Twogether Updates

BenefitMall

 

 

  Brittany Brown/Medicaid Waiver Program-Payroll Specialist

How can BenefitMall help?

Assistance to HCS/TxHmL/and DH providers with their HR needs as well as payroll. Benefits Mall has some exciting new products for a very low cost that can possibly make a huge difference in ensuring quality assurance with your HR services and needs! Not all payroll companies are created equal. Brittany Brown is our contact at BenefitMall, and she is THE expert in working with Medicaid Waiver Programs.

Information on specific areas with your program that BenefitMall can assist you with.  Please give Brittany a call for more information and assistance:

  • Payroll cash flow issues
  • What does the IRS Tax Code really say about paying host home/foster parents and how can we alleviate some of the anxiety parents experience around their payments
  • Tracking employee time – dealing with employees working multiple division at different rates
  • Labor allocation to help ease the pain with cost reporting
  • Work Opportunity Tax Credits (WOTC)
  • So much more!

Contact Information for Brittany Brown

Cell:  832-425-6410          Email: brittany.brown@benefitmall.com

 

 

Very Important HHSC Alerts!

HHSC Launches IDD Operations Portal for HCS, TxHmL, ICF-IID, CFC Non-Waiver Providers and LIDDAs

The Texas Health and Human Services Commission is pleased to announce implementation of the Intellectual and Developmental Disability Operations Portal. Local Intellectual and Developmental Disability Authorities, Home and Community-based Services, Texas Home Living, Intermediate Care Facility for Individuals with Intellectual Disabilities providers may begin registering to use the IDD Operations Portal starting April 1, 2019.

The IDD Operations Portal is an online system that allows secure submission of electronic documents to and from the IDD Program Eligibility and Support and IDD Utilization Review departments. This portal is not replacing any of the systems you use today, such as TMHP or CARE. It is intended to result in a more timely and efficient submission of documents, and allows providers to check the status of submissions online.

A staggered implementation is happening now. Providers and LIDDAs with DBAs starting with C-G can now register for portal access.

Please see the full implementation schedule detailed in the information letter listed here.

Scope and Severity Webinar Now Available

HHSC is currently offering a webinar to explain scope and severity for providers impacted by House Bill 2025, 85th Texas Legislature, Regular Session, 2017. The training is designed specifically for providers for whom scope and severity is new to the survey process.

Register for the Scope and Severity Training for ALF, DAHS, ICF/IID and PPECC Providers webinar to see available dates and times here.

Please continue to monitor the website for additional dates and times if you are unable to participate during the dates currently being offered. The webinar will be offered on a regular basis for the next few months.

Changes to the MWH-IDD Website where TIC Training is Accessed

HHSC Long-term Care Regulatory has issued Provider Letter (PL) 19-08: Trauma-informed Care (TIC) Training to replace PL 16-15. The PL informs providers of changes to the Mental Health Wellness for Individuals with Intellectual and Developmental Disabilities websitewhere TIC training is accessed.

This PL is addressed to Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions providers. Read the details of this PL here.

Person Centered Planning/ Practices

Person Centered Training Opportunities

Person Centered Planning/Practices Training (Hill Country MH/DD Center’s HUB) Person Centered Planning/Practices Training

Good News!!! Free Live Trainings For Person Centered Training are still available from Hill Country MH/DD Centers’ HUB.

They continue to provide free 2-day Person Centered Planning/Practices Training again, so if you have’t met compliance yet with rules and regulations on getting anyone involved with development of the Implementation Plan trained, here is your chance!

They have continued to provide these trainings as of April, 2017. They received funding to start supporting 9 additional people at Hill Country to become Person Centered Thinking trainers. Woo hoo! “

Here are the dates for the Person Centered 2-day trainings we received from Debbie Little Smith/IDD Specialist at Hill Country MHDD Centers. April and May of 2019:

2-day training The Hill Country Transition Support Team (aka “hub”) is pleased to announce that we will be sponsoring four 2-day Person Centered Thinking trainings during April and May, 2019. The attached flyers contain detailed information about these trainings.

All four trainings are free and meet HHSC criteria for Person Centered Practices training for persons who are developing plans of service.

1st training for April was in Victoria, Tx earlier in the month.

The second training will be offered on April 23rd & 24th in San Antonio, Texas. The link to register is: https://pct2019sa2.splashthat.com/

The third training will be offered on May 8th & 9th in Victoria, Texas. The link to register is: https://pct2019vic2.splashthat.com/

The fourth training will be offered on May 29th & 30th in San Antonio, Texas. The link to register is: https://pct2019sa3.splashthat.com/

Please feel free to share this information with people who receive services, their friends and family, and those who provide services. Everyone is welcome! 12 CEU’s for SW’s and LPC’s

New dates, flyers, and registration links will be available for those of you who are interested as I receive updates. I will post it in our monthly newsletters as well. Please remember this is not being presented by Twogether Consulting, this is a service provided by Hill Country MHDD Centers IDD Training HUB.”

