The Hardship: Losing the Slot Before it Starts
In Texas, the HCS and TxHmL "Interest List" is a decade-long marathon. However, in 2026, the LIDDA Performance Contract has doubled down on biennial contact requirements. If a LIDDA (Local Authority) cannot reach a primary correspondent to update Form 8648 (Identification of Preferences), they are authorized to "Close" the record.
RCM Insight: The "Request Date" Recovery Nightmare
For IDD providers, the hardship occurs when a slot finally becomes available. If the LIDDA didn't properly maintain the CSIL (Community Services Interest List) record, the "Request Date" can be lost or reset to a current date, making the individual ineligible for the slot. RCM teams must conduct a "CSIL Audit" at the point of intake; if Form 8648 isn't current and signed, you are essentially providing pre-enrollment services on a "hope and a prayer" that HHSC won't deny the enrollment.