Twogether Updates

TMHP: Very Important Information! Rejected Claims Submissions Between May 2nd and May 13th, 2022

May 23, 2022 Very Important! Please see information from TMHP below: Some Rejected Claims May Be Resubmitted Some Home and Community-based Services (HCS) and Texas Home Living (TxHmL) claims that were submitted to Texas Medicaid & Healthcare Partnership (TMHP) between May 2, 2022, and May 13, 2022, were rejected in error. HCS and TxHmL claims that were rejected with the following explanations of benefits (EOBs) may now be resubmitted for processing: Explanation of Benefits Description...

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

May 19th, 2022 HCS/TxHmL providers: Please be aware of the following for claims being paid from March 1st, 2022-August 31st, 2022 in TMHP:  There are new Procedure/Billing Codes in TMHP that reflect the ARPA short-term funding as retention payments you may be receiving for these claims billed during this time period.  If you are seeing new or different codes than you are used to, listed when you pull up "paid" claims, then you are receiving ARPA Retention payments and will be responsible for...

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COVID-19 in Healthcare Relief Grants (For ICF/IID Programs)

COVID-19 in Healthcare Relief Grants Senate Bill (SB) 8, 87th Legislature, 3rd Called Session, 2021, appropriates funding for the Health and Human Services Commission (HHSC) to issue awards to support Texas healthcare providers affected by the COVID-19 pandemic. These awards include funding for Rural Hospitals, Nursing Facilities, Assisted Living Facilities (ALFs), home health agencies (HHA), Intermediate Care Facilities for Individuals with Intellectual and Developmental Disabilities or...

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IPC User Guides for HCS and TxHmL Waiver Programs

More Help Available For Persons Entering IPC's Into TMHP! More information about submitting and revising Individual Plans of Care is available in the Long-Term Care Online Portal User Guides for Home and Community-based Services and Texas Home Living Waiver Programs. These user guides are available for the following programs that submit IPC forms 3608 and 8582 in the Texas Medicaid and Healthcare Partnership LTC Online Portal: HCS and TxHmL providers. Local intellectual and development...

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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 May 5th, 2022 HCS and TxHmL FAQ Updates Available May 9 and May 23 The Home and Community-based Services and Texas Home Living Waiver Programs Frequently Asked Questions document has been updated. HCS-TxHmL-FAQ-TMHP-TexasMedConnect Read the full alert here. September 21st, 2021 Updated HCS and TxHmL COVID-19 FAQ  HHSC has revised...

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Emergency Preparedness Guidance and Trainings

May 15th, 2022 2022 Hurricane Season Emergency Preparedness with COVID-19 Long-term care providers in Texas are reminded to review their emergency preparedness and response plans before Atlantic hurricane season begins, which runs June 1–Nov. 30. LTC providers should make updates, if necessary. Providers should factor in COVID-19 contingencies when reviewing their preparedness plans. For example, as applicable: Are your receiving facilities and transportation contracts still viable? If your...

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Revision To Billing Requirements

May 8th, 2022 HHSC Publishes Revision 22-1 of the HCS and TxHmL Program Billing Requirements, CFC Billing Requirements Revision 22-1 is effective May 2. All revisions are outlined in the Revision 22-1 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 Choice...

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HCS / TxHmL / LIDDA: Updates For Submission of Claims

May 8th, 2022  HCS and TxHmL Must Submit Claims and Forms to TMHP Beginning May 2, 2022 Home and Community-based Services (HCS) providers, Texas Home Living (TxHmL) providers, local intellectual and developmental disability authorities (LIDDAs), and financial management services agencies (FMSAs) billing on behalf of Consumer Directed Services (CDS) employers must submit claims and forms to Texas Medicaid & Healthcare Partnership (TMHP) beginning May 2, 2022, for dates of service on or...

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COVID-19 Resources

COVID-19 Resources May 8th, 2022 May 5, 2022 MCS COVID-19 Stakeholder Information Session Thank you for your interest in listening to the May 5 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 questions,...

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EVV (Electronic Visit Verification) Updates

May 8th, 2022 EVV Portal and Training Updates Texas Medicaid and Healthcare Partnership updated the Electronic Visit Verification Portal and related training materials on April 29. Refer to the EVV Portal and Training Updates notice on TMHP’s EVV webpage for more information. Email TMHP EVV Operations with questions March 7th, 2022 EVV Notice for HCS/TxHmL Program Providers The migration of Home and Community-based Services (HCS) and Texas Home Living (TxHmL) forms and claims entry to Texas...

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

May 7th, 2022 HHSC Updates HCS/TxHmL COVID-19 Response Plan, FAQ Documents HHSC Long-term Care Regulation updated the COVID-19 Response Plan and FAQ documents on May 5. The updates remove instructions on how to ask for emergency staffing from HHSC. Read the revised COVID-19 Response for HCS Providers (PDF). Read the revised Updated COVID-19 FAQs for HCS and TxHmL Providers (PDF). February 20th, 2022 HHSC Updates the HCS COVID-19 Response Plan and FAQ Documents – Feb. 18 HHSC Long-term Care...

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Updated Service Delivery Logs In Billing Requirements-HCS

May 5th, 2022 Please see the link below for updated Service Delivery Logs for 05/2022 in Billing Requirements Handbook on page 185. Billing & Payment Billing Requirements For HCBS Waiver   For questions about HCBS Program Billing Requirements, please email:   hcspolicy@hhs.texas.gov

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Letter From Twogether Consulting To Providers-Update

April 28th, 2022 Update From Twogether Consulting!      Hope everyone's Spring Holidays were a success:  Easter, Passover, Ramadan, and Eastern Orthodox Easter! There are so many changes happening right now for LTC Providers, especially those in the HCS/TxHmL programs: CARE Migration to TMHP, Critical Incident Management Reporting System, New Rules Coming for the HCBS program, including  ISS and DH changes, and much more. It continues to be a huge year of change!   Please contact us directly...