HHSC Person Centered Planning/Practice Training Information

What Training Is Required?

Online Introductory Course

The Texas Health and Human Services Online Introductory Course is appropriate for any member of the planning team, including:

  • Legally authorized representatives
  • Family members
  • Friends
  • Nurses (required in some instances)
  • Behavior specialists (required in some instances)
  • Employment specialists (required in some instances)
  • Attendants (required in some instances)
  • Direct support professionals (required in some instances)
  • Anyone asked to be a member of the planning team

Note: To access and complete this free online training, please go to the HHS Learning Portal, create a user login, and follow instructions to complete the training.

 

Person-Centered Thinking Classroom Course

To register for the Person-Centered Thinking 2-day classroom course, please go to the HHS Learning Portal, create a user login, and follow instructions to register for a class that is most convenient to your location. Begin Training An introductory course also is offered by DirectCourseOnline. The online offering includes courses in Person-Centered Counseling (PCC) and Person-Centered Thinking and Practice. There are 12 lessons in all.

HHS Approved Full Training

The following training is approved by Texas Health and Human Services for people required to take the full training, specifically case managers, service managers and service coordinators. If you would like to submit a training course to HHS for approval, email: Medicaid_HCBS_Rule@hhsc.state.tx.us. Remember to keep your training certificate.

Live Classes

Please go to www.twogetherconsulting.com for more information and registration.

There are no live classes posted at this time.  Next live Sessions will be:

” HCS Provider Applicant Prep Session” to be announced in the near future most likely in May of 2019.

“Care Coordination in the HCS Program” 2 day session in Austin or San Antonio

 

Please remember the following for Payments and Registrations for any classes:

Payment:

We would be glad to invoice you, so you can pay via credit card, debit card, or paypal account or you may pay by check.  Please indicate how you will paying when you register with Meghan Jones.

You may also pay online by going to our HCS  “About Us” tab and clicking on “payment” tab on the drop down menu.  Or you may click on the direct link to the “payment” page.  http://twogetherconsulting.com/payments/

Remember to enter in in total $ amount for # of attendees.  Ex:  2 people want to attend x $125 =$250 total. If you have any problems, please ask Meghan Jones to walk you through when you call to register.  Please contact us directly about group rates.

Registration:

Please register now for early bird registration price- $200! Price goes up to $225 after April 8th, 2018!!

You must contact Meghan Jones at: meghanjones.tx@gmail.com

to complete registration and for any additional information or to arrange payment by check, you may contact Meghan by phone at: (361) 649-5104
Mailing address for checks: Twogether Consulting P.O. Box 90426 Austin, TX 78709

Webinars

Please go to www.twogetherconsulting.com for more information and registration. 
“Changes Coming To The Survey Process” ( HCS/TxHmL): May 17th, 2019 ($40)
-Includes Status of Administrative Penalties 
“Responsibilities & Communication Timelines”  Provider Vs. LIDDA /SC (HCS)  May 20th, 2019  ($40)
“Changes In Billable Services” 2019 Update  (HCS/TxHmL)  May 15th, 2019  ($40)
“Nursing Assessment & Care Planning For Diabetics” (HCS/TxHmL/ICF)  June 3rd, 2019   ($55)
And of course our June class below for Host Home Providers and HCS Providers, which is posted on the website already!

Host Home/Companion Care Provider:  “Job Expectations as an HH/CC Contractor For an HCS Provider”  WEBINAR

(Rescheduled from March 29th, 2019)

  • Day 1: June 24th, 2019

Trainer:  Julie Blacklock/IDD Waiver Consultant

Time:  10:00 am-12:00 am (Central)

(Question & Answer from 11:45 am-12:00 am)

TOPICS:

So you want to become a Host Home/Companion Care provider for the Home & Community Based Services Program, but you don’t really understand what is expected of you.

Here are the topics we will discuss today:

-Who is eligible to provide HH/CC services?

-What is the purpose of HH/CC services?

-What really is your job description?

-What are you liable for as an HH/CC provider?

-What is your interaction with the nurse and why do you even have to interact with a nurse at all?

-What does the nurse expect of you as an HH/CC provider, if your individual does have nursing services?

-What type of paperwork will you be expected to turn in and why?

-Who gets your paperwork and who has the right to look at your documents turned in?

-Where do I document?

