Procedures for Seeking Legal Action to Prevent Interference	N/A	Subheading in 13400: Seeking Legal Action to Prevent Interference
4500 Emergency Order for Protective Services (EOPS)	13500 Original Petition for Emergency Order for Protective Services (EOPS)	(None)
4510 Procedures for Requesting an Emergency Order for Protective Services	N/A	Absorbed into 13500
4511 Completing a Motion for EOPS	13510 Completing a Motion for EOPS	(None)
4512 Pre-Removal Medical Assessment Report	13520 Pre-Removal Medical Report	(None)
4513 Procedures When a Physician Is Not Available	N/A	Subheading in 13520: When a Physician Is Not Available
4514 Filing a Motion for EOPS Without a Physician’s or Other Professional’s Report	N/A	Subheading in 13520: Filing a Motion for EOPS Without a Physician’s or Other Professional’s Report
4515 Post-Removal Physician’s Statement	13530 Post-EOPS Physician’s Report	(None)
4516 Court Proceedings for EOPS	13540 Court Proceedings for EOPS	(None)
4520 Authorization for Emergency Protective Services Before a Court Order Can Be Obtained	13550 Authorization for EOPS Before Obtaining a Court Order	(None)
4521 Requesting Emergency Assistance Without a Court Order	13551 Emergency Removals Without a Court Order	(None)
4522 Terminating Emergency Services on the Next Business Day	N/A	Subheading in 13551: When APS Cannot Obtain a Court Order the Next Business Day
4523 Notifying the Regional Attorney of the Client’s Death	13552 Notifying the Regional Attorney of the Client’s Death	(None)
4530 Termination or Expiration of a Court Order for Emergency Protective Services	13560 Termination or Expiration of a Court Order for Emergency Protective Services	(None)
4540 Extension of a Court Order for Emergency Protective Services	13570 Extension of a Court Order for Emergency Protective Services	(None)
4600 Types of Legal Documents an APS Specialist May Encounter	13600 Types of Legal Documents an APS Specialist May Encounter	(None)
4610 Financial Documents	13610 Financial Documents	(None)
4620 Health-Care Directives	13620 Health-Care Directives	(None)
4621 Directive to Physicians (Living Will)	13621 Directive to Physicians (Living Will)	(None)
4622 Medical Power of Attorney	13622 Medical Power of Attorney	(None)
4630 Surrogate Decisions in Hospitals or Nursing Homes	13630 Surrogate Decisions in Hospitals or Nursing Homes	(None)
4640 Surrogate Decisions in Licensed ICF-IDD Facilities	13640 Surrogate Decisions in Licensed ICF-IDD Facilities	(None)
4700 Guardianship	13700 Guardianship, 7000 Guardianship Cases	(None)
4710 Guardian of the Person and/or Estate	13710 Guardian of the Person, Estate, or Both	(None)
4720 Temporary and Permanent Guardianships	N/A	Subheading in 13710 Temporary and Permanent Guardianships
4730 Order of Preference for Appointment of Guardian	N/A	Subheading in 13710: Order of Preference for Appointment of Guardian
4731 Disqualifications of Guardians	N/A	Subheading in 13710: Disqualifications of Guardians
4732 Background Checks and Guardianship	7210 Background Checks and Guardianship	(None)
4732.1 Criminal History Checks	7211 Criminal History Checks	(None)
4732.2 IMPACT Background Checks	7212 IMPACT Background Checks	(None)
4732.21 Procedure for IMPACT Background Checks	N/A	Subheading of 7212: How to Conduct an IMPACT Background Check
4733 Attendance at Guardianship Hearings	7222 Attendance at Guardianship Hearings	(None)
4740 How Guardianships Are Initiated	7220 Initiation of Guardianships	(None)
4750 Relative Or Other Person as Guardian	7221 Relative or Other Person as Guardian	(None)
4751 Procedure for Assisting Individuals With Guardianship	N/A	Subheading of 7221: How to Help Someone Apply for Guardianship
4752 Documentation for Assisting Individuals With Guardianship	N/A	Subheading of 7221: Documentation Requirements
4780 Referrals to HHSC Office of Guardianship Services	7300 Referrals to HHSC Office of Guardianship Services (OGS)	(None)
4781 Minimum Information for HHSC Office of Guardianship Referrals	7320 Minimum Information for HHSC OGS Referrals	(None)
4782 Standard Referrals to HHSC Office of Guardianship Services	7330 Standard Referrals to HHSC OGS	(None)
