STATEWIDE TRANSITION PLAN: HCBS

January 16th, 2023 Statewide Transition Plan CMS requires states to submit a transition plan describing the state’s planned initiatives and activities for achieving compliance with the federal HCBS Settings Rule. HHSC has received initial approval of its transition plan and has updated the plan to include additional information required for CMS to grant final approval. This version of the STP includes new information about site-specific assessments, ongoing...

TMHP Portal Town Hall Meeting on 1/11/23: Helpful Information From This Session

January 16th, 2023 Helpful Information:  From TMHP Portal Town Hall Meeting on 1/11/23 -A representative from one of the LIDDAs  (Alamo Area Council of Governments) relayed the following information: If an individual moves from one LIDDA to another (LIDDA to LIDDA transfer) and they are going to new HCS or TxHmL provider, the old LIDDA has to do INT form 1st and then the new LIDDA has to do the transfer to the new provider.  These things must happen in this order,...

When Will HCS New Rules and Status of Statewide Transition Plan (STP) Be Adopted?

January 16th, 2023 Adoption Date of HCS Rules and Status of Statewide Transition Plan (STP):  gave HHSC preliminary approval of its STP on 12/21/2022.  The STP will be posted for public comment this Friday (Jan. 20th, 2023). It is unclear when the HCS rules will be adopted. See graph of draft rules below (pages 12-17 for HCS).  Includes CLASS, TxHML, MDCP, and DMDB programs as well. Appendix A: Home and Community-Based Services (HCBS) Settings Statewide Transition...

ISS Updates & New Rules (HCS/TxHmL)

January 16th, 2023 Questions concerning ISS and to the recently published IL 2022-03 – ISS Automatic Service Authorizations and EVV for In-Home ISS in OHFM Settings  HHSC asked the 3 IDD associations to send them a list of questions.  If you have not already, please send your questions to your provider associations (PPAT, PACSTX, and TCDD). Questions to which answers have been received are as follows: The ‘new’ IPC referenced in IL 2022-03 will...

HCS/TxHML: /TMHP Recoupment, Due To Overpayment

January 15th, 2023 TMHP Recoupment Letters Recoupment Letters:   Upon request, TMHP will send a list of affected/over-paid claims to providers. Providers who experience any issues receiving the list should contact Marie Redman at HHSC (marie.redman@hhs.texas.gov). HHSC urges providers to keep their ticket numbers.  Why? Because the calls are recorded, and if there’s an issue, the ticket number allows HHSC to listen to the call associated with the ticket...