Handbook Revision, September 1, 2022

This revision of the Adult Protective Services Handbook was published on September 1, 2022. Summaries of new or revised items are provided below.

FY 2023 APS Policy Release That Addresses APS Regional Staff and Stakeholder Concerns (PATS 13793)

This is the first APS policy release for FY 2023. The changes address requests from external stakeholders and regional APS staff.

This revision does the following:

  • Adds procedures for how to handle I&Rs.
  • Adds procedures for how to handle Intakes routed to the wrong county.
  • Adds policy for automatic eligibility to include individuals diagnosed with an intellectual disability or an IQ below 70.
  • Adds procedure for determining substantial impairment with an individual who has a temporary guardianship, is currently employed, or able to work.
  • Adds information regarding self-neglect and caretaker neglect when mental health issues may also exist.
  • Adds information regarding Financial Exploitation allegations against HCSSA and Non-HCSSA employees.
  • Adds language regarding APS jurisdiction when a client is under the care of a hospital.
  • Adds language that the APS specialist requests to interview the client alone anytime the allegations are being addressed.
  • Removes the 10-day time frame to interview the alleged perpetrator.
  • Adds requirement to make two or more attempted contacts to interview appropriate law enforcement personnel and re-interview, as necessary, to resolve discrepancies.
  • Adds information regarding releasing criminal history records information obtained from the FBI.
  • Adds procedures for documenting information from criminal history reports that are completed in IMPACT or received from external sources.
  • Adds procedure for the APS supervisor to consult with the regional attorney to determine whether a joint staffing is appropriate.
  • Adds procedures for completing the Safety Assessment, either while in the client’s home during the initial face-to-face, or from a safe location immediately after the initial face-to-face.
  • Removes the requirement to complete a Safety Reassessment in certain situations.
  • Adds that an allegation involving a client in the hospital with serious injuries or at risk of death cannot be downgraded from a priority I.
  • Adds a timeframe of seven calendar days for sending the AV/CL Request for an Interview letter, located in IMPACT.
  • Adds requirement for immediate notification to law enforcement when APS is aware of potential offenses against a person, including attempted offenses, or offenses outside APS jurisdiction to investigate.
  • Adds policy that a finding of Valid/No Fault may be used for an allegation of neglect when a professional guardian is the alleged perpetrator.
  • Adds elements charts for allegations of neglect by a caretaker, self-neglect, sexual abuse, physical or emotional/verbal abuse, and financial exploitation.
  • Clarifies that a discretionary override is only used on a Risk of Recidivism Assessment (RORA) to merge cases that have different, final risk levels.
  • Adds procedure for completing the discretionary override on the Risk of Recidivism Assessment (RORA).
  • Adds procedure to consult with a supervisor or SME when a caretaker or other individual refuses services offered to a client, regardless of the client’s capacity.
  • Updates language to reflect that a financial institution may place a hold on a transaction when requested by APS, regardless of who reported the allegation of Financial Exploitation.
  • Adds procedure for how to proceed after the APS specialist obtains a court order to prevent interference or an Emergency Order for Protective Services (EOPS).
  • Clarifies that cases that fall under the jurisdiction of HHSC PI or HHSC CCR are closed using the Other Agency or Out of State closure code instead of Reclassification.
  • Identifies appropriate chain of command for case closure.
  • Identifies additional APS staff who can approve cases on his or her own workload.
  • Adds that a designated perpetrator may be offered additional due process after completion of a State Office of Administrative Hearings (SOAH), including a rehearing or judicial review.

Note: Sections marked with asterisks (*) below have been renumbered but not revised.


2200 Information and Referrals (I&Rs)

2210 How to Handle I&Rs

2200 2300 Case-Related Special Requests *

2210 2310 How to Handle CRSRs *

2300 2400 Case Assignment *

2310 2410 Priority I (P1) Intakes after Hours *

2320 2420 On-Call Information in IMPACT for Case Assignment *

2330 2430 Intakes with Special Considerations *

2331 2431 Recidivistic Cases *

2332 2432 High-Profile Cases *

2340 2440 Assignment of Secondary APS Specialists *

2450 Misrouted Intakes

2400 2500 Chronic Callers *

2410 2510 Notifying SWI about Chronic Callers *

2420 2520 Tracking the Chronic Caller List *

2430 2530 Removing a Person from the Chronic Caller List *


3110 Automatic Eligibility

3120 Substantial Impairment

3200 Allegations

3210 Neglect Allegations

3220 Abuse Allegations

3230 Financial Exploitation (EXPL) Allegations


4110 Allegations in Hospitals


6121 Interviewing a Client


6122 Interviewing an Alleged Perpetrator

6123 Interviewing a Collateral

6123.1 Interviewing the Reporter

6123.2 Interviewing Medical or Mental Health Staff

6123.3 Interviewing Law Enforcement


6412 Criminal History Records Checks

6412.1 Required Criminal History Records Checks


6412.5 Process of Obtaining Criminal History Information


7350 Joint Staffing of Referrals to HHSC OGS


8100 Safety Assessment

8110 Changes in Client’s Location

8120 8110 Documentation of the Safety Assessment *

8130 8120 Changes in Allegation Priorities

8140 8130 Current Danger Factors and Immediate Interventions *


8210 Client Refuses to Cooperate with APS Investigation


8400 Referrals to Law Enforcement


8600 Determination of Findings

8610 Allegation Disposition (Finding)

8620 Determination of the Validity of the Allegation

8621 Neglect Allegations

8622 Abuse Allegations

8623 Financial Exploitation Allegations


8700 Risk of Recidivism Assessment (RORA)


9400 Initial Face-to-Face Contact with the Client


9420 Client Is Inaccessible for Initial Face-to-Face Contact

9500 Safety Contacts


9700 Supervisor Case Status Review


10320 Client Refusing or Withdrawing from Services


12160 Requesting a Transaction Hold from a Financial Institution


12400 Interference with Investigation or Protective Services


12540 Court Proceedings for Emergency Order for Protective Services (EOPS)

12541 When the Court Issues an Order for an EOPS


13000 Case Closure


13110 Rapid Closure Codes and Disposition of Other

13200 Supervisory Review of Case Closure


14300 Due Process for Non-EMR (Employee Misconduct Registry) Cases

14310 Emergency Release of Findings in Non-EMR Cases

14320 Notification of Intent to Release Findings in Non-EMR Cases

14330 Administrative Review in Non-EMR Cases

14331 Requesting an Administrative Review in Non-EMR Cases

14332 Conducting an Administrative Review in Non-EMR Cases

14340 Release Hearings for Non-EMR Cases

14341 Notification of Judge’s Decision

14350 Release of Findings in Non-EMR Cases


14411 EMR-Eligible Employee


14476 Judicial Review


15124 Case Information in Connection with a Court Action


15127.1 Release of Information to State Supported Living Centers (SSLC)

15128 Release of Records to Office of Court Administration


15252 Merging Cases


Definitions of Terms