Twogether Updates

EVV (Electronic Visit Verification) Updates

January 18th, 2021 EVV Compliance Oversight Reviews Delayed for EVV Usage and Misuse of EVV Reason Codes HHSC told managed care organizations to delay compliance oversight reviews for EVV Usage and Misuse of EVV Reason Codes. Evaluation of visit data collected during the grace period ensures the compliance measures continue to align with current EVV policy. EVV Usage and Misuse of EVV Reason Codes reviews for the compliance grace period ended on Aug. 31, 2020 for: EVV visits with Sept. 1, 2019...

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ICF/IID Updates

January 19th, 2021 HHSC Updates the ICF COVID-19 Response Plan and FAQ Document Please be sure to update your infection control and other related policies based on the updated Response Plan!!!  Let us know if we can help.  We will be working on some of these addendums in the next few weeks.  HHSC Long-term Care Regulation updated the ICF COVID-19 Response Plan and FAQ document on Jan. 12, 2021. Read the updated ICF COVID-19 Response Plan (PDF). Read the updated ICF FAQs (PDF). Jan. 25 ICF...

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Informal Dispute Resolution Process-HCS/TxHmL/ICF

HCS/TxHmL IDR Process Coming Soon!   Currently, the IR process is still in place, but the new IDR process for HCS/TxHmL should be in place sometime in February 2021.  We will keep you posted. If you would like to appeal a citation/violation currently, continue to use the IR process until the time IDR Process is rolled out! FYI-With the IR process, this may be requested immediately after receiving draft report from the survey visit at exit.  The IDR process works a bit differently, the provider...

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THERAP Information and Resources

Therap National 2021 Conference Feb 2nd, 3rd & 4th:  Registration link: https://www.therapservices.net/2021-national-conference/ If you need assistance with your current Therap services or with information on getting these services, please contact: Stacy Wilson (Business Development Consultant at Therap Services, LLC)  Here is her linkedin page https://www.linkedin.com/posts/stacydentonwilson_activity-6757331578927513600-Lz2d   https://www.therapservices.net/ For more information on...

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HCS Administrative Penalties, Survey, Billing Guideline’s Update, and Provider User Guide for CARE

January 10th, 2021 Jan. 5 Recording Webinar Available - HCS and TxHmL Changes to Survey Process and "Hold Harmless Period" Overview A recording of the Jan. 5, 2021, HCS and TxHmL Changes to Survey Process and Hold Harmless Period Overview webinar is available for those unable to attend. Listen to the webinar recording here. Jan. 7 Recording of HCS and TxHmL Administrative Penalties and Amelioration Available A recording of the Jan. 7, 2021 HCS and TxHmL Administrative Penalties and...

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Joint Training From HHSC For Providers

Joint Training From HHSC For Providers (Online with CEU's/CNE's) For registration for any of these dates and more information, please go to:   https://apps.hhs.texas.gov/providers/training/jointtraining.cfm January 2021 Nursing Facility Infection Control (course description) Thursday, January 14th, 2021 1:00 PM - 3:30 PM Webinar (50 MAX)   Culture Change:  Improving Quality of Life in Long Term Care (course description) Tuesday, January 20th, 2021 1:30 PM - 3:30 PM Webinar (50 MAX)  ...

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COVID-19 Resources

COVID-19 Resources   Federal Pharmacy Partnership Program: Contact Information for COVID-19 Vaccines Long-term care providers with questions about CVS or Walgreens COVID-19 vaccinations administered through the Federal Pharmacy Partnership program should contact the following: CVS: 833-968-1756 Email COVID Vaccine Clinics LTCV. Walgreens: Email Immunize ILTC.   COVID 19 CMS/CHIPS meeting notices and information will continue to be shared on these sites listed in links below, so...

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HCS Certification Principals Training Webinars & Recordings

January 2021 HCS Provider Certification Principle Webinars The following webinars are a repeat of last year’s HCS and TxHmL Certification Principles series. Each webinar will cover a certification principle or principles outlined in TAC Title 40 Chapter 9 and will include examples of program provider violations. Certification Principle 9.172: Mission, Development and Philosophy of Program Operations/Top Ten Deficiencies for HCS and TxHmL This webinar is part of the WSC Certification Principles...