4782.1 Procedure for Assessing Appropriateness of Standard Referrals to HHSC Office of Guardianship Services	N/A	Subheading of 7330: Assessing Appropriateness of Standard Referrals
4782.2 Procedure for Staffing and Completing a Standard Referral to HHSC Office of Guardianship Services	7331 Completion of a Standard Referral	(None)
4782.3 Procedure for Case Management After Standard Referral Form Is Submitted to HHSC Office of Guardianship Services	7332 Case Management After Standard Referral	(None)
4782.4 Documenting the APS Guardianship Referral Form for Standard Referrals	N/A	Subheading in 7332: Documentation After Standard Referral
4783 Emergency Referrals to HHSC Office of Guardianship Services	7340 Emergency Referrals to HHSC OGS	(None)
4783.1 Procedure for Emergency Referrals to HHSC Office of Guardianship Services During an Emergency Order for Protective Services (EOPS)	7341 Emergency Referral With Emergency Order for Protective Services (EOPS)	(None)
4783.2 Procedure for Stating and Completing Emergency Referrals During an EOPS	7341.1 Completion of an Emergency Referral After an EOPS	(None)
4783.3 Procedure for Emergency Referrals to HHSC Office of Guardianship Services to Protect Client Assets	7342 Emergency Referrals to Protect Client Assets	(None)
4783.4 Procedure for Case Management After Emergency Referral Form Is Submitted to HHSC Office of Guardianship Services	7343 Case Management After Emergency Referral	(None)
4783.5 Documenting the APS Guardianship Referral Form for Emergency Referrals	N/A	Absorbed in 7341.1
4784 Joint Staffing Process for Referrals to HHSC Office of Guardianship Services	7350 Joint Staffing of Referrals to HHSC OGS	(None)
4784.1 Procedure for Joint Staffing Process for Referrals to HHSC Office of Guardianship Services	N/A	Subheading of 7350: Joint Staffing Process
4784.2 Review of the Decision by the Guardianship Review Committee (GRC)	7360 Guardianship Review Committee (GRC)	(None)
4785 General Issues Regarding HHSC Office of Guardianship Services Referrals	7370 General Issues About HHSC OGS Referrals	See also: 7371-7377
4800 Mental Health Commitment	13800 Mental Health Commitment	(None)
4810 Emergency Detention	13810 Emergency Detention	(None)
4811 Emergency Detention for an APS Client	13811 Use of Emergency Detention for an APS Client	(None)
4812 Documentation for Emergency Detentions	N/A	Subheading in 13811: Documentation for Emergency Detentions
4820 Temporary Court-Ordered Mental Health Services	13820 Temporary Court-Ordered Mental Health Services	(None)
4830 Voluntary Admission to a Mental Health Facility	13830 Voluntary Admission to a Mental Health Facility	(None)
4900 Family Violence Protective Orders Against a Perpetrator	13900 Family Violence Protective Orders Against a Perpetrator	(None)
4910 APS Specialist Role in Assisting a Client With a Protective Order	13910 APS Specialist Role in Assisting a Client With a Protective Order	(None)
4920 Protective Order Application Filed by DFPS	13920 Protective Order Application Filed by DFPS	(None)
4930 Procedure for Protective Order Application Filed by DFPS	N/A	Absorbed in 13920
4940 Documentation for Protective Order Filed by DFPS	N/A	Subheading in 13920: Documentation for Protective Orders

5000 Section
Before Rewrite	After Rewrite	Comments
Section 5000: Confidentiality and Integrity of Records and Review and Hearing Processes	N/A	Deleted – title header only, no information
5100 Confidentiality, Disclosure, and Release of Case Information	16100 Disclosure and Release of Case Information	(None)
5110 Providing the Case Record	16110 Release of the Case Record	(None)
5111 People and Entities Entitled to the Case Record	16111 Individuals and Entities Entitled to the Case Record	(None)
5111.1 Procedure for Obtaining APS Case Records	N/A	Absorbed in 16111
5111.2 Release of APS Case Records to Facilities or Providers Under HHSC Regulatory Services Division Provider Investigation Jurisdiction	16111.2 Release of Case Records to HHSC Provider Investigations	(None)
5112 Release of APS Case Records to Law Enforcement Agencies and Prosecuting Attorneys	16111.3 Release of Case Records to Law Enforcement Agencies and Prosecuting Attorneys	(None)
