DADS Provider News, Alerts & Bulletins —
Family Care (FC)
Electronic Visit Verification (EVV) Reason Code Update
Electronic Visit Verification (EVV) Reason Codes (RCs) have been updated to add RC 25: Respite Hours. The code is available in the Sandata System.
RC 25 is used when in-home respite hours are provided. Home and community support service agencies have the option of using variable schedule or the respite reason code for respite hours since frequently these hours are unscheduled or may fluctuate based on the needs of the caregiver.
EVV reason codes may be found at EVV reason codes (DADS).
If you have questions about EVV reason codes, please contact DADS at CPC@dads.state.tx.us.(4/24/2013)
DADS Electronic Visit Verification (EVV) Compliance Plan
DADS recently unveiled proposed amendments to provider contracts that include a proposed EVV Compliance Plan designed to define and enforce DADS expectations regarding EVV system use. More information on the compliance plan can be found at: http://www.dads.state.tx.us/evv/complianceplan/index.html.(4/12/2013)
Proposed amendments to 40 Texas Administrative Code Chapter 48, Community Care for Aged and Disabled
The Texas Department of Aging and Disability Services (DADS) is proposing a repeal of Chapter 48, Subchapter H, Eligibility, and Subchapter I, Case Management, and proposing a new Chapter 37 containing the eligibility rules for Community Care for Aged and Disabled (CCAD) services by individual program.
In the new Chapter 37, each CCAD service will have its own subchapter containing all the rules that apply to the particular program. Although the rules will contain some duplication, users will be able to locate all rules that apply to a program in a single subchapter. Each subchapter contains definitions, service array, eligibility requirements, initial and ongoing processes, suspensions, denials, terminations, and right to appeal information for the program. In all subchapters, updates have been made for the specific program to contain all eligibility requirements, processes and policy protecting individual's rights to services.
These rules are posted below in PDF format for initial stakeholder review and comment. Each of the nine subchapters is posted separately so that stakeholders can review a specific program or if interested, can review all nine subchapters. Final formatting will take place in the ongoing rules process. The proposed rules are scheduled to go to the Texas Aging and Disability Services Council in September 2013 after feedback from stakeholders is incorporated.
Please send comments to PDO@dads.state.tx.us by the close of business on April 9, 2013.
Medicaid Buy-In: Applying is now easier
- Have a disability,
- Work, and earn too much to qualify for regular Medicaid,
- Live in Texas, and
- Not live all the time in a nursing facility, state hospital, or intermediate care facility for individuals with an intellectual disability or related condition?
If so, you may qualify for Medicaid Buy-In, and now the application is easier. Medicaid Buy-In offers all the same services regular Medicaid offers, and has made comprehensive health care available to workers unable to get affordable care through another source.
A link to the application is below. You can print out the application. If you mail the application, it is recommended that you mail it return receipt requested. If you take it to an HHS field office, please ask for a receipt verifying that you turned it in. Also, please attach a pay stub to the application.
How to get the H1200-MBI Application for Assistance:
- Go to http://www.hhsc.state.tx.us/Help/1200-MBI-eng.pdf for the English version, or http://www.hhsc.state.tx.us/Help/1200-MBI-span.pdf for the Spanish version;
- Call 2-1-1 and ask to have an H1200-MBI application form mailed to you; or
- Go to an HHSC benefits office. Call 2-1-1 to find one near you.
DADS, DARS sign new Memorandum of Agreement
The Texas Department of Aging and Disability Services (DADS) and the Texas Department of Assistive and Rehabilitative Services (DARS) have signed a new Memorandum of Agreement (MOA), effective October 2012. The updated MOA outlines coordination policies and practices, service definitions, and a data sharing agreement between the two agencies. In addition to the policy and practice changes and clarifications, the MOA includes a greater level of detail than the previous MOA; this is intended to provide more helpful guidance to staff, providers, case managers/service coordinators, individuals receiving DADS services, and other stakeholders involved in assisting an individual receiving DADS services to gain and maintain competitive, integrated employment.
PIAC subcommittee meeting scheduled for Jan. 17
The January meeting of the Texas Promoting Independence Advisory Committee, Subcommittee on Employment for People with Disabilities will be:
Jan. 17, 2013
1:30 4:30 p.m.
