Twogether Updates

1-Day Live Training For New HCS/TxHmL Program Service ISS & the HCBS Setting Requirements-Austin 02/10/23

HHSC Provider Monitoring will host a 1-day training for the new HCS/TxHmL Program service ISS (Individualized Skills and Socialization) and the new HCBS setting requirements. This training only for program providers (HCS, TxHml, & current Day Hab providers who will continue services with ISS) and LIDDAs This training will be held in person in Austin on Friday, 2/10/23. Location: Robert Bernstein Building 1100 West 49th Street Building K-100 Austin, TX 78756. The training capacity is 130...

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Joint Training From HHSC For Providers

January 31, 2023 Joint Training Page Available for HCS and TxHmL Program Providers The HCS and TxHmL programs now have a Joint Training Opportunities page where providers can register for upcoming classes. Class size will be limited to maximize participation, but classes will be offered regularly. Providers should check the page often for updates. There will be recordings of special presentations available for viewing on-demand later. Missed a COVID-19 training? Many COVID-19 presentations for...

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Twogether Consulting Webinars

Please go to www.twogetherconsulting.com for more information and registration. Click on  "the calendar" of the Webinar you want to attend.  ********We also have pre-recorded webinars you can purchase for use at your facility.  Please contact Meghan Jones at: meghanjones.tx@gmail.com for more information, registration, and payment.     February 2023   Common Nursing Violations:  Prevention & Correction  February 23rd, 2023 10 AM-12:00 PM (ICF/IID)     The HCS/TxHmL...

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PAT: Provider Applicant Test-Update 2023

January 30th, 2023 From HHSC's PAT FAQ's as of Jan. 1st, 2023 "Frequently Asked Questions for Providers Applicant Training (PAT) for HCS/TXHML" -When is the Provider Applicant Training (PAT) Online available? This training is now available online. The PAT training is the first step for applicants to obtain a contract with HHSC. Please do not submit your application without the PAT certificate that reflects a passing score of 85% or above. -Who can take the training? Applicants listed on Form...

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TMHP: HCS and TxHmL Waiver Programs: Trending Issue Support

  January 28th, 2023 HCS and TxHmL Waiver Programs:  Trending Issue Support, Volume 17 Trending Support Issues, Vol. 17: Access to PDF R&S and 835 Electronic R&S Reports, R&S Report Information and Videos Click on link below for full report https://www.tmhp.com/news/2023-01-27-hcs-and-txhml-waiver-programs-trending-issue-support-volume-17 Highlights from Vol. 17 Providers are encouraged to use both the PDF version and the American National Standards Institute (ANSI) 835...

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Migration of In-Home DH to In-Home ISS Update

January 27th, 2023 As of 1/27/23, there have been no new alert letters concerning the extension of temporarily waiving certain requirements for In-Home DH  due to the Public Health Emergency, past  January 31st, 2023. This was the date we were given in Letter No. 2022-55. My understanding is providers would receive notice at least 30 days prior to ending the PHE.  I am assuming at this time that the PHE will extend through Feb. 28th, 2023.  In-Home DH billing will discontinue in TMHP as of...

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HHSC Form 4719 Required for Fire Drills for ISS Providers

January 27th, 2023 HHSC Form Required for Fire Drills for ISS Providers Click on link below Form 4719 * Some providers have noted that this form seems a bit inappropriate for ISS providers as the form has locations that seem more appropriate for a "home" setting, as opposed to maybe a "building" used by a licensed ISS provider, but it does have a box for "other" locations.

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ISS Updates & New Rules (HCS/TxHmL)

January 27th, 2023 FYI- somehow I missed this alert back in November for Licensed ISS providers.  Please be sure to log in and set up your account. PL 22-32 letter issued 11/28/22 to ISS providers that was sent out concerning Blackboard Connect Emergency System The purpose of this letter was to inform providers of the emergency communication system called Blackboard Connect, how it will be used, and your responsibility in signing up for the system if you are an ISS provider. This system will...

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Blackboard Connect Emergency System (HCS, TxHmL, ICF, & DAHS-ISS Providers)

January 26th, 2023 FYI- somehow I missed this alert back in November for Licensed ISS providers.  Please be sure to log in and set up your account. PL 22-32 letter issued 11/28/22 to ISS providers that was sent out concerning Blackboard Connect Emergency System (This applies to HCS, TxHmL, ICF, & DAHS-ISS Providers among other services) The purpose of this letter was to inform providers of the emergency communication system called Blackboard Connect, how it will be used, and your...

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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 monitoring and oversight,...

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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, or it will hold things up in...

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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 Plan  ...

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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 number.  This is just one of the...

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On-Site Assessments of HCS Group Homes & Certain HH Settings From CMS

January 15th, 2023 Help With The New Residential Agreements Concerning the on-site assessments, HHSC plans to help providers with the soon-to-be required residential agreements. According to HHSC, the assistance is to ensure providers' agreements meet the minimum requirements of the rule.  There was no elaboration of the type help to be offered other than HHSC will reach out to each provider. HHSC further stated that an Information Letter would soon be posted directing providers to initiate...

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Initial Critical Incident Management Services (CIMS) User Account Email

January 14th, 2023 Have You Signed Up For CIMS (Critical Incident Management System)Yet?  There are still quite a few providers who have not done so.  HCS & TxHmL providers please do so right away. TMHP has stated that FEI Systems sent emails to required users who had yet to log into CIMS.  Some providers have indicated that they did not receive an email.  According to HHSC FEI Systems did send emails out using a DONOTREPLY/FEI email address.  If you did not receive this email, please...

