Offsite Investigations Requirements Same As Onsite

July 30th, 2022 HHSC Reminds LTC Providers of Offsite Investigation Requirements (PL 2022-15) HHSC has published Provider Letter 2022-15 – Offsite Review Responsibility Requirements (PDF). The letter reminds facilities and agencies that they have the same obligation to respond to an investigation that HHSC conducts virtually and offsite as they do during an investigation that HHSC conducts in-person and onsite. Read the PL...

How to Adjust a Previously Adjusted Claim: For Dates Beginning May 1st, 2022 (HCS/TxHmL)

July 30th, 2022 The TexMedConnect User Guide has instructions for adjusting a previously submitted claim with dates of service on May 1 or later. However, the guide does not have instructions for adjusting a previously adjusted claim. The user guide will be updated to include these instructions. In the meantime, follow the steps in the full alert for adjusting a previously adjusted claim in TexMedConnect. Read the full alert.

Non-Waiver Services on The IPC Must Be Entered Into LTC Online Portal (HCS Providers)

July 30th, 2022 Entering Non-Waiver Services in the LTC Online Portal in the HCS Program Effective immediately, Home and Community-based Services Program providers are responsible for entering all non-HCS Program and non-Community First Choice services into the HHSC data system. Non-HCS and non-CFC services data are entered in the “Non-Waiver” services tab of the individual plan of care in the Long-term Care Online Portal. During a meeting to develop or revise an...

FAQ’s For ARPA Retention Payments for HCBS & TxHmL

From HHSC: “The FAQ document has been updated to reflect additional questions that were received during the June 8, 2022 webinar. Some questions were similar so HHSC combined the main themes of questions received and provided the answer/response below. The FAQ has also been updated to reflect an extension of the deadline for the attestation and initial report. It was July 1, 2022 and has been extended to August 15, 2022. If you have a question not addressed...

ARPA Retention Payments Now Beginning: For Claims Processed in CARE from March 1st-April 30th, 2022

July 27th, 2022 American Rescue Plan Act HCBS & TxHmL Provider Retention Payments HCBS ARPA Payments in CARE/HCBS Enhanced FMAP Payments in CARE The Texas Health and Human Services Commission implements American Rescue Plan Act (ARPA) Home and Community-Based Services (HCBS) provider retention payments. HCS and TxHmL claims processed on the ID CARE system for dates of service between March 1–April 30, 2022, meeting the eligibility requirements for receiving...