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COVID-19 Information

January 10th, 2021 Federal Pharmacy Partnership Program: Contact Information for COVID-19 Vaccines Long-term care providers with questions about CVS or Walgreens COVID-19 vaccinations administered through the Federal Pharmacy Partnership program should contact the following: CVS: 833-968-1756 Email COVID Vaccine Clinics LTCV. Walgreens: Email Immunize ILTC. January 7 Texas Medicaid CHIP COVID-19 Information Session. The audio from this session can be found here. Email us for transcript The...

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HCS & TxHmL Webinars & FAQ’s (Recordings)

December 01, 2020 Website Link: For Previously Recorded Webinars & FAQ's https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/resources/hcs-txhml-webinars-faqs Jan. 5 Recording Webinar Available - HCS and TxHmL Changes to Survey Process and Hold Harmless Period Overview A recording of the Jan. 5, 2021, HCS and TxHmL Changes to Survey Process and Hold Harmless Period Overview webinar is available for those unable to attend. Listen to the webinar recording here....

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Renewals of ID/RC Assessments/ and IPC’s and  Requirements for Revised IPCs and Transfer IPC

12/28/20 IMPORTANT REMINDER! HCS and TxHmL Program Providers and LIDDA Service Coordinators- IL20-45 HHSC is automatically renewing individual plans of care and Intellectual Disability/Related Condition assessments that expire on or before Dec. 30, 2020. This is due to the COVID public health emergency. The renewal is for one year from the expiration date. HHSC is not automatically renewing IPCs and ID/RCs that expire on or after Dec. 31, 2020.  This is explained in IL 20-45 (PDF). Program...

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Flu Vaccine Guidance During COVID-19

January Webinar - Flu & COVID: What You Need to Know HHSC is holding this webinar for all our providers to offer guidance on flu and COVID-19. In this webinar, we will review: The similarities and the differences between flu and COVID-19 The importance of getting a flu shot How flu vaccination along with good infection control practices protect everyone Centers for Disease Control and Prevention guidance on administering flu vaccines this season amid the coronavirus pandemic. This webinar...

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(AADMD) American Academy Of Developmental Medicine & Dentistry

D E C // 1 8 // 2 0 2 0 AADMD Releases Statement on Covid-19 Vaccine Equity for People with IDD Read the Official Statement - and Join the Movement The Covid-19 vaccine is here - and AADMD joined forces with like-minded organizations to issue a Joint Position Statement on “Equity for People with Intellectual and Developmental Disabilities (IDD) Regarding COVID-19 Vaccine Allocation and Safety.” NCD Opportunity Through board member Rick Rader, MD — who was appointed to the National Council on...

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ADP Services

  You all may be familiar with our other contact, Mitchell Deter.  He will still be assisting providers that work with HCS/TxHmL/and ICF with 50 employees or greater..  Some of you may already be working with him. Katie DeMayo works with our providers who need Payroll and HR services for under 50 employees Our newest HCS/TxHmL/ICF provider liason is Katie DeMayo, (District Manager for Central Texas).  Katie and Mitch are our personal resource team from ADP for those of you who are IDD...

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HCS Provider Applicant- Provider Applicant Training (PAT) and Test Information Update

“Study & Prep Session For HCS Provider Applicant Test” (Webinar) February 1st, 2021 (We will be reviewing some TxHmL information as well)   “Go To Webinar” link will be sent to you with handouts after we have received payment! Please be sure to complete registration by contacting Meghan Jones at:  meghanjones.tx@gmail.com Date:  Tuesday- February 1st, 2021 Time:  (6pm-8:30pm)  Central time Cost:  $150/person   Links to TAC (Texas Administrative Codes)  provided below to Study ...

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

Service Providers of Respite and CFC PAS/HAB HHSC is lifting the prohibition on service providers of respite and CFC PAS/HAB from living in the same home as the person receiving Home and Community-based Services and Texas Home Living program services. This provides access to needed services for people living in their own or family’s home. A person’s spouse or a minor child’s parent is still prohibited from being a paid service provider of these services due to guidelines found in the...

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Our Services!

Twogether Consulting has added some new services to include: DEVELOPMENT OF INFECTION CONTROL POLICIES & PROCEDURES, or at least to update your one with COVID-19 policies and protocols.   (Based on Guidance noted in the HCS & ICF COVID-19 Response Plans                                                       HCS-covid-response-plan.pdf     ICF-covid-19-plan.pdf DEVELOPMENT OF EMERGENCY EVACUATION PLANS  In particular, so HCS/TxHmL providers are able to meet  compliance with Appendix K: ...