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ICF/IID Updates

April 29th, 2022 ICF Visitation Rules Update An alert went out to remind providers that all visitation must be allowed. Essential caregiver and end-of-life visits must be allowed for all individuals with any COVID-19 status. A facility may be cited if visitation is not allowed. Review ICF/IID visitation rules from April 4th, 2022, for additional information. April 10th, 2022 COVID-19 ICF Mitigation, Response Rule Revised Effective April 6 HHSC Long-term Care Regulation has published a...

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

April 28th, 2022 COVID-19 ICF/IID Webinar Recording from April 11 Available The April 11 recording of the Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions COVID-19 Q&A with HHSC Long-term Care Regulation and DSHS is available. The PowerPoint is updated with information given in the DSHS webinar. Read the COVID-19 Q&A (PDF). Listen to the webinar recording here. Email LTCR Policy for the transcrip February 27th, 2022 COVID-19 ICF/IID...

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CARE Migration To TMHP: Claims Submissions (Previously Billing In CARE)

April 28th, 2022 Very Important! Recorded Webinar For Claims Submission in TMHP   Below is the link to the recording of the claims submission webinar TMHP conducted.   Additional information about the migration will be sent under separate cover. Note:  HHSC will not conduct another webinar on claims submission!  https://tmhp.exceedlms.com/student/enrollments/create_enrollment_from_token/fEmzWuXLDuXzfc3jncsErHWU

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Star+Plus Pilot Information Update

April 28th, 2022 STAR+PLUS Pilot:  Attached are handouts from the November, 2021 and February, 2022 joint meeting of the IDD SRAC and STAR+PLUS Pilot Program Workgroup related to the pilot and decisions (including eligibility) made thus far. See pages 52 - 102 of the February, 2022 document for information about the pilot. HHSC has created a webpage on the Pilot Program. The link to this webpage...

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TMHP Transition Guidance for Renewal of ID/RCs and for Renewal, Revised and Transfer IPCs – CLASS, HCS and TxHmL

April 28th, 2022 Effective May 1, 2022, HHSC will transition certain COVID-19 flexibilities to interim guidance in accordance with House Bill (H.B.) 4 (87th Legislature, Regular Session, 2021). The following activities are authorized through interim guidance to be provided through a telehealth (synchronous audio-visual) modality: Renewal ID/RC assessments Renewal, revised and transfer IPCs This guidance applies to the following programs: Community Living Assistance and Support Services Home...

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House Human Services Public Hearing on May 5th: Providers & Others Invited For Testimony

April 28th, 2022 Details On Hearing Date, Time & Location:  Thursday, May 5, 2022 at 10:00 a.m., Capitol Extension, E2.030 Purpose:  To receive invited testimony on several of its interim charges:  #1 related to Healthy Families, Healthy Texas Initiative,  #8 related to the 1115 Waiver, and, the one of importance to PPAT members, #4 related to implementation of SB1, Rider 30 (HHSC) and recommendations for reducing the interest list for waiver services for Individuals with IDD and reducing...

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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.       May-July 2022 Most Common Nursing Violations Seen By Twogether Consulting:  Prevention & Correction (HCS/TxHmL)   Please Continue To...

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HCBS Rules: Concerns Regarding Room & Board Payment Process

April 20th, 2022 HHSC will hold a public hearing on the rules this summer.  Date and time not shared by HHSC yet. Lengthy discussion regarding the proposed provision related to lease agreements and the potential for eviction if R&B payments are not received, has occurred. A process is needed to ensure Providers receive R& B payments However, It is clear that further discussion regarding the proposed process/requirement is needed.

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ICF/IID and HCS/TxHmL COVID-19 related HHSC Notices-Update 2022

April 18th, 2022 HHSC Updates the ICF/IID COVID-19 Response Plan and FAQ Documents – April 18 HHSC Long-term Care Regulation updated the COVID-19 Response Plan and FAQ documents for Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions program. HHSC Long-term Care Regulation updated the COVID-19 Response Plan and FAQ documents for Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions program. Read the...

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Public Health Emergency Extended Another 90 Days

April 16th, 2022 Effective April 16, 2022 the Public Health Emergency (Pancemic) has been extended another 90 days.  This means, that if not terminated during that 90-day period, it will either end July 15, 2022, or, if deemed necessary, will be extended for another 90-day period

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Texas Position on Mandate Vs. CMS/Federal Surveyor

April 13th, 2022 Texas Providers have been reminded that they can be surveyed at any time by a CMS/Federal Surveyor and will need to be in compliance if this occurs. In short, at this time, HHSC Regulatory will not survey for compliance with the federal mandate. The federal mandate and HHSC position apply to certified-only HCSSAs, Hospice, Nursing Homes and ICFs/IID. 

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Individualized Skills and Socialization Update

April 12th, 2022 Information As of Now on Draft ISS Rules: The program rules will go to MCAC on August 11, 2022.  The regulatory or license rules will go to the HHSC Executive Council but no date set yet. The program and regulatory rules will be published in the Texas Register for formal comment in late July, and HHSC will hold a public hearing on the rules. HHSC has decided to eliminate the on-site ratios. Though the off-site ratios have not been eliminated, HHSC is considering revisions to...

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New Critical Incident Management Reporting System To Begin July 25th, 2022!

April 12th, 2022 Critical Incident Management System (CIMS):  The go-live date is late July.  See additional information below. Revised IL 2022-23:   https://www.hhs.texas.gov/sites/default/files/documents/il2022-23.pdf CIMS Part II Webinar on April 26th:  https://www.hhs.texas.gov/provider-news/2022/04/04/register-now-april-26-webinar-hhscs-new-cims-part-ii Due date for Correcting/Updating Contact Information extended to April 15th:   April 10th, 2022 Register Now for the April 26...

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Urgent Information- DH Transition to ISS Services & Portal Information Page

April 10th, 2022 HHSC Launches Individualized Skills and Socialization Portal Information Page HHSC launched a new Individualized Skills and Socialization Services Provider Portal. This new portal allows providers access to information on Individualized Skills Socialization services. Including: Complete and review trainings. Find and review provider letters and other information and releases. Link to rules and other services. March 9th, 2022 At the recent HHSC IID Coordination Workgroup...