5112.1 Procedure for Release of Case Records to Law Enforcement	N/A	Subheadings in 16111.3: Closed Investigations & Open Investigations
5120 Providing Case Information	N/A	Deleted – title header only, no information
5121 Confidentiality of the Reporter	16125.1 Disclosure of Report Information	(None)
5122 Disclosure of Case Information to the Report and Others	16121 Case Information to the Reporter and Collaterals	(None)
5123 Disclosure of Case Information to Other Entities to Help Client Obtain Services	16122 Case Information to Others to Help Clients Get Services	(None)
5124 Disclosure of Case Information to Prospective Guardians	16123 Case Information to Prospective Guardians	(None)
5125 Confidentiality of People Who Are HIV-Positive or Have AIDS	16125.2 Disclosure of HIV or AIDS Information	(None)
5126 Disclosure of Criminal History Information	16125.3 Disclosure of Criminal History Information	(None)
5126.1 Procedure for Disclosure of Criminal History Information	N/A	Subheading in 16125.3: Procedure for Disclosure of Criminal History Information
5126.11 Penalty for Unauthorized Disclosure of Criminal History Information	N/A	Subheading in 16125.3: Penalty for Unauthorized Disclosure of Criminal History Information
5130 Disclosure of Case Information in Connection With a Court Action	16124 Case Information in Connection With a Court Action	(None)
5131 Subpoenas	N/A	Subheading in 16124: Subpoenas
5132 Notifying a Probate Court About an Investigation Involving Guardianship	16124.1 Court Notification About an Investigation Involving Guardianship	(None)
5132.1 Notifying the Probate Court When HHSC OGS Is Guardian or Has Pending Guardianship	16124.2 Court Notification About HHSC OGS Guardianship	(None)
5132.2 Notifying the Probate Court When the Alleged Perpetrator Has a Guardian	16124.3 Court Notification When the Alleged Perpetrator Has a Guardian	(None)
5132.3 Notifying the Probate Court When Financial Exploitation Allegations Involve a Guardian of the Estate	16124.4 Court Notification of Alleged Financial Exploitation by a Guardian of the Estate	(None)
5132.4 Notifying the Probate Court About Cases Involving an Administrative Desk Review	16124.5 Court Notification About Cases Involving a Desk Review	(None)
5140 Providing Information to HHSC on Adult Foster Care Provider Applicants or Staff of an HCSSA	16126 Case Information to HHSC on AFC Provider Applicants or HCSSA Staff	(None)
5141 Release of Information on Adult Foster Care Provider Applicants (HHSC Form 2357, DFPS Records Check)	16126.1 Release of Information on Applicants to Become AFC Providers	(None)
5150 Release of Case Information to Entities Responsible for Protecting Clients	16127 Release of Case Information to Entities Responsible for Protecting Clients	(None)
5160 Release of Information to State Supported Living Centers (SSLC)	16127.1 Release of Information to State Supported Living Centers (SSLC)	(None)
5161 Procedure for Release of Information to State Supported Living Centers (SSLC)	N/A	Absorbed in 16127.1
5200 Content and Maintenance of APS Case Records	16210 Content of Case Records	(None)
5210 Content of Record	N/A	Deleted – title header only, no information
5211 Electronic Case File	N/A	Subheading in 16210: Electronic Case File
5212 External Case File	N/A	Subheading in 16210: Eternal Case File (External Documentation)
5220 Maintenance of Record	N/A	Deleted – title header only, no information
5221 Testimonial Evidence and External Case Notes	N/A	Subheading in 16220: Case Notes Outside IMPACT
5222 External Documentation Page	N/A	Subheading in 16220: External Documentation Page
5223 Records Retention	16230 Records Retention and Destruction	(None)
5230 Merging and Relating Persons	16251 Merging and Relating Persons	(None)
5231 Person Identification (ID) Number	N/A	Subheading in 16251: Person Identification (ID) Number
5232 Automated Person Merge	N/A	Subheading in 16251: Automated Person Merge
5233 Manual Person Merge	N/A	Subheading in 16251: Manual Person Merge
5234 Person Relate	N/A	Subheading in 16251: Person Relate
5235 Manual Person Split	N/A	Subheading in 16251: Person Split
5240 Case Merge	16252 Merging Cases	(None)