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Letter From Twogether Consulting To Providers-Update

November 23rd, 2020 Hello Friends, Please check out our "Updates" page.  It has been reformatted so you are able to navigate from one "post" to the other. If you want to read more on each section, just click on "read more".  We have also updated the "Off-site Services" page so that you can pay for hours of off-site consultation right on the same page.  Remember there is a discount for blocks of time larger than 3 hours, purchased on the site.  This discount is only available online on this...

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BinaxNOW COVID-19 Test Training Link

November 22nd, 2020 Updated Training Link Available for the BinaxNOW COVID-19 Test A BinaxNOW COVID-19 Ag Card training video that provides detailed step-by-step guide to the test process is on the Abbott website. The training video is for people without medical training, who will conduct COVID-19 testing using the BinaxNOW Ag card. As part of the request for free BinaxNOW test kits, providers will confirm that staff performing the COVID-19 tests have completed the BinaxNOW COVID-19 Ag Card...

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Don’t Forget Annual Vendor Submission Due (Nov.1st-Jan31st) HCS/TxHmL!

HCS and TxHmL Annual Vendor Submission Timeframe 11/17/2020 HCS and TxHmL Annual Vendor Submission Timeframe The timeframe to submit for annual vendor approval is Nov.1, 2020 through Jan. 31, 2021. Required documentation for annual vendor requests are in the HCS and TxHmL Billing Guidelines, Section 6160(b)(2), Approval of Annual Vendor. Email packet submissions to Billing and Payment with the subject line: Annual Vendor Approval. Submissions sent to any other email addresses may not be...

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Free Webinar Series

Our free webinar session recordings previously recorded are currently posted on our "Gotostage" page. https://www.gotostage.com/channel/3b0bd3b1a47c4e80be974f4bcfa54d7b  We are pleased to announce our first guest presenters for  January 2021! Free Webinars!!   Guest presenters: Brittany Brown/Insurance Broker Date:January 12th, 2021 Time:  Noon-1pm (Central Time) Cost:  Free!!! Where:  Webinar To register for the session: Please register for Free Webinar: Presented By AssuredPartners...

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Pre-Webinar Survey For: “Round Table Discussion For Nursing Concerns In IDD Programs” (HCS/TxHmL/ICF)

Pre-Webinar Survey For those Nurses registered or planning to register for our Dec 11th, 2020 follow-up session:                                                                                      “Round Table Discussion For Nursing Concerns In IDD Programs” (HCS/TxHmL/ICF) We did not get to at least 4 of our questions primarily on COVID during the 1st Round Table Discussion on 11/5/20.  We still have some questions on RN Delegations that we need feedback on for future sessions and COVID-19. ...

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Very Important HHSC Alerts!

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...

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HCS/ICF Provider Job Openings & Job Positions Desired

Based on the many phone calls, emails and contacts through our social media pages concerning Job Positions Desired and Job Openings with HCS providers, I have decided to use our "Updates" page to provide a place where both those persons desiring a position with an HCS Provider and those Posting a Job Position can find each other! We will not be posting the job description or information on this page directly.  If you contact Meghan Jones at meghanjones.tx@gmail.com and let her know where you...

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Direct Support Training Resources

College of Direct Support  http://www.directcourseonline.com/direct-support/about/ DirectCourse | "College of Direct Support brings training in line with the latest research and partners with other leaders in the field of Intellectual and Developmental Disabilities" Has a fantastic training curriculum for Direct Support Staff and their supervisors.  See a list of courses from the 2019 catalog in the link below:...

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

HHSC's information letter (IL) revises IL 20-19, In-Home Day Habilitation Information for Program Providers for COVID-19, previously revised on July 30, 2020, to extend the temporary guidance through November 30, 2020.In response to COVID-19andtoprovide access to needed day habilitation services, the Health and Human Services Commission(HHSC)is temporarily waiving certain requirements in Sections4320and 3710of the HCS Billing Guidelines and the TxHmL Billing Guidelines. Specifically, Section...

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HCS Expanded Visitor And Emergency COVID-19 Mitigation Rules

HHSC Publishes HCS Expanded Visitor Attestation Rules & Guidance Letter September 25th, 2020 HHSC Visitor Expansion Rule.  See the following rules in PDF updated on 9/25/20.  https://hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/providers/long-term-care/hcs/hcs-covid-19-updated-emergency-rules.pdf PL-20-40 is the letter providing guidance for the new rules  The new attestation form is at the bottom of this alert letter from HHSC.  See the following PDF of PL-20-40: ...