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Twogether Consulting Newsletter Library

Subscribe To The Twogether Consulting Mailing List! April 9th, 2022 Change is inevitable, as we all know well in this line of work.  Our editor for the newsletter (James) has been with us for almost 8 years now and we will miss him, but his schedule has gotten super busy and he will not have as much time available. Meghan Jones will be transitioning as the new editor.  Many of you know Meghan as she is our administrative assistant and you have probably contacted her for registrations and such...

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Updated CARE Migration FAQ’s

March 7th, 2022  (See link below to FAQ's) HCS/TxHmL FAQ Document Answers to Additional Questions related to the Migration Can you clarify the next steps to get providers registered for the billing training? The claims training will be provided from TMHP. Providers need to sign up to receive TMHP alerts as the announcement will come from a TMHP alert. HHSC may send out an alert also, but providers have been missing out on announcements because they do not get TMHP alerts. What does a provider...

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Draft ISS Rules

March 10, 2022 Draft of ISS Rules below: Texas Administrative Code, Title 26, Part 1, Chapter 559, Subchapters A and H, Individualized Skills and Socialization Email comments before March 28th, 2022 to Long-term Care Regulation Policy and Rules.

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TMHP and HHSC Deployment Activities Begin Date: 04/06/22

March 9th, 2022 CARE Banner In CARE system for HCS/TxHmL providers: Moving the date of migration of HCS and TxHmL waivers has resulted in significant technology changes. In preparation for this migration, TMHP and HHSC will begin deployment activities on 04/06/22. Some Provider/LIDDA data entry screens in CARE will be unavailable starting COB 04/06/22 until 04/30/22. A Gov Delivery notice will be sent with a complete list of affected screens next week.  HHSC will notify you if the migration...

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CARE Migration To TMHP HCS &TxHmL

March 7th, 2022 Claims Training for CARE Migration:    Training will occur from 10:00 to Noon on March 22nd and again on March 24th. Click on link below to register for one of the training sessions. "TMHP is hosting HCS and TxHmL Waiver Programs webinars on March 22 and March 24 for program providers, LIDDAs, and FMSAs who submit claims on behalf of CDS employers. These webinars will train attendees how to submit and manage claims using TexMedConnect." For more info, copy and paste this URL...

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Don’t Forget: Statewide Transition Plan Public Comment Period ends on 4/4/22 On HCBS Settings Rule

March 7th, 2022 Public Comment Period for STP HHSC will submit a Statewide Transition Plan to the Centers for Medicare and Medicaid Services. This is required by the federal Home and Community Based Services Settings Rule. The STP describes HHSC’s plan to meet the requirements of the HCBS Settings Rule. HHSC invites members of the public, including HCBS recipients and their families, providers, and other stakeholders, to submit comments on the STP. Comments will be accepted until 11:59 pm on...

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Follow-Up Answers From Questions During 2/9/22 HCS/ TxHmL POC Training From HHSC

March 4th, 2022 If you attended the 2/9/22 Plans of Correction (POC's) training webinar for HCS & TxHmL, here are the answers to some of the follow-up questions asked during the session:  Q: I have experienced that the POC has a date that is 8 days in the past but the postage stamp would be 2 days ago. This leaves me with 6 days to complete the POC. Do I use the date on the letter or the postage date for the 14-day time period? A: §9.183(f) states the program provider must submit the POC...

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Might Need To Update Your Fire Alarm System’s Cellular Communication Services (HCS 4-bed & ICF Homes)

LTC Providers May Need to Update Fire Alarm System Cellular Communication Services In 2022 cellular companies will retire their older 3G technology. These companies include T-Mobile, Sprint, Verizon and AT&T. LTC providers with a fire alarm system supported by an older cellular communicator running on 3G signals should upgrade their fire alarm communication equipment. Many fire alarm systems use cellular communication devices to send signals to a 24-hour central monitoring station. The...

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Postponed: Form Submission for HCS and TxHmL In The LTC Online Portal!

March 1st, 2022 HCS and TxHmL Form Submission on LTC Online Portal Unavailable Until May 1, 2022 Due to Postponement, submissions of Home and Community-based Services and Texas Home Living forms using the Texas Medicaid and Healthcare Partnership Long-Term Care Online Portal are unavailable until May 1st, 2022. Data migration to the TMHP LTC Online Portal took place prior to March 1st, 2022. FYI-Any HCS and TxHmL form submitted to the LTC Online Portal before March 1 could be removed and...

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HCS/TxHmL Migration to THMP Delayed Until 5/1/2022/!

March 1st, 2022 Claims & Forms Submissions:    The March 1 release of claims and forms submissions to Texas Medicaid & Healthcare Partnership is postponed to May 1, 2022. Home and Community-based Services Texas Home Living program providers Providers should continue to use the Client Assignment and Registration system for submitting claims and forms until May 1, 2022. The postponement allows more time for Providers to set up the necessary TMHP accounts and take relevant training...

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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

February 28th, 2022 COVID-19: HHSC Publishes In-Home Day Habilitation Information for Program Providers (IL 2022-15) HHSC is temporarily waiving certain requirements in Section 3710, 4381.3, 4381.7(6) and 4381.7(7) of the Home and Community-based Services Billing Guidelines and the Texas Home Living Billing Guidelines. This is due to COVID-19 and provides access to needed day habilitation services. HHSC has published a revision to this guidance in IL 2022-15 In-Home Day Habilitation...

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New Crosswalk Billing Codes For DH As of March 1st, 2022

February 27th, 2022 HCS and TxHmL Billing Changes In The Crosswalk for DH HCS and TxHmL providers must use the HCS and TxHmL Bill Code Crosswalk starting March 1, 2022 to submit claims for all services. The bill code was updated Dec. 28, 2021. The HCS and TxHmL Bill Code Crosswalk includes new bill codes for the services that require electronic visit verification. For HCS program providers: Providing out of home day habilitation or in-home day habilitation in a host home or companion care...