5241 When to Merge Cases	N/A	Subheading in 16252: When to Merge Cases
5241.1 Merge Only Open Cases in the Same Stage	N/A	2^nd level subheading in 16252: Merge Only Open Cases in the Same Stage
5241.2 Close Duplicate Reports Without Merging Cases	N/A	Subheading in 16252: Close Duplicate Reports Without Merging Cases
5242 Case Merge Checklist	N/A	Subheading in 16252: Case Merge Checklist
5250 Storage of External Case Files	16220 Maintenance of External Case Files	(None)
5260 Destruction of APS Case Records	16231 Destruction of Case Records	(None)
5300 Desk Review for Designated Perpetrators	15100 Desk Review	(None)
5310 Designated Perpetrators Ineligible for a Desk Review	15110 Designated Perpetrators Ineligible for a Desk Review	(None)
5320 Notifying the Designated Perpetrator About Findings and Eligibility for a Desk Review	15120 Notifications to the Designated Perpetrator	(None)
5321 Timely Request for a Desk Review	15130 Timely Request for a Desk Review	(None)
5330 Procedure for Conducting a Desk Review	15140 Desk Review Process	(None)
5331 Time Frame for Conducting the Desk Review	N/A	Subheading in 15140: Time Frame for Conducting the Desk Review
5332 Notification of Delay of the Desk Review	N/A	Subheading in 15140: Notification of Delay of the Desk Review
5333 Documenting the Desk Review	N/A	Subheading in 15140: Documentation of the Desk Review
5334 Closing a Case in Service Delivery Following a Desk Review	15150 Closure of a Case in Service Delivery After a Desk Review	(None)
5335 Notification of Results of the Desk Review for Designated Perpetrators	15160 Notification of Results of the Desk Review	(None)
5336 Circumstances in Which Findings May Be Released (Release Hearing)	15170 Release of Findings Outside DFPS After a Desk Review	(None)
5400 Due Process	N/A	Deleted – was just links
5410 Employee Misconduct Registry (EMR)	15300 Employee Misconduct Registry (EMR)	(None)
5411 EMR Eligibility	15310 EMR Eligibility	(None)
5411.1 EMR Eligible Employee	15311 EMR Eligible Employee	(None)
5411.2 Definition of Reportable Conduct	15312 Reportable Conduct	(None)
5411.3 Definition of Harm	N/A	Subheading in 15312: Definition of Harm
5412 Procedures for EMR Eligible Investigations	N/A	Deleted – title header only, no information
5412.1 Required Information for EMR Eligible Investigations	15320 Required Information for EMR-Eligible Investigations	(None)
5412.2 Entering the Valid-Reportable Conduct Finding in IMPACT	15321 Entering the EMR Information in IMPACT	(None)
5412.21 Documenting the EMR Investigation Conclusion	N/A	Subheading in 15321: Documenting the Investigation Conclusion
5412.3 Managerial Review of EMR Eligible Investigations	15330 Management Review of EMR-Eligible Investigations	(None)
5413 Internal APS EMR Database	N/A	Absorbed in 15340
5414 Responsibilities of the EMR Coordinator	15340 Role of the EMR Coordinator	(None)
5415 Notifications and Request for EMR Hearing	N/A	Deleted – title header only, no information
5415.1 Notice of Findings to Subsequent Employers Before the EMR Hearing	N/A	Subheading in 15351: Emergency Release to Subsequent Employers Before the EMR Hearing
5415.2 Notice of Hearing to the Employee (Designated Perpetrator)	15352 Notice of Findings to Employee (Designated Perpetrator)	(None)
5415.3 Request for Hearing by the Employee	15360 Request for EMR Hearing	(None)
5415.31 Late Request	N/A	2^nd level subheading in 15360: Late Request for Hearing
5416 EMR Hearing Process	15370 EMR Hearing Process	(None)
5416.1 Rescheduling a Hearing	15371 Schedule Changes for a Hearing	(None)
5416.2 Withdrawing a Request for a Hearing	15372 Withdrawal of Request for a Hearing	(None)
5416.3 Failure to Appear for a Hearing	15373 Failure to Appear for a Hearing	(None)
5416.4 Decision of Administrative Law Judge (ALJ)	15374 Decision of Administrative Law Judge (ALJ)	(None)
5416.5 Request for Judicial Review by the Employee	15376 Judicial Review	(None)
5416.6 Providing Notice if a Finding is Modified or Reversed	N/A	Subheading in 15376 ALJ’s Finding Is Altered or Reversed
5416.7 Information Forwarded to HHSC for Recording in the Employee Misconduct Registry	15377 Placement of Sustained Perpetrators on the EMR	(None)