-What is appropriate documentation and what kind of activities are billable under HH/CC services?

 

HCS Survey Review Process, Billing Guideline Changes Summary & Provider User Guide for CARE

 

Survey Process:  Timelines

By May 1, 2019: Implementation of new WS&C survey process for HCS & TxHmL) (trial period)

By September 1, 2019: Full implementation of new WS&C survey process for HCS & TxHmL.

Summary of Billable Guideline Changes

Please go to the following link for a summary of changes to the billing guidelines:
https://hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/providers/resources/stakeholder/idd/summary-proposed-billing-guidelines-changes.pdf

HHSC Provider User Guide (CARE)       

Please go to the following link:

https://hhsportal.hhs.state.tx.us/helpGuide/Content/16_CARE/WaiverPDF/HCS%20Provider%20User%20Guide.pdf

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ADP Services

ADP

For those of you looking for payroll and HR services for your HCS , TXHmL, and ICF Programs, especially in the Houston and surrounding areas, I urge you to contact Laura Throneberry at ADP about these services and more.  She is our contact and works with HCS/TxHmL provider client base in the Austin and Houston area for the most part, and their specific needs.  She does work with providers in other parts of the state as well.

ADP can help you with everything from payroll, to employee handbooks for your company, to tracking items due for your HR files, etc… Whether you are new, small, or large business we could all use some help.  At a time when Providers really need to watch every penny, it is nice to also be informed or updated about changes coming!

Here is some helpful information from them:

90% of all state and federal class or collective actions are wage and hour claims.

Get more info about this statistic here- http://www.adp.com/tools-and-resources/adp-research-institute/insights/insight-item-detail.aspx?id=4A78647D-DE35-4DBC-B408-6C20DCBEA9B0

This could be EVEN BIGGER thanks to an app released by the DOL (Department of Labor) that allows employees to independently track their time and attendance and compare them to what they are paid! If they find discrepancies they can directly report their employer to the DOL!

With the Return on Investment our employers get just by avoiding these compliance issues…ADP Time Labor Management pays for itself!!! Using time clocks will also help with  upcoming audits for the ACA (Affordable Care Act) that are due OCTOBER 1st for EVERY EMPLOYER NEEDLESS OF EMPLOYEE COUNT!

If you would like more information about our payroll systems, time labor management, and what the Return on Investment looks like for your company, please feel free to reach out to me at any time!

ADP

Laura Throneberry at: Office: (512)-795-6764 or Cell:  (713) 517-4715 or you can email her at : laura.throneberry@adp.com 

https://www.adp.com/

 

 

On-Site Trainings Available Upon Request

Live Trainings On-Site (Please contact us if you want us to provide these trainings on-site for your program):

Care Coordination in the HCS Program, Using Person Centered Thinking To Develop The IP (Implementation Plan), Changes in the HCS Progam, Quality Assurance, Changes in The Survey Process In HCS (we are adding one for ICF), Changes in The Billing Audit Process in HCS and TxHmL, Nursing in HCS/TxHmL Programs, Common Nursing Errors In The HCS/TxHmL Programs & Corrective Action Planning, ICAP/IDRC/ and LON Increase Packet Training.

ICF: The Role & Responsibilities of the QIDP, DIT on Active Treatment, Changes To the ICF Surveyor’s Guide-Appendix J- “How It Affects Your Program”, as well as DIT Trainings-A/N/E, Expectations of The Nurse From The Direct Support Staff, “Common Nursing Tags in the ICF Program-How to Prevent & Correct Them“, Nursing In The ICF Program as well as ICAP/IDRC/ and LON Increase Packet Training.

Our Awesome Admin. Asst.

Meghan Jones

Meghan Jones is our awesome Admin. Assistant, otherwise known as our “Jill of All Trades”.  She handles our registration, keeps up with our enormous provider contact list, our company schedule and calendar, and she is our main point of contact for scheduling, other than myself.  We couldn’t make it without our Meghan!  I know many of you have talked to Meghan over the phone.

You may contact her to complete registrations, set up on-site visits from our consultants, request invoice sent to you directly, or for other questions at: meghanjones.tx@gmail.com

We Have New Services!

Twogether Consulting has added some new services this year to include:

  • Providing assistance with development of a ” Nursing Peer Review Process” for your program as well as  implementing the “Nursing Peer Review Process” if requested.

If you have 10 or more nurses working for your program (ICF, HCS, TXHmL, etc….), the BON requires the facility to have a “Nursing Peer Review Committee” to review Nursing Infractions and all facilities should have some kind of “Nursing Peer Review Process” in place.