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ISS (Individual Socialized Services) FAQ’s

January 13th, 2023 ISS FAQs:  Updated January 13th, 2023 HHSC posted updated FAQs for the new service. Read the FAQ here. If the above link does not work, the FAQs may be accessed at:  https://www.hhs.texas.gov/sites/default/files/documents/individualized-skills-and-socialization-faq.pdf August 23rd, 2022 Frequently Asked Questions HHSC shared during the ISS draft rules webinar on August 23rd, 2022. These are questions received during the ISS webinar on July 19th, 2022 Q1: Will current day hab...

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AAIDD Texas Chapter: Link To Follow Bills During The Texas 88th Legislative Session

January 12th, 2022 From our good friends at the Texas Chapter of AAIDD, some important info about the Texas 88th Legislative Session See actual TAAIDD link   Dion White, Center for Life Resources AAIDD Texas Chapter Board Member "Texas is home to more than 500,000 adults and children with intellectual and developmental disabilities (IDD). This legislative session will be very important to address specific changes happening within the IDD systems of care across the State. ​ Our system of care...

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Important- Recordings Available From HCS and ICF Webinar COVID-19 from HHSC

January 12th, 2023  January 12 Texas Medicaid CHIP COVID-19 Information Session. These sessions will continue to share information with stakeholders about the implementation of various Medicaid/CHIP flexibilities in response to the COVID-19 pandemic.  The audio from this session can be found here. Email us for transcript The presentation can be found here. Future meeting notices and information will continue to be shared on these sites, so please check back regularly. COVID-19 Provider...

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Employment Assistance & Supported Employment Training Options From HHSC

Employment Assistance & Supported Employment Training Options From HHSC   January 12th, 2022 Please see notice below from Monty Chamberlain, HHSC. "HHSC is pleased to announce the delivery of in-person Employment First / Employment Services training for the first time since 2019.  This free one-day training opportunity has proven to be a very valuable opportunity to various levels of staff involved in the support of individuals who set the goal of competitive and integrated employment...

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EVV (Electronic Visit Verification) Updates

January 12th, 2023 Electronic Visit Verification (EVV) for Individualized Skills and Socialization (ISS) IL-2023-03 alert letter Electronic Visit Verification (EVV) for Individualized Skills and Socialization Program providers must ensure EVV is used when delivering in-home individualized skills and socialization in an own home/family home (OHFH) setting. For dates of services on and after March 1, 2023, HHSC will deny or recoup a claim for in-home individualized skills and socialization in...

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Public Health Emergency (PHE) Renewed

January 11th, 2023   RENEWAL OF DETERMINATION THAT A PUBLIC HEALTH EMERGENCY EXISTS   "As a result of the continued consequences of the Coronavirus Disease 2019 (COVID-19)  pandemic, on this date and after consultation with public health officials as necessary, I, Xavier Becerra, Secretary of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby renew, effective January 11, 2023, the January 31, 2020,...

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ISS Rates

January 11th, 2023  Revised Information Letter (IL) 2023-01 related to ISS Payment Rates (replaces IL 2022-56):   HHSC has published Revised Information Letter (IL) 2023-01, which replaces 2022-56 related to payment rates for Individualized Skills and Socialization Services, effective January 1, 2023. HHSC has also approved payment rates for the Individualized Skills and Socialization in the Deaf Blind with Multiple Disabilities waiver (DBMD), Home and Community-based Services waiver (HCS),...

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Trainings Initiatives: From HHSC

January 10th, 2023 Below are just some of the trainings offered by HHSC on their "Trainings Initiative" page. Some live and some via webinar. For more information, please go to: https://www.hhs.texas.gov/providers/provider-training/training-initiatives SSI/SSDI Benefits Overview The SSI/SSDI Benefits Overview web-based training provides a basic foundation for understanding Supplemental Security Income and Supplemental Security Disability Insurance and provides contact information for people...

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STATUS OF HCS RATES!

Status of HCS Rates as of Jan. 1st, 2023 (includes new ISS rates) HCS Rates Jan. 1st, 2023 including ISS services Status of HCS Rates as of June 3rd  2022 Provider Rate Updates for HCS and TxHmL Providers In early May, HHSC identified missing or incorrect rate keys for some Home and Community-based Services and Texas Home Living providers. On May 11–12, HHSC completed updates to rate keys for these HCS and TxHmL providers based on rates published on the Provider Finance website. Read the full...

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Free Provider Resource Webinar Series

Free Webinars!! Our free webinar session recordings previously recorded are currently posted on our "Gotostage" page. https://www.gotostage.com/channel/3b0bd3b1a47c4e80be974f4bcfa54d7b January 2023 Webinars   Core-VA Solutions "Virtual Healthcare Assistants For LTC Programs" Virtual Healthcare Assistants Services and Training for Long-Term Care Programs, including HCS, TxHmL, and ICF Free Webinar Series Hosted By: Twogether Consulting (1/10/22 from noon-1pm)   Pre-Registration is...

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Letter From Twogether Consulting To Providers-January 2023 Update

January 1st, 2023 Update From Twogether Consulting!      Happy New Year! 2022 was a pretty tough year personally for me and I know it has been difficult for many IDD providers as well.  Lots of new changes are coming in 2023, but let's hope they will be for the better!      So many changes are happening right now for LTC Providers, especially those in the HCS/TxHmL programs. HCS & Texas Billing Requirements were updated in 2022.  The Interpretive Guidance Booklet for HCS & TxHmL was...

