Information Letter 18-08 & No. 18-09 This letter announces several dates regarding Fiscal Year 2018 Claims Processing for claims to be paid by the Texas Health and Human Services Commission (HHSC). August 24, 2018 by noon is the cutoff date for Home and Community-based Services Providers and Texas Home Living Providers . For all other agencies, providers and facilities listed below, the cutoff dates are as follows: • Fiscal Year 2016 Miscellaneous Fee-for-Service (FFS) Claims Cutoff: … [Read more...] about Fiscal Year 2018 Cutoff Dates for Fee-for-Service Year-end Closeout Processing
PPAT Notice For Draft Rule Amendments Regarding Abuse, Neglect & Exploitation
Texas Health and Human Services (HHS) implemented rules that address changes in the authority of the DFPS Adult Protective Services (APS) Provider division, as amended by SB 1880 and SB 760, 84th Legislative Session (2015). The changes give the APS Provider division the authority to investigate an allegation of abuse, neglect, or exploitation (ANE) of an adult or child who receives a service from a provider who contracts with HHSC to provide Medicaid waiver or Medicaid state plan services and … [Read more...] about PPAT Notice For Draft Rule Amendments Regarding Abuse, Neglect & Exploitation
Service Limit Exceptions in Programs for Adaptive Aids and Minor Home Modifications Due to Hurricane Harvey
Provider Letter No. 17-28 and Information Letter No. 17-27 addresses Health and Human Services Commission (HHSC) allowing an exception to the service limits for replacing or repairing adaptive aids and minor home modifications for certain individuals enrolled including those in the:Community Living Assistance and Support Services (CLASS)Deaf Blind with Multiple Disabilities (DBMD) ProgramHome and Community-based Services (HCS) Texas Home Living (TxHmL) ProgramSpecifically, individuals whose … [Read more...] about Service Limit Exceptions in Programs for Adaptive Aids and Minor Home Modifications Due to Hurricane Harvey
Proposed Amendments to streamline ICF/IID & HCS/TxHmL Provider Cost Report Rules
HHSC Report- Effective January 1st 2018, information contained in PPAT on cost report rule changes to be adopted by March 2018, address the implementation of a cost report reform initiative for HCS/TxHmL and ICF/IID providers as required by Texas Health and Human Services Commission (HHSC)On Jan. 1st, HHSC requires only even-year cost reports beginning with the providers’ 2018 fiscal year cost reports for HCS/TxHmL (§355.722(a) and ICF/IID(§355.105(c)(1) )providers. HHSC also proposes … [Read more...] about Proposed Amendments to streamline ICF/IID & HCS/TxHmL Provider Cost Report Rules
Alert: All Providers Are Required To Redo Employee Misconduct Registry (EMR) Searches
Provider Letter No. 17-23 - DADS is directing providers to immediately redo all EMR searches conducted during this two-month period ( From June 9, 2017, through July 27, 2017) to verify the employability of any individuals they have hired. If a search result now shows that an individual is listed in the EMR, then the individual is not eligible to continue employment in a DADS-regulated facility or agency or any facility or agency governed by Texas Health and Safety Code Chapter 253. Every … [Read more...] about Alert: All Providers Are Required To Redo Employee Misconduct Registry (EMR) Searches
Approved Rate Reductions in the HCS and TxHmL Waiver Programs (Effective August 1, 2017)
Information Letter No. 17-16 - Effective August 1, 2017, The Texas Health and Human Services Commission (HHSC) has listed its new and approved payment rate changes (decrease in payment rates) for the following providers as identified in the below list. HHSC has exempted the rates for the Consumer Directed Services (CDS) option from these rate reductions. All providers should share with any CDS employers to whom they provide any HCS or TxHmL services that the CDS option is specifically exempted … [Read more...] about Approved Rate Reductions in the HCS and TxHmL Waiver Programs (Effective August 1, 2017)
Participant Surveys Concerning Medicaid Home and Community-Based Services (HCBS) Settings
Information Letter No. 16-33Participant Surveys Concerning Medicaid Home and Community-Based Services (HCBS) Settings The purpose of this provider information letter (IL) is to remind CLASS, DBMD, HCS, and TxHmL program providers the Texas Department of Aging and Disability Services (DADS) has contracted with the Public Policy Research Institute (PPRI) at Texas A&M University to conduct HCBS participant face-to-face surveys with randomly selected 1915(c) waiver program participants. The … [Read more...] about Participant Surveys Concerning Medicaid Home and Community-Based Services (HCBS) Settings
Transition of MDCP Long Term Services and Supports to Managed Care
Information Letter No. 16-27 Transition of MDCP Long Term Services and Supports to Managed Care Beginning November 1, 2016, children and young adults under the age of 21 who receive:•Supplemental Security Income (SSI),•disability-related Medicaid, or•MDCP services will transition from traditional fee-for-service Medicaid or STAR+PLUS to the new STAR Kids managed care program to receive their Medicaid State Plan and waiver services.Participation in managed care does not impact an individual's … [Read more...] about Transition of MDCP Long Term Services and Supports to Managed Care
Discontinuation of the Intellectual Disability/Related Condition Purpose Code E
The purpose of this information letter (IL) is to inform Home and Community-based Services (HCS) providers, Texas Home Living (TxHmL) providers and Local Intellectual and Developmental Disability Authorities (LIDDAs), effective November 1, 2015, the Department of Aging and Disability Services (DADS) is discontinuing submission of Purpose Code E (PC E) Intellectual Disability/Related Condition (ID/RC) forms to cover a gap in ID/RC authorization time periods. No other ID/RC purpose code … [Read more...] about Discontinuation of the Intellectual Disability/Related Condition Purpose Code E
2014 Cost Report and Cost Report Preparer Requirements
This letter is being distributed through an electronic communication from DADS and contains information on 2014 cost reporting and preparer requirements for the following programs: · Community Based Alternatives (Home and Community Support Services only) (CBA HCSS); · Community Living Assistance and Support Services (CLASS) Case Management Agency (CMA); · CLASS Direct Service Agency (DSA); · Day Activity and Health Services (DAHS); · Home and Community-based … [Read more...] about 2014 Cost Report and Cost Report Preparer Requirements