 [NPR §303.0015 ]

“Any person or entity that employs, hires, or contracts for the services of 10 or more nurses (RNs, LVNs or any combination thereof) must have a Peer Review Plan; however, peer review of RNs is not mandatory if the facility employs less than 5 RNs. A person or entity required to have nursing peer review may contract with another entity to conduct nursing peer review.”

 What is Peer Review? [Nursing Peer Review (NPR) §303.001(5)]

Peer review is the evaluation of nursing services, the qualifications of a nurse, the quality of patient care rendered by nurses, the merits of a complaint concerning a nurse or nursing care, and a determination or recommendation regarding a complaint including:

  1. the evaluation of the accuracy of a nursing assessment and observation and the appropriateness and quality of the care rendered by a nurse;
  2. a report made to a nursing peer review committee concerning an activity under the committee’s review authority;
  3. a report made by a nursing peer review committee to another committee or to the Board as permitted or required by law; and
  4. implementation of a duty of a nursing peer review committee by a member, an agent, or an employee of the committee.

A Peer Review Committee may review the nursing practice of a LVN, RN, or APN (RN with advanced practice authorization).

There are two kinds of nursing peer review:

  1. Incident-based (IBPR), in which case peer review is initiated by a facility, association, school, agency, or any other setting that utilizes the services of nurses; or
  2. Safe Harbor (SHPR), which may be initiated by a LVN, RN or APN prior to accepting an assignment or engaging in requested conduct that the nurse believes would place patients at risk of harm, thus potentially causing the nurse to violate his/her duty to the patient(s). Invoking safe harbor in accordance with rule 217.20 protects the nurse from licensure action by the BON as well as from retaliatory action by the employer.

See revised rules 217.19 (Incident-Based Nursing Peer Review and Whistleblower Protections) and 217.20 (Safe Harbor Peer Review and Whistleblower Projections){http://www.bon.state.tx.us/nursinglaw/rr.html}

 

New Trainings now being offered by Twogether Consulting

  • Training (on and off-site) to Providers concerning Direct Care staff’ssurvey interviewer interaction with Surveyors during interviews and how this can affect the provider, particularly the nursing department, as well as preparing for the survey in general.  (HCS, TXHmL, and ICF)
  • Training (on-site) to Providers concerning “Nursing Expectations of Direct Care Staff and It’s Importance”  (HCS, TXHmL, and ICF)
  • Training (on and off-site) to Providers concerning Nursing Staff’s interaction with the Surveyors, particularly during the interview process with the nurse.  (HCS, TXHmL, and ICF)

TASKMASTER PRO “Cloud-Based” Services For HCS, TXHmL, ICF, and CLASS Providers

logo

As you all know, we often provide webinars for providers receiving TaskMaster Pro services and this year some exciting new changes are taking place.  We are having a webinar on January 28th to review some of the new changes added to the nursing component of TaskMaster Pro, which include Comprehensive Nursing Assessment addition.  For those of you who are not receiving TaskMaster Pro currently, we also provide free demos.

Developed by a provider for providers!

TaskMaster Pro is a web-based cloud computing system designed specifically for managing Waiver and ICF/DD programs. TaskMaster Pro was created by Larry Hill of Hill Resources in Abilene and his team. Through the internet, you will be able to access information and monitor activity from wherever you are and whenever you want and when regulatory changes occur or required forms are updated, TaskMaster Pro is updated so it will never be obsolete. Now this user-friendly, integrated system is available to you.

Request a TaskMaster Pro Demonstration

Manage your program anytime and from anywhere in the world with TaskMaster Pro!

This comprehensive, easy-to-use system has these features:

  •   Secure Communication Center
  •   Program Planning for QMRP’s, Case Managers, and Program Managers
  •   Complete Medical Module
  •   Psychological/Behavioral Module
  •   Service Delivery Log/Billing Waivers
  •   Client Budget
  •   Direct Care Reporting
  •   Incident/Accident Reporting
  •   Scheduling
  •   Report Tracking
  •   Human Resources
  •   Staff Development and Training Module
  •   Time and Attendance
  •   Electronic Data Signature
  •   Off-Site Secure Hosting
  •   Automated File Backup
  •  Customizable Access Control

Whether you have a large, mid-size, small or new start-up company, TaskMaster Pro will work for you!

For a FREE on-line demonstration of how TaskMaster Pro can save you time and money, please contact Julie Blacklock at  512-294-8032 or click on the Request a TaskMaster Pro Demonstration link to sign up.

Please note that before you can receive a demonstration, you must download and complete the Non-disclosure agreement and either fax the form to 512-291-9075 or scan it in and email it back to us available on our website: www.twogetherconsulting.com on the “TaskMaster Pro” page.