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Starting Jan. 2023: New HCS& TxHmL Provider Application Process

January 2nd, 2023 Effective January 2023, the open enrollment application process to get a provisional contract to provide Home and Community-based Services (HCS) and Texas Home Living (TxHmL) services will change. You must be enrolled as a Texas Medicaid provider through the Texas Medicaid & Healthcare Partnership (TMHP) Provider Enrollment System (PEMS) before applying. 2. To apply, you must complete the Provider Applicant Training (PAT). The PAT is now available on the HHS Learning...

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Expedited PPE Delivery for Long-Term Care Providers

January 2nd, 2023 HHSC published an alert on Dec. 21, 2022, informing long-term care providers that expedited delivery is available for a limited time for personal protective equipment through the Texas Division of Emergency Management. This resource is available to all long-term care providers, including: Nursing Facilities Assisted Living Facilities Intermediate Care Facilities Home and Community-based Services Home and Community Support Services Agencies, including Community Living...

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HCS & ICF Emergency & Disaster Preparation Updates

January 1st, 2023 LTC Winter and Extreme Freezing Weather Preparedness HHSC encourages long-term care facilities and agencies to review and update emergency plans for freezing temperatures and snow. Emergency plans for extreme weather should include the provider’s plan to address: Power loss Water and food needs Communication to families and staff Staffing shortages Sheltering in place and evacuation as applicable Providers must follow emergency preparedness rules and their own internal...

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Out-of-Hospital Do-Not-Resuscitate Order (From DSHS)

Out-of-Hospital Do-Not-Resuscitate Order Out-of-Hospital Do-Not-Resuscitate (OOH DNR) order. Both the English and Spanish versions can be downloaded on the EMS and Trauma Systems website, along with “Frequently Asked Questions About OOH DNR,” also in both languages. For questions related to OOH DNR orders, email EMSInfo@dshs.texas.gov.

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“Moving Forward Together” 2022 Conference for ICF Surveyors and Providers- Dec. 1st, 2022

“Moving Forward Together” 2022 Conference for ICF Surveyors and Providers- Dec. 1st, 2022 Dec. 1 ICF Conference Recordings Available The “Moving Forward Together” Intermediate Care Facilities Conference session recordings from Dec. 1 are available for viewing. Note that a certificate of completion will be generated upon completion, but no professional CE awards are available. Listen to the ICF session recordings. Email questions to LTCR Joint Training.

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ICF COVID-19 Response & COVID-19 FAQs Retired By HHSC-Dec. 13th, 2022

December 18th, 2022  HHSC Long-term Care (LTC) Regulation has retired the COVID-19 Response for ICF for Individuals with an Intellectual Disability or Related Conditions Response Plan and the ICF Frequently Asked Questions documents, effective Dec. 13, 2022. Facilities can obtain guidance along with resources for infection prevention, control measures, and Personal Protective Equipment (PPE) through the Infection Prevention and Control Measures for Common Infections in LTC Facilities...

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ICF/IID Updates

December 15th, 2022 ICF Resources These resources can also be found on the ICF Provider Portal page. September 25th, 2022 HHSC Publishes Updated Guidance on the Amelioration of Administrative Penalties for ALF, ICF/IID, and NF Providers HHSC Long-term Care Regulation has published Provider Letter 2022-24 - Amelioration of Administrative Penalties (replaces PL 2013-18). The letter provides guidelines to assisted living facilities, intermediate care facilities for individuals with an...

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HHSC Complaint and Incident Intake Voicemail Reporting Option Ends on Dec. 31 (ICF/IID)

December 11th, 2022 The provider self-reporting voicemail option will be transitioned out of service on Dec. 31, 2022. Effective Jan. 1, 2023, provider self-reported incidents must be submitted using one of the methods indicated below: This does not apply to HCS or TxHmL, only ICF and other LTC programs such as ALF's, SNF's, DAH's... Online via Tulip Email ciicomplaints@hhs.texas.gov Call 800-458-9858 (available Monday–Friday, 7 a.m.–7 p.m.) Please ensure that all initial self-reported...

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HHSC Retires LTCR Provider Investigations Policy Mailbox

December 11th, 2022 The Health and Human Services Commission (HHSC) created the Regulatory Services Division in 2017 as regulatory functions consolidated from the Department of Family and Protective Services, the Department of Aging and Disability Services and the Department of State Health Services. As part of this consolidation effort, effective Jan. 30, 2023, HHSC will retire the Provider Investigation policy mailbox at PIPolicy@hhs.texas.gov. For questions about investigations, please use...

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IMPORTANT: Clarification on HCS/TxHmL IPC Status in “Pending DADS Review” 

December 06th, 2022 Please see this alert that was just sent to the 3 IDD associations from HHSC  In an effort to identify potential IPC forms processing delays for Providers and LIDDAs, HHSC identified sixty-six (66)% of the form statuses on the portal are in a Pending DADS Review.  Forms in this status typically require action to be taken by the submitter of the form per the attached HHSC clarification.    Please share the attached alert document to your case managers, program managers, and...

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ISS (Individualized Skills & Socialization) Provider Webinar Recording

Recording of Individualized Skills and Socialization- Provider Licensing Application Process Webinar December 06, 2022 If you were not able to listen to the November 30th webinar on navigating TULIP/applying for an ISS license, the recording of the webinar and the presentation are now posted.  See below for details.  Though assumed that persons who listen to the recording will also be able to download a certificate, HHSC has yet to confirm that Listen to the webinar recording. Read the...

