November 22nd, 2020
COVID-19 Guidance for Activities, Dining, and Volunteers for the Holidays (PL 20-53)
HHSC publishes Provider Letter 20-53 Guidance for Activities, Dining, and Volunteers (PDF). The letter outlines provider responsibilities for resident activities, including communal dining and holiday-related activities.
The letter also gives specific stipulations on the use of volunteers and guidance on the protocol for residents who leave a facility.
This guidance can be used as a general reference through the duration of the COVID-19 pandemic.
November 22, 2020
HCS Training Webinars on the TAC Principals for November 2020
9.178 Quality Assurance
9.173 Rights of Individuals
9.174 Service Delivery
9.181 and 9.182 Administrative Penalties and Amelioration
October 11th, 2020
IPC COVID-19 Policy Guidance for CLASS, DBMD, HCS and TxHmL Programs
HHSC is not requiring a face-to-face meeting with an individual or their legally authorized representative for individual plan of care revisions. This is per COVID-19 guidance IL-20-11.
In addition, until further notice by HHSC, signatures from the individual or the LAR on the IPC or supporting documentation is not required before submitting to HHSC.
All required signatories that are not the individual or LAR (SC and Provider Representative) must sign the IPC and supporting documentation before submission.
For meetings currently conducted by phone or videoconference to revise an IPC, required individual or LAR signatures on the IPC and supporting documentation can be done electronically, by fax, by mail, or in person if face-to-face restrictions have been lifted and it is safe to do so. If unable to obtain a signature by the methods mentioned, document the following:
- The date of the meeting held by phone or videoconference
- The reason for the meeting and what was discussed
- If the individual or LAR agree with the services as indicated on the revised IPC
Information Letter No. 20-42
Residential Services During COVID-19
September 15th, 2020
Abuse, Neglect, and Exploitation Competency Training and Exam
Now Available in Spanish!!
HHSC’s Abuse, Neglect and Exploitation Competency Training and Exam is now available in Spanish.
This training is designed to meet the basic ANE training requirements for staff providing direct care in a community setting.
To access the training and exam:
- Go to the Texas HHS Learning Portal
- Staff members, service providers and volunteers must first sign up on the Learning Portal to access HHSC-approved trainings, if they have not already created an account.
- Click “Medicaid Long Term Services and Supports Training” and select “Curso para la prevención del abuso, negligencia y explotación (ANE)” to access the ANE training and test in Spanish.
ANE Competency Training & Exam
The training and exam requirements for the following long-term services and supports programs can be found below:
Home and Community-Based Services
TAC §9.175 Certification Principles: Requirements Related to the Abuse, Neglect, and Exploitation of an Individual
Texas Home Living
TAC §9.585 Certification Principles: Requirements Related to the Abuse, Neglect, and Exploitation of an Individual
Reporting a Death to HHSC in the HCS/TxHmL Programs
September 3rd, 2020
To report a death, HCS/TxHmL providers should complete Form 8493, Notification Regarding a Death in HCS, TxHmL programs by the end of the next business day following the program provider becoming aware of the individual’s death. Then fax the completed form to HHSC to 512-206-3999according to the newest version of form 8493 that was updated in May of 2020.
FYI-The previous fax # was 512-438-4148, which is still noted on the HHSC website as of now. Please make sure you are faxing to the fax # listed on form 8493.
August 10th, 2020
HHSC Postpones the Implementation of Administrative Penalty Rules for HCS and TxHmL Providers
Due to COVID-19, HHCS is delaying the implementation of the administrative penalty rules for HCS and TxHmL providers until January 1, 2021.
If you missed the most recent webinar for Home and Community-based Services and Texas Home Living providers Long-term Care Regulation to discuss questions and answers related to administrative penalties on July 9th, please register to watch recorded session below.
If you missed the initial Joint Provider’s webinar on June 25th discussing Administrative Penalties, you may see the webinar recording of the session below.
A recording of June 25, 2020, HCS and TxHmL Joint Provider Training on Administrative Penalty Rules webinar is available for those unable to attend.
June 7th, 2019
Revised: IL20-11 Temporary Guidance Extended Through Oct. 30 for IPC’s & IDRC’s
To ensure people do not experience a gap in services due to the temporary suspension of face to face service coordination visits for COVID-19, the Texas Health and Human Services Commission will extend Intellectual Disability/Related Condition assessments and individual plans of care expiring at the end of June 2020. This is for people enrolled in the Home and Community- based Services Program or the Texas Home Living Program.
HHS revised IL20-11, Extensions of Eligibility and Individual Plan of Care Revisions for Individuals in HCS and TxHmL Due to COVID-19 (PDF). It was previously issued on March 26 and extends the temporary guidance through Oct. 30, 2020.
Call the IDD Program Enrollment Support message line at 512-438-2484 for ID/RC assessment questions.
Call the IDD Utilization Review message line at 512-438-5055 for IPC extension or revision.
Billing Guideline Updates For HCS
The HCS, TxHml, and CFC billing guidelines have been updated effective Nov. 15, 2019. A summary of the revisions can be found on page 25 of the CFC PDF, page 147 of the HCS PDF and page 129 of the TxHmL PDF. Send questions about the billing guidelines to HCS.TxHml.BPR@hhsc.state.tx.us.
TAC Updates for HCS
Effective Oct. 1, 2019
Texas Administrative Code has been updated effective Oct. 1, 2019.
Locate program rule updates at 40 TAC Chapter 9 – Home and Community-based Services and Texas Home Living Programs and 40 TAC Chapter 49 Contracting for Community Services.
Please pay particular attention to 9.175 (ANE Reporting Rules) in HCS and changes to Tac 9.178 Quality Assurance
Please see the link below to verify the current TAC changes.
Email firstname.lastname@example.org with your questions.
HHSC Launches IDD Operations Portal for HCS, TxHmL, ICF-IID, CFC Non-Waiver Providers and LIDDAs
The Texas Health and Human Services Commission are pleased to announce the 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.
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.