March 15th, 2026

From Twogether Consulting

Hello Everyone!

It’s almost time for St. Patrick’s Day, Spring Break, and March Madness college basketball playoffs!  Here is hoping for more rain and more bluebonnets across this great state of Texas.

Just a few reminders: Again, please don’t forget that STEPS went live on February 2nd, 2026, and replaced STAIRS.  STAIRS historical information for cost reporting will not be available anymore after April 30th, 2026.  Please don’t wait til the last minute to download your reports or information for 2025.

In addition, cost reports are due in May as well.  All the more reason to download your reports before April 30th, 2026. I know many providers may do their own cost reports, but if you do need help finding someone who can complete your cost report, please contact us (sooner rather than later). We can put you in touch with some great people.


Thanks so much to those of you who attended our RN Delegations, Host Home Exemptions, and Other Determinations Webinar.  If you missed this session and would like to see it, we do have the recorded session and handouts available for $65.   We would like to apologize for the delay in getting out a recording for our webinar from March 9th, “HCS TAC Ch 263: Tips & Recommended Updates To Policy & Procedure” to the registrants for the session.  I think it went really well, but due to technical difficulties, iGoToWebinar did not record the entire session.  I will be recording the webinar again and sending it out to those of you who registered and would like a copy, within the next few weeks.  It will be available for purchase as well ($75).

We are considering adding a live in-person session in April or May in Dallas.  Most likely these sessions will center around care coordination and nursing.   If you have any suggestions or questions, please email us at info@twogetherconsulting.com. Here are our April training dates so far.

April 2026 Training Coming!  (These classes will be posted on the website by March 23rd, 2026)

Webinar:  “Development Of The Comprehensive Nursing Assessment & NSP” (HCS/TxHmL) April 13th, 2026  (10 am- 12:30 pm)

Webinar: “Nursing Documentation & Billable Services” (HCS/TxHmL)April 17th, 2026 (1pm-3:30pm)

Live Training:  “Admissions & Post Admission Follow-Up: Best Practices” – April 30th & 31st, 2026    Location:  Austin, Tx  (2 days)


Again, I wanted to invite everyone to attend this year’s American Association of Intellectual & Developmental Disabilities (AAIDD) Texas Chapter’s  Annual Convention.  This will be our 50th year of the AAIDD Texas Chapter.  This year’s convention is 50 Years of Inclusion: Honoring the Past, Celebrating the Future.”  We are planning to have some amazing presenters, including self-advocates as well as breakout sessions for providers, LIDDA’s, and individuals with IDD, and their families.  This year’s convention will take place in Corpus Christi at the Omni Hotel, August 18th-21st, 2026, so please save the date.  For a recap of last year’s convention, please click on this link:https://www.aaiddtx.org/2025-convention

Please note that AAIDD members receive a discounted registration rate to the annual AAIDD Texas Chapter convention, so if you would like to join AAIDD, please go to https://www.aaiddtx.org/about for more information and to become a member. This year, we will be giving a free raffle ticket to all newly registered AAIDD members who then register to attend this year’s AAIDD Texas Chapter convention. You will receive your ticket at the registration table at the convention in August.  The raffle ticket is good for a free entry into our “New Membership Raffle” to win a fantastic prize worth $250.  We will be announcing the prize available to win when the registration for the convention is posted on the AAIDD Texas Chapter website.

For anyone interested in presenting at the convention this year, please contact Pat Holder at: patholder@austin.rr.com. Registration and vendor information will be available in the near future, as well as topics for breakout sessions and keynote speakers. Stay tuned and you may also check the website at: https://www.aaiddtx.org/


Note: As of February 1st, our hourly off-site consultation fee has increased to $90/hr.  We have updated the website concerning this rate change. Feel free to contact us at info@twogetherconsulting.com to request an appointment for consultation, or you can email our administrative assistant, Meghan Jones, to make an appointment at:  meghanjones.tx@gmail.com

Please continue to check our website for webinars and live trainings.  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 contact Meghan Jones at: meghanjones.tx@gmail.com.  Most of these pre-recorded sessions run $65-$75/person.  We can provide the handouts as well as a link to the recording, once you have paid.  Please notify Meghan Jones, for payment and to receive the link to registration for the training on “Gotowebinar” and handouts for the 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
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