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Pre-enrollment Site Visit Required for HCS and TxHmL Providers That Enrolled Through PEMS

December 1st, 2022 Home and Community-based Services and Texas Home Living waiver program providers that enrolled through the Texas Medicaid and Healthcare Partnership Provider Enrollment and Management System will be subject to a pre-enrollment site visit from TMHP. Read the full alert. Home and Community-based Services (HCS) and Texas Home Living (TxHmL) waiver program providers that enrolled through the Texas Medicaid & Healthcare Partnership (TMHP) Provider Enrollment and Management...

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Determination of Intellectual Disability Information Update

Texas Health and Human Services Commission (HHSC) updated the following information regarding the Determination of Intellectual Disability (DID): DID Best Practice Guidelines website DID Best Practice Guidelines (PDF) Become a Certified Authorized Provider to Conduct a DID website For more information, email the IDD Services Team.

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LTC Online Portal Enhancements for HCS and TxHmL Waiver Programs- Starting December 2022

December 1st, 2022 Overview of Upcoming LTC Online Portal Enhancements for HCS and TxHmL Waiver Programs On December 12, 2022, the Texas Medicaid and Healthcare Partnership will implement several enhancements to the TMHP Long-Term Care Online Portal. After the enhancements are implemented, existing information and training materials will be updated. Read full alert. -IPC Forms -Termination Forms -Pre-Enrollment Forms -Individual Movement (IMT) Local Authority (LA) Reassignment Forms -Provider...

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American Rescue Plan Act (ARPA): Provider Retention Payments Regarding HCS/TxHmL Billing Claims from March 2022-August 2022

November 14th, 2022 Don't forget: HHSC has extended the time for any providers eligible for these ARPA payments to complete the attestation, so that the initial and final reports are not due, until 30 calendar days after the end of the COVID Public Health Emergency (PHE).  Failure to submit the attestation and initial and final reports will result in recoupment of the funds. There appear to be quite a few members who have yet to submit the attestation or even the initial report.  Don't forget...

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TMHP Enhancements Release Dates

November 11th, 2022 TMHP Enhancements According to HHSC the enhancements (improvements) planned for release this month will most likely be posted later this week or early next week.  These posted enhancements will not be effective until Dec. 12, 2022. HHSC will go over these enhancements in depth at the December 8th, 2022 Migration Webinar September 23rd, 2022 There are 2 sets of HHSC and TMHP 'enhancements' (or 'fixes' or 'improvements' to the system) to be released in the near future.  HHSC...

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Public Health Emergency (PHE) Status

November 11th, 2022 At this time, according to HHSC the PHE is set to end on January 11, 2023.  Currently, it is not known whether it will be extended beyond January 11th, 2022.  It is possible providers will be notified this week in some alerts if PHE will be extended beyond January 11, 2023. Why is this important? *This is important as COVID-19 flexibilities may end and Medicaid status may be lost for those individuals in our waiver  and ICF programs where provider has not responded to...

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HCS & TxHmL Webinars & FAQ’s (Recordings)

For Previously Recorded Webinars & FAQ's https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/resources/hcs-txhml-webinars-faqs   November 1st, 2022 HCS & TxHmL Updates Provider Webinar from Oct. 13 For:  HCS/TxHmL program providers, LIDDA's, and other interested parties This webinar will provide information on the following: Substantial changes are being made to the HCS and TxHmL Program rules. IL 2022-49, assessments of HCS three-person residences,...

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THERAP Information and Resources

Previous Webinars Hosted ByTwogether Consulting:  Therap during our free resource webinar series below.  Just click on the links and register. October 2022 https://attendee.gotowebinar.com/recording/2347988816141652494   August 2022 https://attendee.gotowebinar.com/recording/1388286687336697103 If you need assistance with your current Therap services or with information on getting these services, please contact: Calvin Christensen(Business Development Consultant at Therap Services, LLC)...

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HCS Provider Letters, Contacts and Resources

October 27th, 2022 Home and Community-based Services (HCS)   Provider Letters/Provider Communications!!! Click here for news, information letters (ILs) & provider letters (PLs). Receive Emails from HHS Every Sunday The Texas Health and Human Services Commission contracts with a company called Granicus to provide email updates, called GovDelivery. In accordance with your contract, and contracting rules at 40 Texas Administrative Code §49.302(g), you must subscribe to receive HHSC email...

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TaskMaster Pro Information & Resources

October 31st, 2022 Previous Webinars Hosted ByTwogether Consulting:  TaskMaster Pro (TMP) during our free resource webinar series below.  Just click on the links and register. October 20th, 2022 https://attendee.gotowebinar.com/recording/1488497278022599682 We couldn’t find an innovative IDD Practice Management software that focused on delivering better care, so we built one! Software features for Service Providers Our IDD software is designed by Service Providers and built for Service...

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Monthly Webinars on Migration of CARE to TMHP

January 15th, 2023 Jan. 11th TMHP LTC Migration Webinar Monthly Webinars:  See January 11th migration webinar. I believe the next one will be February 6, 2022. If you missed the January 11th webinar, a recording will be posted soon.  The February webinar will focus on cost reports. R & S Reports and Other Notices:  Please see R & S Video Series for LTC Providers & FMSAs: There are 3 videos related to this topic:....

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Don’t Forget To Get Ready For Flu Season!