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Quarterly Stakeholder’s Webinar (HCS/TxHmL) March 10th, 2022

February 27th, 2022 HCS and TxHmL Webinar Slated for March 3 moved to March 10th, 2022 Program providers and other interested stakeholders can now register for the upcoming HCS and TxHmL webinar. Webinar topics include: HCS & TxHmL Forms and Claims Migration Project Critical Incident Management System HCS and TxHmL Webinar March 10, 2022 3:30 - 4:30 p.m. Register for the webinar Email questions about the webinar to your program policy mailbox: HCS Policy TxHmL...

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Last Chance For LTC TMHP Migration HCS & TXHML Waiver Webinar Part II-March 10th, 2022

February 26th, 2022 If you missed part II of the LTC TMHP Migration HCS & TxHmL Waiver Webinar Training, you will have an additional chance on March 10th, 2022 10am-12:30pm Central Please click here register here The Long-Term Care (LTC) Online Portal Training for Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Waiver Programs is a two-part webinar for providers and Local Intellectual and Developmental Disability Authorities (LIDDAs). Attendees can register for any of...

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LTC TMHP Migration HCS & TXHML Waiver Webinar Handouts-Part I-Feb. 8th, 2022

February 8th, 2022 For those of you who missed today's training (part I) or who did not download the documents, I have provided them on this "Updates" post from Twogether Consulting Link to Resource Document from Webinar on 2/8/22 (TMHP Training Part I) Webinar Handout Part I Training  LTC TMHP Portal Provider User Guide TMHP Migration (HCS & TxHmL) FAQ's This webinar will be repeated on March 8th, 2022 10am-1pm central The Long-Term Care (LTC) Online Portal Training for Home and...

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Additional Claims Trainings For THMP

February 23rd, 2022 Claims Training For The Transition To TMHP Next Week  ~  HHSC and TMHP will conduct the training next week. They will let us know in the next few days when the training is set. ~  Webinar will be 2 hours.  Training will include a step-by-step walk-through. A  large portion of time will be used to answer questions providers have about billing. Look at the considerations to use applications to improve your business. ~  HHSC & TMHP webinars have a 1,000 person limit. ...

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CMS Vaccine Mandate- LTC Providers (Update)

February 14th, 2022 The CMS Interim Final Rule related to the vaccine mandate only applies to certified providers regulated by CMS such as ICFs/IID, Nursing Homes, certain Home Health Agencies, etc. See complete list at:  https://ogletree.com/insights/cms-gives-a-boost-and-takes-a-shot-at-full-vaccination-for-millions-of-u-s-healthcare-workers/ ***The end of the list states that home and community-based services are not included.  As such (and confirmed by HHSC), the CMS Interim Final...

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CARE as of March 1st: Client Assessment, Review, and Evaluation (CARE) Report and Screen Crosswalks Now Available

February 13th, 2022 HCS/TxHmL Providers & LIDDA's: Client Assessment, Review, and Evaluation (CARE) Report and Screen Crosswalks Now Available The CARE report and screen crosswalks for HCS, TxHmL providers and LIDDAs are now available to assist with daily operations. Click the following link to view the files: Provider and LIDDA CARE Report Crosswalk Provider and LIDDA CARE Screen Crosswalk HCS and TxHmL providers will use these crosswalks to locate relevant individual and provider data...

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CBT (Computer Based Training) For Entering Claims For HCS & TxHmL Services As Of March 1st, 2022

February 8th, 2022 CBT (Computer Based Training) For TMHP Billing of Services/Entering Claims For those of you asking where to submit claims for HCS & TxHmL services after March 1st, this will be via TMHP.  CARE will no longer be used to submit these claims as of March 1st, 2022.  Training on how to submit your claims can be found on the TexMedConnect for LTC Providers portal via CBT training. TexMedConnect for Long-Term Care (LTC) Providers "This CBT contains information about using...

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Can An HCS Program Provider Provide Services To Their Own Child Or Family Member?

I recently received this response from HHSC and thought it might be helpful to some providers who may have this concern: There is no rule or regulation that prohibits an HCS Program Provider from providing services to their own child or family member. The program provider’s operations must prevent conflict of interest as required by 40 TAC §9.177(f): §9.177 Certification Principles: Staff Member and Service Provider Requirements (f) The program provider's operations must prevent:   (1)...

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HCS/TxHmL Writing Acceptable Plans of Correction Webinar-Feb. 9th, 2022

February 1st, 2022 HCS/TxHmL Writing Acceptable Plans of Correction Webinar   "WHAT IS A POC? 42 CFR §488.401 defines a Plan of Correction to mean a plan developed by the facility and approved by CMS or the survey agency that describes the actions the facility will take to correct deficiencies and specifies the date by which those deficiencies will be corrected.Apr 19, 2021" Program providers can register for the Writing Acceptable Plans of Correction for HCS and TxHmL webinar. This...

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Allowance of Delivery of PT, OT, and ST Services Via Telehealth (IL 2022-08)

February 1st, 2022 HHSC Publishes Information on Delivery of PT, OT, and ST Services (IL 2022-08) HHSC is issuing interim guidance allowing telehealth delivery of physical therapy, occupational therapy, and speech therapy services. Access Information Letter No. 2022-08, HB4: Physical Therapy, Occupational Therapy, Speech Therapy Services Delivered by Synchronous Audio-Visual. The letter notes which therapies are not allowed to be delivered through telehealth modalities because the service...

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COVID-19 Cases Continue to Rise – What Should LTC Providers Do?

February 1st, 2022 Guidance for LTC Providers COVID-19 cases continue to increase across Texas. HHSC reminds providers to follow the guidelines listed below and ensure their emergency plan is up to date. Staff must be aware of what to do in the event of any sort of emergency, including an outbreak of flu or COVID-19. Please review the following rules, guidelines, and policies: COVID-19 mitigation and visitation rules for your provider type Any applicable COVID-19 response plans for your...

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HHSC has published ICF and HCS Emergency Staffing Requests Letter – Jan. 10th, 2022

HHSC has published ICF and HCS Emergency Staffing Requests – Jan. 10 HHSC has published ICF and HCS Emergency Staffing Requests (Provider Letter 2022-02). This letter provides information for Intermediate Care Facilities for Individuals with an Intellectual Disability (ICFs) or Related Conditions and Home and Community-based Services (HCS) program providers facing staffing shortages related to the COVID-19 public health emergency.