The Arc of Texas Conference Room
8001 Centre Park Drive #100
Austin, TX 78754
The meeting is open to people interested contributing to the development of policies that support competitive employment in integrated settings as the first and desired outcome for individuals with disabilities.
Social Security's Ticket to Work program to host Sept. 12 webinar
On Sept. 12, at 3 pm EDT, the Social Security Administration (SSA) will hold the "Ticket to Work: You Asked, We Answer" webinar as part of their Work Incentives Seminar Event (WISE) Webinars series. Ticket to Work experts will provide detailed explanations of the most confusing aspects of Work Incentives and benefit protections, as well as an in depth review of the most frequently asked questions.Click here for event details and links to registration. Please feel free to forward to your clients and colleagues who may be interested in this event.
Immediately following the Webinar, will be a Facebook Q&A to give audience members a chance to have their questions answered by the experts. Please join SSA for these informative events!
Social Security's Ticket to Work program provides free support services for people with disabilities ages 18 through 64 who are ready to transition to the workforce.(9/10/2012)
West Nile Virus is Cause for Concern
The Department of Aging and Disability Services (DADS) is issuing this alert to provide information to DADS providers concerning West Nile virus.
The Texas Department of State Health Services has documented a higher than usual number of human West Nile cases in Texas this year due to the warm winter and recent rains, particularly in the North Texas region.
Humans can contract the virus from the bite of a mosquito that is carrying the virus. West Nile virus can cause serious illness or death. West Nile neuroinvasive disease symptoms include stiff neck, visual problems, body tremors, mental confusion, memory loss and seizures. The milder form of the illness is West Nile fever. Symptoms include fever, headache, muscle and bone aches, nausea and drowsiness.
People with the milder form of illness typically recover on their own, although symptoms may last for several weeks. Up to 80 percent of people infected with West Nile virus will have no symptoms and will recover on their own.
There are no medications to treat or vaccines to prevent West Nile virus infection. People over 50 years old and those with compromised immune systems are at a higher risk of becoming seriously ill when they become infected with the virus. If people have symptoms that cause them concern, they should contact their healthcare provider.
Reduce exposure to West Nile virus:
To help reduce exposure to West Nile virus, individuals should use an approved insect repellent, according to the label instructions, every time they go outside. Approved repellents are those that contain DEET, picaridin or oil of lemon eucalyptus. Wear long sleeves and pants at dawn and dusk when mosquitoes are most active.
Environmental control activities include eliminating standing water, including water collected in empty cans, tires, buckets, clogged rain gutters and saucers under potted plants. Mosquitoes breed in stagnant water.
Remember the "Four D's" to defend against West Nile virus:
- DUSK and DAWN are the times of day to limit outdoor activities. This is when infected mosquitoes are most active.
- DRESS in long sleeves and pants when outside. For extra protection, thin clothing can be sprayed with repellent.
- DEET is an ingredient to look for in an insect repellent. Follow label instructions and always wear repellent when outdoors.
- DRAIN standing water in old tires, flowerpots, and clogged rain gutters. These are mosquito-breeding sites.
For more information on West Nile, visit: http://www.dshs.state.tx.us/(8/29/2012)
Financial Independence, a Ticket to Work webinar slated for July 11
The Social Security Administration is hosting a National Work Incentive Seminar Event on July 11, 2012, at 3 p.m. Eastern Time. During the webinar, experts will present information to help people with disabilities become financially independent and self-sufficient. In addition, participants will learn about saving money, tax benefits and good basic financial practices to follow, such as budgeting and spending tracking. Register online at www.choosework.net/wise or call 1-866-968-7842 or 1-866-833-2967 (TTY/TDD).(7/9/2012)
Expansion of Consumer Rights and Services Call Center Hours Pilot Project Continues Until Further Notice
The Department of Aging and Disability Services Consumer Rights and Services section implemented a pilot project on January 2, 2012 to evaluate the receipt and processing of full service delivery during expanded Call Center hours. The pilot concluded on June 30, 2012. While the analysis and evaluation is underway, expanded hours will continue to operate Monday through Friday from 7:00 a.m.- 7:00 p.m. until further notice.(7/2/2012)
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Updated: April 19, 2013