December 2nd, 2025

From Twogether Consulting

Hello Everyone!

Happy Holidays!.  Hope everyone had a wonderful Thanksgiving. Winter is coming.  Temperatures will be pretty low this week in some areas of the state.  Some of you may be seeing freezing temperatures.  Don’t forget to make sure you and your individuals bundle up when going out, and make sure you spend the time to ensure you have taken precautions for the prevention of frozen pipes in your group homes.  You will also need to remember to include “winter freeze” in your Emergency Planning considerations.  Be sure to update plans for shelter-in-place and evacuation procedures and ensure that staff are trained.

Many of you are going through HCS or TxHmL survey, so I included some focus areas of surveyors that providers have reported to Twogether Consulting in the past few months on our “Updates” page on the website.  Please click on this link for more information:  Tips Concerning Survey Expectations For HCS Providers.   (We do also discuss some areas that apply to TxHmL providers as well as HCS).

Holiday Season Availability:

We will be closed from December 17th, 2025-January 4th, 2026.  (Posted Webinar dates are still applicable)

During our break, email us of course, and we will be checking it periodically, but we will not be taking on any new client projects or assignments these days, as no one will be available in the office. If you already have scheduled dates and projects with us during that time, we will still be providing those services.  We do have other consultants that may be available during those times to refer out to, so please email us at info@twogetherconsulting.com or my regular email address for those of you who already have it.

In addition, I will be unavailable from January 6th-January 15th, 2026, but our other consultants will be available.  Just contact us by email at info@twogetherconsulting.com if you need assistance during this time or contact Meghan Jones at:  meghanjones.tx@gmail.com


Due to so many people asking for some nurse training sessions we presented our  HCS/TxHmL nurses webinar series over the last few weeks.  These were presented on Nov 3rd, 4th, 5th, and 11th, 2025. The recordings and handouts are available upon request.  This is great training for new and current nurses, new owners, program managers, QA staff, and more. There are 4 total sessions below.

Please contact Meghan Jones at: meghanjones.tx@gmail.com.  The cost is $65/person.  We can provide the handouts as well as a link to the recording, once you have paid.  After you have paid, please notify Meghan Jones, so we can send a link to registration for the training on “Gotowebinar” and all handouts.  See payment links below

If you missed the webinar, please pay with the payment links below for the class you have chosen.  We can then send registrants a link to the recorded session and a copy of the handouts after the session.

Recorded Sessions in Nursing Training Series:

2 hrs Expectations of The Nurse- Part I (HCS/TxHmL)  Payment For Registration

2 hrs  Expectations of The Nurse-Part II RN Delegation & HH/CC Exemption (HCS/TxHmL)  Payment For Registration

2.25 hrs  Developing the Comprehensive Nursing Assessment & The Nursing Service Plan (HCS/TxHmL) Payment For Registration

2.5 hrs Nursing Documentation & Billable Services (HCS) Payment For Registration


We are still available for facility and 1 on 1 requests for webinars and live training in November, but we will be taking a break from the live on-site trainings, from December 2025 through January 20th, 2025. We will, however, still be having some webinars in November and December.  Remember, for all scheduled webinars and our general live sessions open to the public, you can view all calendar postings on our Twogether Consulting website. 

Here are the webinars for December & January.  Some are not posted yet

ISS: TAC Changes: Updates, Clarifications, & Survey Expectations – moved to January 28th (10am-12:00pm) 

Host Home/Companion Care Service Provider: Job Descriptionmoved to January 19th, 2026 (10am-noon)

Study Prep Session: Provider Applicant Test For HCS/txHmL Programs- moved to December 18th, 2025 (6pm-8:30pm)

Free IDD Provider Resource Webinar: Hosted By Twogether Consulting “Enable Dental On-Site Services” Presented by Lynn ClouserDecember 12th, (Noon-1pm)

 

Please continue to check our website for these sessions.  We will post them on the website “calendar” page

We have a variety of pre-recorded webinar trainings for program managers, case managers and nurses, and direct care,  so feel free to email us at info@twogetherconsulting.com to inquire. Let us know what areas of training you would like, to help us plan future sessions.

Here are just a few of the recent pre-recorded webinar trainings available for purchase:  “Admission, Post-Admission & Other Follow-Up Requirements-HCS Program”, ICAPs/LON’s/IDRC’s-ICF Program” (Also have for HCS program), “Development of The Comprehensive Nursing Assessment & Nursing Service Plan-HCS or ICF”, “Best Practices For HCS Providers: How To Remain In Compliance With TAC Ch 565”, “Role & Responsbilities of The Q”,  “Surrogate Decision Making Process, Rights Restrictions & Immediate Jeopardy-ICF Program”, “Licensed ISS Providers: What You Really Need To Know.”, We also have a ore-recorded 5 part Care Coordination/Case Management series as well for the HCS program. All of these sessions and many more come with handouts as well as the link to the pre-recorded session

Please see our “Updates” section of the website for the latest news for IDD providers.

 Please feel free to e-mail us or contact Meghan Jones to schedule an appointment for consultation.  We have consultants available to provide consultation for HCS, TxHmL, ICF, and (some CLASS as well).  Please contact us directly for your care coordination, QIDP, direct care, and nursing needs or training at info@twogetherconsulting.com or you may contact our assistant, Meghan Jones at meghanjones.tx@gmail.com
We are happy to say that we will continue to provide whatever assistance we can with questions you may have, especially concerning HCS/TxHmL Care Coordination, Nursing, or general survey requirements from LTCR department in these programs.  We continue to assist those working with the ICF/IID program as well. We are currently providing both on-site in-person training at this time as well as in-person live training that is open to all providers.
FYI-We do still provide “mentoring” assistance for program managers, case managers, and especially for nurses.  We continue to provide nursing trainings and we can refer you out to our partner RN consultants, Nursing Innovations, who provide IDD nursing consultation, mentoring, and/or training for HCS, TxHmL, and ICF.  If you have new staff or nurses who need training quicker than classes posted on the calendar, please let me know and we do offer some of our previously recorded sessions for a low cost, which includes the handouts.   We are happy to schedule one-on-one training sessions and mentoring with one of our consultants.  We can also refer you to another resource, if more appropriate.  Twogether Consulting also continues to provide assistance with applying to become an HCS/TxHmL waiver provider.
For HCS Providers who want to purchase specific services and/or specific forms we have on our website, may go to the following link “purchase services” page. If you are having issues downloading forms, please feel free to contact us at info@twogetherconsulting.com and I will be happy to send them to you.
Thank you,
Julie Blacklock/ Owner & IDD Waiver Consultant