5420 Due Process for Non-EMR (Employee Misconduct Registry)	15200 Due-Process for Non-EMR (Employee Misconduct Registry) Cases	(None)
5421 Emergency Release of Finding in Non-EMR Cases	15210 Emergency Release of Findings in Non-EMR Cases	(None)
5422 Notice of Emergency Release of Findings to the Designated Perpetrator	N/A	Subheading in 15210: Notice to Designated Perpetrator of Emergency Release of Findings
5423 Sending Notice of intent to Release in Non-EMR Cases	15220 Notification of Intent to Release Findings in Non-EMR Cases	(None)
5424 Administrative Review in Non-EMR Cases	15230 Administrative Review in Non-EMR Cases	(None)
5424.1 Requesting an Administrative Review in Non-EMR Cases	15231 Requesting an Administrative Review in Non-EMR Cases	(None)
5424.11 Request for Records for an Administrative Review in Non-EMR Cases	N/A	Subheading in 15231: Request for Records
5424.2 Conducting an Administrative Review in Non-EMR Cases	15232 Conducting an Administrative Review in Non-EMR Cases	(None)
5425 Release Hearings for Non-EMR Cases	15240 Release Hearings for Non-EMR Cases	(None)
5425.1 Requesting a Release Hearing in Non-EMR Cases	N/A	Subheading in 15240: Requesting a Release Hearing
5425.2 Conducting a Release Hearing and Subsequent Activities in Non-EMR Cases	N/A	Subheading in 15240: Conducting a Release Hearing
5426 Notification and Release of Findings After Non-EMR Due Process	15241 Notification of Judge’s Decision	(None)
5426.1 Notification of Decision in Non-EMR Cases	N/A	Absorbed in 15241
5426.2 Release of Findings in Non-EMR Cases	15250 Release of Findings in Non-EMR Cases	(None)
5426.21 Release of Findings on Investigations of HCSSA Staff and Foster Home Providers and Employees	15251 Release of Findings to HCSSAs and Adult Foster Care Homes	(None)
5426.3 Release of Findings to Professional Licensing Boards and Other Agencies	15252 Release of Findings to Professional Licensing Boards, Commissions, and Other Agencies	(None)
5430 Due Process for Client Protection	N/A	Combined in Due-Process for Non-EMR sections
5431 Sending Notice of Intent to Release in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5432 Administrative Review in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5432.1 Procedure for Administrative Review in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5433 Conducting Release Hearings for Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5433.1 Receipt of Non-Receipt of Request for a Release Hearing in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5433.2 Release Hearing and Subsequent Activities in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5434 Notification and Release of Findings in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5434.1 Notification of Decision in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5434.2 Release of Findings in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5434.3 Emergency Release of Findings in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5434.31 Notice of Emergency Release of Finding to the Designated Perpetrator in Client Protection Cases	N/A	Combined in Due-Process for Non-EMR sections
5440 Cases Involving School Personnel	15400 Cases Involving School Personnel	(None)
5441 Processing the Completed School Investigation	N/A	Subheading in 15400: Processing the Completed School Investigation
5442 Procedure for Processing the Completed School Investigation	N/A	Absorbed in 15400
5443 Timely Request for an Administrative Review in School Personnel Cases	15410 Request for an Administrative Review by School Personnel (Designated Perpetrator)	(None)
5443.1 Request for Records for an Administrative Review in School Personnel Cases	N/A	Subheading in 15410: Request for Records
5444 Administrative Review in School Personnel Cases	15420 Administrative Review in School Cases	(None)
5444.1 Procedure for Administrative Review in School Personnel Cases	N/A	Absorbed in 15420
5445 Notification of Final Findings for School Personnel	15430 Notification of Final Findings for School Personnel	(None)

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Handbook Revision, February 15, 2021

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