October 17th, 2022 From HHSC: LTC Providers Encouraged to Get Ready for Flu Season CDC recommends everyone be vaccinated against the flu by the end of October to avoid peak flu season. Long-term care providers should review their program requirements for guidance related to vaccination requirements and infection control. Some of the CDC’s recommendations for vaccinating patients in congregate healthcare settings are: The CDC recommends that LTC facilities offer the flu vaccine to all residents...

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Texas Culture Change Coalition Conference-“A Day Focused On Person-Centered Senior Care” Nov. 3rd, 2022-Austin, Tx

October 16th, 2022 Register for Texas Culture Change Coalition Conference The Texas Culture Change Coalition will host their in-person fall 2022 conference, “Texans Coming Together for Residents, for Staff, for All!” This year’s theme is “A Day Focused on Person-Centered Senior Care.” Nov. 3 8 a.m.–5 p.m. Commons Conference Center (J.J. Pickle Research Campus) 10100 Burnet Road, Bldg. 137 Austin, TX 78758 Continuing education credit for multiple disciplines will be provided for this event....

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HCS Provider Response & Visitation Emergency Rules: COVID-19-Update 2022

October 17th, 2022 HHSC HCS Program Provider Response to COVID-19 Emergency Rule Expired Oct. 14 The emergency rule for Home and Community-based Services waiver program providers that contain the HCS Program Provider Response to COVID-19 Emergency Rule expired Oct. 14. The following rule expired Oct. 14: 40 Texas Administrative Code Section 9.198 - Program Provider Response to COVID-19 Emergency Rule HCS program providers must continue to comply with visitation requirements for essential...

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HCS/TxHmL Proposed Rules: HCBS Setting Compliant

HCS/TxHmL proposed rules should align with the federal HCBS settings rule. These are currently in the formal comment phase.  These comments are due to HHSC on October 17, 2022.  To view the rules and instructions for submitting comments, go to the following link: https://www.hhs.texas.gov/regulations/policies-rules/health-human-services-rulemaking/comment-proposed-draft-rules

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New Critical Incident Management Reporting System: Updates

October 13th, 2022 Please Don't Forget To Sign Up For CIMS Training Only 200 of the 800 providers/users have completed the training and have signed in/register Providers must start using CIMS by November 1st, 2022. If you are a member of one of the 3 IDD associations, HHSC will provide each of these associations with the names of those entities so each association can reach out to their respective IDD waiver members who are not on the list/have yet to complete these steps. August 11th, 2022...

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CARE Migration To TMHP HCS &TxHmL: Updates

October 13th, 2022 Update on Some Migration Issues  Enhancements planned for release in November will now not be released until December; the 2nd set of enhancements will be released in June, 2023.  A notice about the enhancements will be posted in the next few weeks. HHSC will post recordings of their monthly TMHP Migration webinars, but not sure where they could be accessed. Sometimes the original registration links end up leading to the recordings, but we will keep you posted when there is...

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Reminder: Avoiding HCS and TxHmL Overpayment of Services Effective Jan. 2, 2023

October 10th, 2022 Texas Medicaid and Healthcare Partnership (TMHP) will perform monthly calculations on services for the Individual Plan of Care that overlaps the May 1, 2022 implementation of the new process for submitting Home and Community-based Services and Texas Home Living forms and claims. On a quarterly basis, TMHP will calculate all services that have been paid through (CARE) Client Assignment and Registration System and TMHP and will recoup services that exceed the authorized IPC...

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WS&C Mailbox for HHSC To Be Discontinued As of Oct. 31st, 2022

October 10th, 2022 As part of the on-going transformation efforts, HHSC will no longer use the following mailbox, effective Oct. 31, 2022: WaiverSurvey.Certification@hhsc.state.tx.us For a complete list of current contact information, program providers should refer to PL 2021-26 or e-mail Survey Operations at LTCRSurveyOperation@hhs.texas.gov. For policy questions related to HCS and TxHmL, providers should e-mail LTCRPolicy@hhs.texas.gov.

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IPC Renewals Submissions, Transfers, How To Submit IPC into LTCOP

Timely Submission of IPC Renewals HHSC reminds HCS and TxHmL providers and local intellectual and developmental disability authorities (LIDDAs) to submit individual plan of care (IPC) renewals for individuals enrolled in the HCS and TxHmL waiver programs as early as program rules allow. For HCS, renewal IPCs must be submitted at least 30, but no more than 60, calendar days before the current IPC end date. TxHmL program providers and LIDDAs are encouraged to use the same timeframe for the...

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Related Conditions: Diagnostic Codes Updated

October 3rd, 2022 HHSC has updated the Approved Diagnostic Codes for Persons with Related Conditions effective Oct. 1, 2022 to Sept. 30, 2023. The list of diagnostic codes has not changed for this year and can be viewed at HHSC Approved Diagnostic Codes for Persons with Related Conditions.

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Important Reminder: HCS/TxHmL Webinar-October 13th, 2022

October 6th, 2022   In case you forgot, please register for this session. It is very important! HHSC will be hosting HCS & TxHmL Updates Provider Webinar on Oct. 13 For:  HCS/TxHmL program providers, LIDDA's, and other interested parties This webinar will provide information on the following: Substantial changes being made to the HCS and TxHmL Program rules. IL 2022-49, assessments of HCS three-person residences, four-person residences and host home/companion care settings for...