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LTC Expanded Facility Visitation Rules For Re-Openings in Texas

    An ICF resident, as well as an individual living in an HCS group home, may have up to 2 Essential caregivers, as defined in the emergency rules, and they must have a negative COVID-19 test result from a test performed no more than 14 days before the first essential caregiver visit unless the facility chooses to perform a rapid test prior to entry into the facility.  Providers are still seeking clarification for some of the new COVID-19 emergency mitigation rules (including...

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HCS Billing Guidelines Revised-Sept. 2020

September 6, 2020 HCS Billing Guidelines Revised-Sept. 2020 Please pay special attention to the changes and clarifications for Nursing Services!  We will be reviewing these in our "Billable Services-HCS-2020" webinar on Sept. 21st, 2020.  For more information please contact Meghan Jones to register:  meghanjones.tx@gmail.com   If you attended the recent Billable Nursing Services training in August (Part I and II) we did add these to your handouts at the time of the training.  You have the...

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TMHP-Launching Redesigned Website

Texas Medicaid Health Portal TMHP is announcing the launching of their newly redesigned website available on September 14, 2020! As TMHP.com receives approximately 2.5 million views per month, it important to have a website that is functional and easy to navigate.  Major improvements have been made to increase the website user experience for providers. Highlights of new improved features include: o   Simplified navigation with program information, topics, and resources are more easily...

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TxHmL Rules & Regs-COVID-19 Mitigation-New

Emergency Rule Adoption for TxHmL and COVID-19 Mitigation See new rule at link below: https://hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/provider-portal/long-term-care/txhml-covid-19-emergency-rules.pdf

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HCBS Settings Regulation Implementation -Timeline Extension!

Frequently Asked Questions: HCBS Settings Regulation Implementation and Heightened Scrutiny Reviews of Presumptively Institutional Settings: July 2020 Update 1.Question: What is the new deadline for states to assure that all settings are in compliance with the home and community-based services (HCBS) settings criteria? Answer: States have been granted an additional year to demonstrate compliance and should ensure all settings are in full compliance with the HCBS settings criteria by March 17,...

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On-Site Trainings Available Upon Request

Currently, all "On-site Training" is on hold due to COVID-19.  If you require any of these trainings, please check our calendars on our website for current webinars or contact us at:  info@twogetherconsulting.com for some of our pre-recorded training options. Live Training On-Site (Please contact us if you want us to provide these trainings on-site for your program): HCS/TxHmL: Care Coordination in the HCS Program, Using Person-Centered Thinking To Develop The IP (Implementation Plan), Changes...

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Employment Assistance & Supported Employment Training Options From HHSC

Employment Assistance & Supported Employment Training Options From HHSC There are two Home and Community-based Services and Texas Home Living trainings in this series: HCS and TxHmL Employment Assistance Training HCS and TxHmL Supported Employment Training The web-based trainings cover employment services provided through HCS and TxHmL, information about the payer of first resort for employment assistance, and the basics of providing these services. They are designed to enhance staff...

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Enhanced Provider Portal, Relief Fund Payments Available For Providers!

Tuesday, June 9, 2020 HHS Announces Enhanced Provider Portal, Relief Fund Payments for Safety Net Hospitals, Medicaid & CHIP Providers Today, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), is announcing additional distributions from the Provider Relief Fund to eligible Medicaid and Children’s Health Insurance Program (CHIP) providers that participate in state Medicaid and CHIP programs. HHS expects to distribute...

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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. June & July   “Prep Session For HCS Provider Applicant Test” (Webinar) (We will be reviewing some TxHmL information as well) Date:  Tuesday- July 2nd, 2020...

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Texas Workforce Commission (Supported Employment)

Update on TWC services Provider Manual and Resources  The following revisions to the Vocational Rehabilitation Standards for Providers Manual (VR-SFP) are available for 30-day review on the Vocational Rehabilitation Providers' Resources page and will go into effect on June 29, 2020. Chapter 2: Obtaining a Contract for Goods and Services—updated Section 2.8.1 Adding Counties or Services, Goods, and/or Equipment to a Contract, to indicate that provider contracts awarded after January 2020 will...

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Cost Reporting Update!