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STATUS OF HCS RATES!

Status of HCS Rates as of January 17th, 2022 HCS and TxHmL Day Habilitation Rates, Respite Rates and Other Concerns The Public Health Emergency (PHE) was renewed until April 16, 2022, and Clarification:  The HCS & TxHmL rates posted on HHSC's webpage listed as Effective March 1, 2022 to Current. are a bit confusing The Public Health Emergency (PHE):  https://aspr.hhs.gov/legal/PHE/Pages/COVID19-14Jan2022.aspx HCS Day Habilitation (DH) & Respite Rates:  Some members have inquired about...

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ICF & HCS Surveys: Backlog of Surveys and Compliance Expectations

January 14th, 2022 ICF/IID and HCS Surveys:  HHSC has responded to questions providers have asked regarding the current backlog of surveys and what time period will be reviewed/surveyed when a provider finally receives its survey. Should you have further questions, please email HHSC at:  LTCRPolicy@hhs.texas.gov In regards to ICF surveys, the facility needs to be able to show compliance at all times.  Some areas of compliance require (at least) annual updates (i.e. Individual program plans),...

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Vaccine Mandate Updates

January 14th, 2022 Vaccine Mandates: Earlier today the Supreme Court issued its rulings on the CMS and OSHA Vaccine Mandates. The Supreme Court stayed the OSHA mandate and permitted the CMS mandate.  As a reminder, the CMS mandate applies to ICFs/IID.  For further details, go to:  https://www.supremecourt.gov/ December 1st, 2021 Judge Doughty, U.S. District Court, Western District of Louisiana, blocked enforcement of the CMS Interim Final Rule (which among other LTC programs, applies to...

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Texas COVID-19 Coronavirus Resources & Guidance for People with Disabilities

Check Out These Resources For Persons With Disabilities From The              Office of Texas Governor Greg Abbott https://gov.texas.gov/organization/disabilities/coronavirus Government COVID 19 Information and Resources https://tcdd.texas.gov/resources/covid-19-information/government/ Other Texas Organizations There are a number of disability-related organizations in Texas that are sharing information and resources related to COVID-19. Below you’ll find links to their COVID-19 webpages and...

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HHSC’s, DSHS & CDC Update: COVID-19 Omicron Variant

January 10th, 2022 When was Omicron Variant First Found in Texas and What is This Variant of COVID-19?  (Please see article below) Texas Identifies Case of COVID-19 Omicron Variant News Release Dec. 6, 2021 The first known Texas case of the COVID-19 B.1.1.529 variant has been identified in a resident of Harris County. The adult female resident was recently diagnosed with COVID-19. Results of genetic sequencing this week showed that the infection was caused by the Omicron variant strain. The...

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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 Free Webinars!! January 2021 Free Webinar  “1099 Contractor Concerns” Presented by ADP Payroll & HR" Twogether Consulting is happy to have ADP Payroll & HR Services again as a resource for IDD providers in our free webinar series for the month of January 2022! Free Webinar Series Hosted By: Twogether Consulting...

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Revised Guidance for LTC Facilities Experiencing COVID-19 Staffing Shortages

Revised Guidance on Staff Work Restrictions and Return to Work HHSC has issued revised guidance for long-term care providers experiencing staffing shortages due to COVID-19. The requirement to contact LTCR before implementing CDC guidance on staff work restrictions and return-to-work has been removed. "Guidance and Protocol for Long-Term Care Facilities Experiencing Staffing Shortages due to the COVID-19 Public Health Emergency. This checklist provides guidance for long-term care facilities...

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LTC (Long Term Care) Online Portal BasicsWebpage

January 9th, 2022 Please click on link below to take you to the "LTC Online Portal Basics" page with important information on usages for the portal,  e-learning training sessions, and pdfs of manuals needed for navigating the portal LTC Online Portal Basics page By Provider Training Services Published: Mar 5, 2021 Duration1h This interactive training provides a basic overview of the Long Term Care (LTC) Online Portal including an overview of the features of the blue navigational bar and the...

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TMHP LTC and HHSC IDD Operations Portal For Providers-Additional Trainings Update 2022

January 9th, 2022 Register for HCS and TxHmL Webinars, Additional Training Resources Texas Medicaid and Healthcare Partnership is hosting Long-term Care Home and Community-based Services and Texas Home Living Waiver Program webinars for program providers, Local Intellectual and Developmental Disability Authorities, and financial management services agencies that submit claims on behalf of Consumer Directed Services employers. Each webinar is composed of two sessions. Attendees can register for...

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

January 9th, 2022 Reminder: SB 809 / Rider 143 COVID-19 Reporting The Health and Human Services Commission (HHSC) is posting the list of healthcare institutions, as identified by HHSC, who must submit reports in compliance with Senate Bill 809 or Rider 143. The list also identifies those providers who have not submitted a SB 809/Rider 143 Report. The list can be found on the Provider Finance website under SB 809/Rider 143 COVID-19 Reporting Healthcare Institution List. Note: this list is for...

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

December 30th, 2021 “Study & Prep Session For HCS Provider Applicant Test”  Contact us for a copy of pre-recorded session from November 3rd, 2021 This Training is Not Affiliated In Any Way with HHSC It is Provided by Twogether Consulting, a private consulting company for HCS/TxHmL & ICF providers  (As well as persons  seeking Information about these Medicaid programs) (We will be reviewing some TxHmL information as well) Cost:  $150/person To register, please go to:   Topics:    ...

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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 neccesarily 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...

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Important-HCS and TxHmL Webinars and Claim Payment Account Setup (Coming Soon!)

HCS and TxHmL program providers, Local Intellectual and Developmental Disability Authority agencies, and Financial Management Services Agencies billing on behalf of Consumer Directed Services employers can register for webinars starting next month. These webinars will cover information about the Long-Term Care Online Portal and forms that HCS and TxHmL program providers will use. The webinars will: Include a live Q&A session Begin in February 2022 Details, including dates, times, and...