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From Our Friends at IntellectAbility: Health Risk Mitigation Tools &Training

October 6th, 2022 From our friends at IntellectAbility. Apologies, I have been meaning to post this for some of those of you who asked about this tool (Mostly nurses, lol).  Previously this tool was under a different company name.  There was a change sometime back in the name of the company. For those of you who want to learn more about IntellectAbility's health risk mitigation tools and training by visiting ReplacingRisk.com.  Feel free to call us at 727-437-3201 or email us...

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Reminder-HCS Provider Applicants: LTC Providers Must Enroll in Texas Medicaid Before They Can Get Their Contract

August 4th, 2022 All New LTC Providers must Enroll in Texas Medicaid.  (So, this means even HCS provider applicants, at least once they are nearing the stage of having their application approved and/or at the latest, prior to receiving their contract/s.  Remember, you can't start providing services and accepting clients to your HCS program until you get your letter with the approved contract/s. LTC-only Providers Enrolling Through Provider Enrollment and Management System (PEMS) "A new...

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2022 IDEA (Individuals With Disabilities Education Act) Manual

October 5th, 2022 Updated 2022 IDEA Manual The updated 2022-2023 IDEA Manual is now available in both English and Spanish on the Disability Rights Texas website. Created in partnership with The Arc of Texas, this manual is designed to help you understand the requirements of the federal Individuals with Disabilities Education Act (IDEA) and Texas law so you can act as an equal partner in planning your child’s education.   Learn more on our Resources for Families...

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COVID-19 Update to Temporary Change in HCS and TxHmL Policy for Service Providers of DH, Respite and CFC PAS/HAB

October 4th, 2022 COVID-19: HHSC Publishes In-Home Day Habilitation Information for Program Providers (Replaces IL 2022-48) IL 2022-51 is posted on the HHS webpage for Home and Community-based Services, Texas Home Living, local intellectual and developmental disability authority, and financial management services agency program providers. HHSC is temporarily waiving certain requirements in Section 3710, 4381.3, 4381.7(6) and 4381.7(7) of the HCS Billing Guidelines and TxHmL Guidelines. This is...

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Awarded Levels for the Attendant Compensation &DCS Enhancement Programs-2023

October 2nd, 2022 Texas HHSC has posted awarded levels for Long-term Services and Supports (LTSS) providers participating in the Attendant Compensation and Direct Care Staff enhancement programs for state fiscal year (FY) 2023 for the following programs: Attendant Compensation Rate Enhancement Program for: Community Living Assistance and Support Services (CLASS) – Direct Service Agency (DSA); Day Activity and Health Services (DAHS); Deaf-Blind with Multiple Disabilities Waiver (DBMD); Home and...

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October 27th IDD and PI Webinar with HHSC LTCR

September 24th, 2022 IDD & PI Webinar October 27th, 2022 HHSC Long-term Care Regulation will host a webinar for HCS, TxHmL and ICF/IID providers regarding the latest information from LTCR. Those using Internet Explorer may have difficulties registering for the webinar. If so, try using another browser, such as Google Chrome or Microsoft Edge. Oct. 27, 2022 10–11 a.m. Register for the IDD/PI Webinar

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Deadline Coming Up Soon For Comments on HHSC Proposed TAC Rules

September 24th, 2022 Deadline for Comments on HHS Proposed Rules Due Oct. 17 Texas HHSC is accepting comments from stakeholders on the following proposed rules, which are now posted in the Texas Register. The comment period ends Oct. 17, 2022. Texas Administrative Code, Title 40, Part 1, Chapter 9, Subchapter N, repeal of Sections 9.551, 9.552, 9.554, 9.556, 9.558, 9.560 - 9.563, 9.566 - 9.568, 9.570, 9.571, 9.573 – 9.575, 9.582, 9.583, concerning Home and Community-based Services (HCS)...

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Updated LTC Online Portal User Guides for HCS and TxHmL Waiver Programs Now Available

Updated LTC Online Portal User Guides for HCS and TxHmL Waiver Programs Now Available The Long-term Care Online Portal User Guides for Home and Community-based Services and Texas Home Living Waiver Programs have been updated. The learning path has been updated to include detailed instructions for entering Consumer Directed Services services in dollars instead of units, which were added to the 3608 and 8582 Individual Plan of Care Item-by-Item guides. Read the full alert.

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Crosswalk Billing Codes For DH -Sept. 2022 Update

September 17th, 2022 EVV Mismatches For DH Providers Must Use Bill Codes Listed in the HCS and TxHmL Bill Code Crosswalk for Claims Submission Concern and Issue HCS and TxHmL providers are receiving unnecessary electronic visit verification (EVV) mismatches for Day Habilitation services due to providers not using proper bill code and modifier combinations based on where services are delivered. Which day habilitation bill codes do I use? In-Home Day Habilitation services delivered in an own...

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HCS Administrative Penalties, Survey, & Billing Requirement Updates

September 17th, 2022 HHSC publishes revised PL 20-55 HHSC Long-term Care Regulation updated Provider Letter 20-55 to include an updated link to the new amelioration form for HCS and TxHmL program providers. The form is entitled 3708-A HCS and TxHmL Amelioration Request. May 30th, 2022 HHSC has revised HCS and TxHmL Survey Operations Transformation (PL 21-26) HHSC revised PL 2021-26 to reflect updates to the HCS or TxHmL Program Manager and Assistant Regional Director contact list. Read PL...