Cost Report/Accountability Report has been extended to June 15, 2020 A notice has been posted to the LTSS web-page and the vendor will be updating the STAIRS system by Monday.  HHSC has stated they do not anticipate any additional extensions will be made at this point; however, if this occurs they will keep everyone updated. Notice: The new due date for submission of the 2019 Cost Report and/or 2019 Accountability Report has been extended to June 15, 2020. This new due date supersedes the...

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Utilization Review Department News!

Last Friday HHSC posted the following CARE banner:  Due to the 09/01/2019 HCS rate increase, service authorizations are being updated to ensure they are in line with their corresponding IPCs. This will not cause any payment changes. Upon inquiry as to what this meant, Holly Lindsey, UR, HHSC provided the explanation below.  Hopefully the explanation and guidance will be of assistance to you should an action (revision, renewal or transfer) be taken on an IPC which prompts a notice that the IPC...

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Person Centered Planning/ Practices Training Opportunities

Person-Centered Training Opportunities   HHSC Person Centered Planning/Practice Training Information What Training Is Required? Online Introductory Course The Texas Health and Human Services Online Introductory Course is appropriate for any member of the planning team, including: Legally authorized representatives Family members Friends Nurses (required in some instances) Behavior specialists (required in some instances) Employment specialists (required in some instances) Attendants...

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Live Classes

  No other live training has been scheduled at this time, these sessions are suspended until we hear more about the Covid-19 virus to decide on whether or not these sessions would be advisable at this time.  We will continue with webinars and on-site training, until further notice.       

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STATUS OF HCS RATES!

Status of HCS Rates as of Oct. 11th, 2019: As of October 11th, 2019, members of the HHSC Rate Workgroup were notified that the proposed rule amendments to implement the HCS rates that will be effective Jan. 1, 2020 thru August 31, 2021 have been sent to the Texas Register and will be published next Friday.  To view the HCS rates, go to:  https://rad.hhs.texas.gov/sites/rad/files/documents/long-term-svcs/2019/2019-09-hcs-rates.pdf . Any claims with DOS 11/10/19, and after will pay at the new...

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BEHAVIORAL SUPPORT SERVICES PROVIDER POLICY TRAINING

Behavioral Support Services HCS and TxHmL Behavioral Support Services Provider Policy Training (Has been mandated for HCS & TxHmL providers to ensure their contracted Behavioral Support Services providers to take since March 2015) This course informs service providers of behavioral support services in the HCS and TxHmL programs related to the provision of behavioral support services in those programs.  All new behavior support service providers must complete the WBT before providing...

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Our Awesome Admin. Asst.

Our Awesome Admin. Asst.

Meghan Jones Meghan Jones is our awesome Admin. Assistant, otherwise known as our "Jill of All Trades".  She handles our registration, keeps up with our enormous provider contact list, our company schedule and calendar, and she is our main point of contact for scheduling, other than myself.  We couldn't make it without our Meghan!  I know many of you have talked to Meghan over the phone. You may contact her to complete registrations, set up on-site visits from our consultants, request invoice...

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HHSC IDD Operations Portal For Providers

April 15th, 2019 As of April 1, 2019, Long-term care intellectual and developmental disability providers and local IDD authorities can electronically submit and receive documents to and from HHS IDD Program Eligibility and Support and IDD Utilization Review. Who Can Use the Portal? If you contract with HHS to provide IDD services in the following programs, you can register and begin using the portal: Community First Choice Community Living Assistance and Support Services Deaf-Blind with...

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TASKMASTER PRO “Cloud-Based” Services For HCS, TXHmL, ICF, and CLASS Providers

Discounted Rates Available for Small Providers (20 individuals or less) if you demo with Twogether Consulting to get signed up for TMP!  As you know, we often provide webinars for providers receiving TaskMaster Pro services and this year some exciting new changes are taking place.  We are having a webinar on January 28th to review some of the new changes added to the nursing component of TaskMaster Pro, which include Comprehensive Nursing Assessment addition.  For those of you who are not...

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Additional Training Opportunities

  HHSC JOINT PROVIDER LIVE TRAINING Save The Date:  2020 Waiver, Survey & Certification Training The training will cover a host of topics related to the HCS and TxHmL programs including, but not limited to, Administrative Penalties, Nursing Services, Amelioration and Informal Dispute Resolutions.  Registration information will be available online at HHSC in Spring 2020.         2020 HHS Long Term Care Regulatory Waiver Survey and Certification Joint Provider Training SAVE THE DATE...

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