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

December 25th, 2021 The extension for DH goes through January 31st, 2022 now.  See Nov. 21st, 2021 information below. November 21st, 2021 HHSC Publishes In-Home Day Habilitation Information Revision/Update for Program Providers for COVID-19 (IL 2021-53) Texas HHSC is temporarily waiving certain requirements in Section 3710, 4381.3, 4381.7(6) and 4381.7(7) of the Home and Community-based Services Billing Guidelines and the Texas Home Living Billing Guidelines. This is due to COVID-19 and to...

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HHSC Publishes Active, Unemployable Work-Around (Provider Letter 2021-44)

December 20th, 2021 Check LEIE/OIG and check With the implementation of FBI-based fingerprinting in 2021, Long-term Care Regulation (LTCR) also implemented Occupations Code (OC), Chapter 53, related to the consequences of a criminal conviction, specifically the 2019 legislative update to OC §53.023 concerning additional factors for licensing authorities to consider after determining a conviction directly relates to the occupation. Policy Details & Provider Responsibilities Long-term care...

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SB8- New HHSC Grants Webpage

December 17th, 2021 The link doesn't inform providers about current information but will provide future information about ARPA funds, and will be available on the newly created HHSC Grants webpage. Press Release: Governor Abbott, HHSC Announce $128 Million To Support Staffing Needs At Rural Hospitals, Nursing Facilities | Office of the Texas Governor | Greg Abbott HHSC Grants Webpage: COVID-19 in Healthcare Relief Grants | Texas Health and Human Services According to the HHSC Provider Finance...

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Transition of DH to ISS

December 12th, 2021 ISS (Individualized Skills and Socialization)   Changes to Day Habilitation (DH) programs are coming for HCS/TxHmL!  The link below contains a discussion concerning the implementation of a recommendation in the Rider 21 Report (General Appropriations Act for FY 2020-2021, 86th Session) related to the monitoring of DH programs which will transition to the provision of ISS. To view, the report go to: ...

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

November 4th, 2021 HCS and TxHmL Annual Vendor Submission Timeframe The timeframe to submit for annual vendor approval is Nov.1, 2021 through Jan. 31, 2022. 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 received. If you are unable to meet the...

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HHSC E-Learning Portal

The HHS Learning Portal  Please bookmark the new location or click here and save to “Favorites” The new web address for the HHS Learning Portal is: https://learningportal.hhs.texas.gov New & Current HCS/TxHmL Providers, Please Take These Trainings The e-learning portal. This is where Abuse, Neglect, Exploitation Training ( the ANE training) for you and your staff is. All staff at the facility should take this at least initially and maybe every 1-2 years ANE E-Learning page ***You may need...

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Following Suspensions Still In Place Related To COVID-19 (HCS): Recap

November 23rd, 2021  While most of the suspensions related to COVID-19 have ended, the following HCS suspensions are still in place. HHSC will still allow an HCS four-person residence to add up to two additional individuals temporarily if the residence has the space to accommodate them and has been approved as a four-person residence by HHSC. (Rule: 40 TAC §9.153(39)(B)) Suspension of the requirement for HCS providers to ensure at least one complete staff shift change per day for individuals...

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Recording Available -11-10-21: HCS, TxHmL, CLASS, DBMD Webinar

November 10, 2021, HCS, TxHmL, CLASS, DBMD Webinar Recording Available Last updated on 11/22/2021 A recording of the November 10, 2021, Home and Community-based Services (HCS), Texas Home Living (TxHmL), Community Living Assistance and Support Services (CLASS), and Deaf-blind Multiple Disabilities (DBMD) Webinar with Texas Health and Human Services Commission (HHSC) Long-term Services and Supports is available for those who could not attend. Read the HCS, TxHmL, CLASS, and DBMD Webinar (PDF)....

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Ways To Assist Providers Currently Using TASKMASTER PRO “Cloud-Based” Services (HCS/TxHmL/ICF/CLASS)

As some of you may know, Twogether Consulting does not work for Taskmaster Pro, but we do have quite a bit of experience with their software and I love the benefits of this "cloud-based" program.  In the past, I have also used the software for my own HCS program as we had HCS contracts in over 32 counties.  Electronic Records were a must for us with that many counties to keep track of and service providers to monitor!  No matter who you choose to provide those services.  I do, however, highly...

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Provider Resource: ADP Payroll & HR Services

Get Your Promotions for Becoming A New ADP Clients:  - 1st  3 months free   - Other Discounts Available! November 21st, 2021 Twogether Consulting strives to find a variety of good resources for our IDD providers and hope that ADP may be able to help some of you out there with Payroll and HR needs. Our newest contact from ADP is, Rachel Sawyer. She is the Major Accounts District Manager for Austin, Texas area, but can help you wherever you are located.  She can assist our HCS/TxHmL/and...

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Texas Lawsuits Filed Against COVID-19 Vaccine Mandate Now Includes Challenge To CMS Federal Contractor Rules

November 16th, 2021 Many states have already filed lawsuits against the COVID-19 Vaccine Mandate. This includes lawsuits against the CMS Interim Final rule, the OSHA  Emergency Temporary Standard (ETS) and the Federal Contractors rule.  The Texas Attorney General (AG) Office announced it is also challenging the CMS Federal Contractors rules. Not sure what this means for providers yet, but you may need to continue to prepare for implementation until otherwise directed. See links below for more...

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PEM (Provider Enrollment Management) System

November 16th, 2021 Starting August 2021, HHSC has begun the transition to one system for Provider Enrollment Management which will move to 1 "smart system" if you want to become a Medicaid vendor/Medicaid provider, re-enrollment every 5 years, and the forms/application will be uniform.  They will go directly into TMHP system, not to HHSC.  The current paper application forms will not be required.  They have begun the process with existing providers. One system=PEMS One NPI-based enrollment...

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Reminder: LTC Providers May Request COVID-19 Emergency Support

November 6th, 2021 LTC Providers May Request COVID-19 Emergency Support For Emergency Staffing Support: The Office of the Governor directed DSHS to use staffing agencies to provide medical personnel from out-of-state to Texas health care facilities to assist in COVID-19 operations. This support will be available to residential long-term care providers. -Providers must demonstrate that they have exhausted all other options. -Also that they have urgent need for assistance before requesting...