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Updated Webinar Resource Document & TMHP Account Setup Quick Reference Guide 

September 15th, 2022 Updated Webinar Resource Document and TMHP Account Setup Quick Reference Guide  (HCS and TxHmL Waiver Program Providers) From HHSC Alert September 12th, 2022 The Webinar Resource document that accompanied the Long-Term Care (LTC) Online Portal Training for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs webinar and the TMHP Account Setup for HCS and TxHmL Waiver Programs Quick Reference Guide have been updated. Read the full alert...

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Important! (Avoiding HCS and TxHmL Overpayment of Services)

September 12th, 2022 Avoiding HCS and TxHmL Overpayment of Services Effective Jan. 2, 2023 Texas Medicaid and Healthcare Partnership (TMHP) will perform monthly calculations on services for the Individual Plan of Care that overlaps the May 1, 2022 implementation of the new process for submitting Home and Community-based Services and Texas Home Living forms and claims. On a quarterly basis, TMHP will calculate all services that have been paid through Client Assignment and Registration System...

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Revision To Billing Requirements

September 11th, 2022 HHSC Publishes Revision 22-2 of the HCS and TxHmL Program Billing Requirements, CFC Billing Requirements Revision 22-2 is effective Sept. 1. All revisions are outlined in the Revision 22-2 Section of each document. The Billing Requirements are located on the Long-term Care Providers webpage and Handbooks webpage and are outlined below: Home and Community-based Services Program Billing Requirements (PDF) Texas Home Living Program Billing Requirements (PDF) Community First...

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PPAT Fall Conference For September 14th-16th, 2022

September 1st, 2022 Rising To The Challenge! PPAT Fall Conference DoubleTree Hotel Austin 6505 IH 35 North  Austin, 78752 Please click on below for session info: Conference At A Glance/Agenda   The Association’s 25th Annual Conference is just around the corner. And, of course, a conference is not a conference without the help of many wonderful people like you and your colleagues. To ensure success we need your help. There are several ways to demonstrate your support and at the same time...

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TCDD: Deadline For RFA’s For Grants For Persons With Developmental Disabilities

August 23d, 2022 From our friends at the Texas Council for Developmental Disabilities! Last Chance to Apply! The Texas Council for Developmental Disabilities (TCDD) has issued Requests for Applications (RFA) for four new grant opportunities. The deadline to apply for all four RFAs is this Friday, Aug. 26, 2022, by 11:59 p.m. CT.These grants will help expand inclusion, training, and cultural understanding for people with developmental disabilities (DD) in Texas communities. You can learn more...

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Provider Enrollment & Management System (PEMS)

August 22nd, 2022 PEMS The Texas Medicaid & Healthcare Partnership (TMHP) is experiencing an unusually high volume of calls and emails from providers with requests for Provider Enrollment and Management System (PEMS) assistance. As a result, TMHP requests the following of providers requiring PEMS assistance: TMHP encourages providers that request PEMS assistance to wait for a call back. Requests are being handled in the order they are received. TMHP requests that providers not initiate a...

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AAIDD: Annual Texas Chapter Conference 2022

August 15th, 2022 REGISTRATION IS OPEN FOR THE AAIDD: Annual Texas Chapter Conference 2022!         For more information and registration please click on the link below Texas AAIDD Conference Registration Download The Brochure for Agenda, Speakers, Sponsors, and more   Reserve Your Room Today! Grand Galvez has pleased guests worldwide for more than 100 years. Elegantly restored and tastefully modernized to welcome guests with the utmost in Gulf Coast luxury, Grand...

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Extreme Drought Conditions

August 14th, 2022 Extreme Drought Conditions Texas is currently experiencing statewide drought conditions. Numerous water systems are stressed and may continue to experience issues as the drought progresses, and there are concerns about the impacts on long-term care facilities. Water may become limited, in addition due to the extreme heat Texas is using a record amount of electricity so we may be subject to rolling blackouts in the near future.   A/C systems are stressed and foundation...

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Revised LTC (Long-Term Care) Region Boundaries

August 8th, 2022 New LTC Boundaries for Survey and Investigation purposes In effect as of August 1st, 2022 See new map HHSC has published Provider Letter 2022-18 - New Regional Boundaries for Long-term Care Providers (PDF). The letter indicates that HHSC Long-term Care Regulation has redrawn regional boundaries for survey and investigation purposes effective August 1, 2022. All LTC providers are affected by the new regional boundaries. Former  Region 7 is now separated into two new regions:...

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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 details.

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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.

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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 IPC, the service coordinator...

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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 by this document, please contact:...

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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 the ARPA rate add on, will begin...

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Monthly Provider COVID-19 Reporting Requirements- Compliance with SB 809 and Rider 143

July 18th, 2022 Monthly Reporting Required REMINDER FROM HHSC: Completion of the Senate Bill 809/Rider 143 Monthly Report is REQUIRED of all participating providers, regardless of whether a provider or facility has received additional federal funding during the reporting month. All participating providers must complete the Senate Bill 809/Rider 143 Monthly Report every month, even if they did not receive additional federal funds during the reporting month. The reports are due no later than 5...

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Prepare for Ending Continuous Medicaid Coverage Now-Before The Public Health Emergency Ends

July 14th, 2022 Important Medicaid Coverage-Don't Wait-Please Respond to Medicaid Letters- Changes To Occur in Medicaid Coverage After Public Health Emergency Ends This information letter gives service coordinators, case managers, and providers information to help individuals prepare for ending continuous Medicaid coverage. HHSC requests providers support the information campaign –Don’t Wait –Respond and Update! –by communicating with individuals and incorporating campaign materials into...

