New MCO’s & New MCO Locations

by | Mar 14, 2024

March 14th, 2024 MCOs Awarded Contracts by STAR+PLUS Service Areas:   See the end of this communication for the MCOs awarded a contract and the service areas they will cover. Please note that not only will there will be 3 new MCOs (highlighted in yellow), but also that the service areas for some of the current MCOs are changing. Notices to Individuals regarding the Change:   According to HHSC letters were sent to STAR+PLUS members (individuals who receive their...

Local Authority Contract Change: Potential Threats to Health and Safety

by | Mar 12, 2024

March 12th, 2024 Local Authority Contract Change: Potential Threats to Health and Safety (new). (SOW, 2.6.4.). The contract includes a new provision requiring the Authority to respond and immediately take action, as identified in correspondence from HHSC, related to Notifications of Potential Threats to Health and Safety. The procedure and actions taken must ensure the individual is seen in person within 48 hours. LIDDAs have requested clearer direction from HHSC...

PEMS: Update On HCS Revalidations For Current Providers

by | Mar 11, 2024

March 11th, 2024 The notice below provides an email address/box for providers to use in obtaining assistance with the revalidation process, please remember to contact HHSC’s oversight email box to report any inconsistencies you receive from TMHP representatives regarding practice locations, site visits and payment holds.   That email address is:  oversight@hhsc.state.tx.us (HCS) Providers May Continue Submitting Service Claims While Completing Medicaid...

ICF/IID Updates

by | Mar 10, 2024

March 10th, 2024 ICF/IID ANE Webinar- Very Important! Reporting Abuse, Neglect, Exploitation Changes and Self Reporting Incidents for Intermediate Care Facilities Thursday, March 21 2–3:30 p.m. Register here for webinar. HHSC Long-term Care Regulation has published Provider Letter 2024-04 Revised (Replaces PL 17-02 and 17-03) Revised Process for Reporting and HHSC Investigations of Abuse, Neglect, and Exploitation for Intermediate Care Facilities for Individuals...

Resource Sheet: Person-Centered Language From IntellectAbility

by | Mar 8, 2024

March 8th, 2024 Our friends at IntellectAbility created this wonderful tool which I think Service Coordinators, Case Managers and QIDPs will really find helpful when developing their plans for individuals in their programs.  These include Person-Directed Plans, Implementation Plans, and Individual Program Plans. Please Click this link, Person-Centered Language: Resource Sheet to learn more about this tool from Intellectability   For more about Person-Centered...