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HCS Certification Principals Training Webinars & Recordings

August 12th, 2021 HCS/TxHmL Certification Principle Interpretive Guidance Series Starting August 12, 2021, the HCS/ TxHmL Joint Training Program bgan presenting a series of nine webinars designed to provide interpretive guidance on the HCS and TxHmL Principles of Certification, as outlined in the Texas Administrative Code. You may click on the links to previously recorded trainings below to watch any of the nine sessions on Certification Principles from the Texas Administrative Codes....

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CMS and OSHA Issue Temporary Interim Rules on the Vaccine Mandate

CMS and OSHA just released their respective interim final rules on the vaccine mandate.  Below are links to their rules, webinars and other related items. For further details see below as well as the information at the following link:  https://homehealthcarenews.com/2021/11/cms-releases-emergency-regulation-requiring-covid-19-vaccinations-for-medicare-medicaid-providers/?euid=6e81729339&utm_source=hhcn-newsletter&utm_medium=email&utm_campaign=c7ada108f8 CMS: Link to Interim Final...

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HHSC Publishes Acceptable Documentation for a Criminal History Check for Contractors (IL 2021-48)

HHSC Publishes Acceptable Documentation for a Criminal History Check for Contractors (IL 2021-48) HHSC has published IL 2021-48 (PDF). This letter is provided as a companion letter to PL 2019-01 (PDF) which describes acceptable documentation a contractor may use to demonstrate the contractor conducted a criminal history check of an employment applicant or an employee. Licensed contractors must continue to follow the guidance outlined in PL 2019-01. Unlicensed contractors must follow the...

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HHSC Publishes Information to Assist People with Terminated SSI (IL 2021-47)

HHSC Publishes Information to Assist People with Terminated SSI (IL 2021-47) HHSC has published IL 2021-47 (PDF). It assists people with terminated Supplemental Security Income. In Texas, people who get Supplemental Security Income benefits are eligible for Medicaid. Under normal circumstances, termination of SSI benefits results in losing Medicaid coverage.  When the continuous Medicaid coverage period ends, these individuals will lose their Medicaid coverage unless their SSI benefits are...

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From Our Friends At The ARC of TEXAS: Update on Disability Voting Rights & Virtual Support Group For Persons With Disabilities

Vote early in Texas through Friday, October 29 DOWNLOAD CHECKLIST If you are registered to vote, you have the right to vote! Although you are not allowed to use your phone or electronics for notes, you can take handwritten or printed notes with you into the voting booth. That’s why we created a free Plan Your Vote downloadable checklist, which includes the number for Disability Rights Texas’s Voting Hotline in case you encounter issues casting your ballot. It may also help to review your...

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PPAT Fall Conference For November 10th-12th 2021 Canceled!

Rising To The Challenge! PPAT Fall Conference We are sorry to report that the conference has been canceled at this time.  I believe they plan to reschedule for the Spring of 2022! We should have more information in the near future about the cancelation, and when there is a confirmation of when the conference will be rescheduled. If you signed up as a Sponsor, Vendor, or Registered for the Conference please contact PPAT for more information and reimbursements. You may contact the office at...

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SB 8 (ARPA funds) Passed by the Senate and House!

October 18th, 2021 SB 8 (ARPA funds) Passed by the Senate and House! The Senate passed SB 8. and the House passed SB 8 as of this evening!  The bill appropriates $13 billion of the $16 billion available in ARPA funds. The bill reflects agreements reached by the conference committee and can be viewed at: https://lrl.texas.gov/scanned/87ccrs/sb0008_3c.pdf#navpanes=0 In reviewing the document, please note the following: Pages 3-24 contain the committee report in bill language.  To view bill...

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HCS/TxHmL Interpretive Guidance Page With Tools For Rule Interpretations

October 3rd, 2021 HHSC Announces HCS and TxHmL Interpretive Guidance Page HHSC Long-term Care Regulation created the HCS and TxHmL Interpretive Guidance page. This page connects program providers with relevant tools for rule interpretation. It includes the Interpretative Guidance booklet and Certification Principle training. October 3rd, 2021 Twogether Consulting highly recommends you read through the HCS/TxHmL Interpretive Guidance Booklet and keep this PDF downloaded on your desktop for...

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HHSC Publishes Amended Statutory Cap Regarding Administrative Penalties for ICFs (PL 21-34)

September 30th, 2021 CAP Update: Administrative Penalties for ICFs (PL 21-34) HHSC published Provider Letter 21-34 Amended Statutory Cap Regarding Administrative Penalties for Intermediate Care Facilities. PL 21-34 notifies providers of changes to how HHSC determines and imposes administrative penalties based on changes made by House Bill 3720 (87th Legislature, Regular Session, 2021).

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COVID Vaccine Information- HCS, TxHmL, ICF

September 21st, 2021 Updated CDC Guidance for LTC Facilities on Accessing COVID-19 Vaccine – Sept. 2021 The Centers for Disease Control and Prevention has recently updated resources for long-term care facilities on how to help residents and staff access COVID-19 vaccines: Vaccine Access in Long-term Care Settings Care Administrators and Managers: Options for Coordinating Access to COVID-19 Vaccines Jurisdictions Can Ensure COVID-19 Vaccine Access for Staff and Residents in Long-term Care...

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COVID-19 Information

September 21, 2021 COVID-19 FAQ's Updated For HCS/TxHmL HHSC has revised the Updated HCS and TxHmL COVID-19 FAQ (PDF)  in response to the revised HCS and TxHmL COVID-19 Mitigation and Visitation rules.   September 21st,2021 COVID-19 Response Plan Revised HCS/TxHmL   COVID-19 Response Plan (PDF) in response to the revised HCS and TxHmL COVID-19 Mitigation and Visitation rules 9/21/21 Updated to reflect changes in response to GA-38 regarding facemasks and updated CDC guidance The Table...