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16th Annual AccessAbility Fest and AbilitySTRONG Parade on Saturday, October 1st, 2022 at Hemisfair (San Antonio, Tx)

July 10th, 2022 Date: October 1st, 2022 (San Antonio, Tx)  2022 AccessAbility fest & abilitySTRONG Parade REGISTRATION IS NOW OPEN! It's time to REGISTER!  At disABILITYsa, we are excited to host the 16th Annual AccessAbility fest and abilitySTRONG Parade on Saturday, October 1st, 2022 at Hemisfair. Early bird discounts end on August 15th, 2022! * Sponsorship Opportunities * Exhibitor Registration * Parade Entries * Program Partners * Information Only * and more! * You will have a...

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“Person-Centered Thinking” Training Available Online from IntellectAbility: Please Take Note HCS/TxHmL/ ICF Providers

Juliy 11th, 2022 Our good friend at IntellectAbility, Patrick Lane has provided a link where providers or anyone else interested can register for online Person-Centered Thinking training.  FYI-this is a requirement in the HCS/TxHmLTAC rules for all persons who are a part of the development of the Implementation Plan (IP), to have this training within the first 2 year of hire. Staff Member and Service Provider Requirements The session is a $275 per person. This is a 3-day series of zoom...

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Quality in Long-Term Care Conference: August 11th-12th (Austin, Tx)

July 11th, 2022 Hurry, Hurry this onference is filling up quickly! HHS, in collaboration with The University of Texas Steve Hicks School of Social Work, will host an informative two-day, free conference on quality in long-term care. 2022 QLTCC “Resilient, Responsive and Ready” Aug. 11–12 Renaissance Austin Hotel 9721 Arboretum Blvd. Austin, TX 78759 Register for the conference. Continuing education credits for multiple disciplines will be provided for this event from nationally and...

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Error in HHSC Reminder Notice-Due Date For SB 809 Data

July 11th, 2022 Error in HHSC Reminder Notice re:  Due Date for June 2022 SB 809 Data Earlier today, HHSC issued a reminder notice about the COVID-19 monthly reporting requirement (SB 809). The notice inadvertently stated that July 2022 data was due August 1, 2022. The notice should have stated that the June 2022 data will be due August 1, 2022.

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COVID-19 Resources

COVID-19 Resources July 11th, 2022 July 7, 2022 MCS COVID-19 Stakeholder Information Session Thank you for your interest in listening to the July 7 Texas Medicaid CHIP COVID-19 Information Session. The audio from this session can be found here. Email us for transcript The presentation can be found here. Future meeting notices and information will continue to be shared on these sites, so please check back regularly. COVID-19 Provider Information COVID-19 Client Information For additional...

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Shared Article From IntellectAbility: “Long-haul COVID in People with IDD”

Thought this was great info. and wanted to share- From IntellectAbility Long-haul COVID in People with IDD "People with intellectual and developmental disabilities (IDD) are at a greater risk of infection and poorer COVID-19 related health outcomes than the general population. Prevalence of comorbidities, living in congregate settings, and difficulties practicing preventative measures contribute to this risk; however, the inability to effectively communicate symptoms of illness may be the most...

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Technical Issues Resolved: FY 2023 Contract Amendment Open Enrollment July 1, 2022 – August 1, 2022

July 4th, 2022 The Provider Finance Department (PFD) Open Enrollment Portal experienced technical difficulties. Those issues have been resolved. The portal is now available for providers to complete Open Enrollment for the Attendant Compensation Rate Enhancement and Direct Care Staff Enhancement programs and Liability Insurance Rate Add-ons for Nursing Facilities. The PFD portal is available. Please click here to access the portal. The PFD portal will be open from July 1, 2022 to August 1,...

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HCS and TxHmL (CDS Services): Trending Issue Support, Volume 4

July 5th, 2022 Since May 2, Home and Community-based Services and Texas Home Living program providers, local intellectual and developmental disability authorities, and financial management services agencies billing on behalf of Consumer Directed Services have been submitting claims and forms to Texas Medicaid and Healthcare Partnership. TMHP has received feedback from providers indicating more support is needed. Read the full alert.

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Provider Information Validation on LTC Claims is Now Published: ICF/IID Programs

July 5th, 2022  Information Validation on LTC Claims IL 2022-35 IL 2022-35 is posted on the HHS nursing facility and Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions webpages. Effective June 10, provider information on long-term care claims is being validated using data stored in the National Plan and Provider Enumeration System and the Texas Medicaid and Healthcare Partnership Provider Enrollment and Management System. This enhancement ensures...

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In-Home Day Habilitation Revision To Temporary Policy Changes During COVID-19

July 5th, 2022 COVID-19: HHSC Publishes In-Home Day Habilitation Information for Program Providers (Replaces IL 2022-32) IL 2022-36 is posted on the HHS webpage for Home and Community-based Services, Texas Home Living, local intellectual and developmental disability authority, and financial management services agency program providers. HHSC is temporarily waiving certain requirements in Section 3710, 4381.3, 4381.7(6) and 4381.7(7) of the HCS Billing Guidelines and TxHmL Guidelines. This is...

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July 13 Deadline for Informal Comments on HHS Draft Rules: HCS & CFC Programs

July 4th, 2022 Don't Forget, Informal Comments on HCS & CFC Draft Rules Are Due by July 13th! Texas HHS is accepting comments from stakeholders on the following draft rules: Title 26, new Chapter 565, Home and Community-based Services Program and Community First Choice. The comment period ends July 13. Email comments to Long-term Care Regulation Policy and Rules.

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