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Montessori Webinar Series: Montessori Methods With Older Adults With Dementia

HHSC and Money Follows the Person Demonstration Grant Bringing webinar series to health care professionals. It discusses the work of Dr. Montessori and the Montessori Method when working with older adults with dementia. Dr. Cameron Camp provides this series. The series will also focus on understanding the application of Montessori principles to improving staff engagement. Discussions includes specific principles and techniques. Montessori Inspired Lifestyle: Montessori Based Dementia...

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Guidance for Ending of the Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak (PL 2021-29)

HHSC Publishes Guidance for Ending of the Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak (PL 2021-29) Updated September 15th, 2021  (Originally posted on August 15th, 2021) HHSC has published Provider Letter 2021-29 (replaces PL 2020-21 and 2020-26) - End of Temporary Suspension of Certain LTCR Requirements During COVID-19 Outbreak (PDF). The letter describes the rule suspensions that ended, the rule suspensions that are still in place, and the rule suspensions that...

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ICF Emergency & Disaster Preparation Updates

Very Important Updates on Emergency & Disaster Preparedness During the Pandemic Resources Listed Are From CMS & HHSC  See Info For ICF Facilities Below     Life Safety:  Updated Guidance for Emergency Preparedness-Appendix Z of the State Operations Manual (SOM) Emergency Preparedness Participant Workbook  Interim Guidance for Hurricane Evacuation Transport to General Population Shelters during the COVID-19 Pandemic Interim Guidance for General Population Disaster Shelters...

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Day Habilitation: Update on “Off-Site” DH Services

September 5th, 2021 HHSC Publishes In-Home Day Habilitation Information for Program Providers for COVID-19 (IL 2021-39) The Texas HHSC is temporarily waiving certain requirements in Section 3710, 4381.3, 4381.7(6) and 4381.7(7) of the Home and Community-based Services Billing Guidelines and the Texas Home Living Billing Guidelines. This is in response to COVID-19 and to provide access to needed day habilitation services. HHSC has published a revision to this guidance, IL 2021-39 In-Home Day...

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

September 5th, 2021 Now Called Billing Requirements Not Billing Guidelines!!!! HHSC Publishes Revision 21-3 of the HCS and TxHmL Program Billing Requirements and CFC Billing Requirements HHSC Publishes Revision 21-3 of the HCS and TxHmL Program Billing Requirements and CFC Billing Requirements This revision, effective Sept. 1, changes the name from Billing Guidelines to Billing Requirements, and all revisions are outlined in the 21-3 Revision Section of each document. The Billing Requirements...

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Informal Dispute Resolution Process-HCS/TxHmL/ICF

September 5th, 2021  HHSC Publishes Revised Informal Dispute Resolution (PL 2021-07) HHSC published a revised version of Provider Letter 2021-07, Informal Dispute Resolution (PDF). A revision was made to update the contact phone number. . The Informal Dispute Resolution (IDR) process gives nursing facilities, assisted living facilities, intermediate care facilities, Home and Community-based Service and Texas Home Living waiver providers the opportunity to informally dispute regulatory survey...

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HHSC Changes To Structure, Organization, and Contact Info: Survey & Certification (HCS/TxHmL)

September 1st, 2021 The Health and Human Services Commission created the Regulatory Services Division (RSD) in 2017 as regulatory functions consolidated from the Department of Family and Protective Services (DFPS), the Department of Aging and Disability Services (DADS), and the Department of State Health Services (DSHS). As part of this consolidation effort, new teams were developed while keeping the division’s core values of quality, consistency, efficiency, and accountability in mind. RSD...

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Disaster Preparedness: Requests To Exceed License Capacity Due to an Emergency

Requests For Exceeding Licensed Capacity During Severe Gulf Coast Weather HHSC Long-term Care Regulation is reminding providers to be ready to implement emergency preparedness plans. If your facility is impacted by severe weather such as wind or flooding, or is in an area under mandatory evacuation orders, contact the HHSC LTCR Regional Director in the region where the facility is located. In addition to contacting the HHSC LTCR RD, all requests to exceed licensed capacity due to an emergency...

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LTC Provider Reporting Guidelines as COVID-19 Cases Surge (ICF Providers)

August 26, 2021 Assisted living facilities, nursing facilities, and intermediate care facilities for people with intellectual disabilities are only required to report COVID-19 cases in residents or staff to HHSC if: It is the facility’s first ever COVID-19 case It is the facility’s first case after having had no COVID-19 cases among staff or residents for 14 days or longer Read Provider Letter 2021-04 (PDF). Email questions to LTCR Policy for more information, including a decision tree on when...

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LTC COVID-19 and Visitation Expansion Rules For in HCS in Texas

August 25th, 2021 Program Provider Response to COVID-19 and Visitation Expansion for HCS (PL 2021-30) HHSC published Provider Letter 2021-30 Program Provider Response to COVID-19 and Visitation Expansion for HCS. This letter replaces PL 2021-09.  This letter describes the actions a program provider must take to mitigate COVID-19 according to Executive Order GA-38(link is external) and CDC guidance and the criteria for expanded indoor and outdoor visitation as well as essential caregiver...

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HCS/TXHML Survey Operations Transformation (PL 2021-26)

August 15th, 2021 HHSC Publishes HCS and TxHmL Survey Operations Transformation (PL 2021-26) In advance of the HCS Waiver Survey and Certification unit’s transition to Long-term Care Survey Operations, HHSC has published PL 2021-26, HCS and TxHmL Survey Operations Transformation (PDF). The letter provides information about HHSC’s transformation efforts and what HCS and TxHmL program providers can expect on August 30, 2021.

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Information Letter No. 21-32 –Requirements for IPC Submissions for Individuals Requesting Services Funded with GR

August 1st, 2021 Information Letter No. 21-32 –Requirements for IPC Submissions for Individuals Requesting Services Funded with General Revenue This information letter describes the documentation that a CLASS case manager, DBMD program provider, HCS service coordinator, or HCS program provider must submit to HHSC to request the use of general revenue to pay for services above the individual cost limit of a waiver program. To justify a request to use general revenue when an individual is...

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