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DADS Provider Alerts — Home-Delivered Meals (HDM)

Adoption of Rules in 40 Texas Administrative Code, Chapter 55, Contracting to Provide Home-Delivered Meals

The Texas Health and Human Services Commission, on behalf of the Department of Aging and Disability Services, adopts amendments to §55.3, concerning definitions; §55.27, concerning service requirements; §55.33, concerning suspension of services; §55.37, concerning termination of services; and §55.41, concerning billing and claims payment, in Chapter 55, Contracting to Provide Home-Delivered Meals. The amendments to §55.33 and §55.37 are adopted with changes to the proposed text published in the February 14, 2014, issue of the Texas Register (39 TexReg 915). The amendments to §§55.3, 55.27, and 55.41 are adopted without changes to the proposed text.

The adopted rules were published in the June 13, 2014 issue of the Texas Register. The effective date of the adopted rules is June 12, 2013.

You may access the rules in the Texas Register online at:
http://www.sos.state.tx.us/texreg/archive/June132014/Adopted%20Rules/40.SOCIAL%20SERVICES%20AND%20ASSISTANCE%20.html#136

(6/16/2014)

Heat Advisory Reminder

With the advent of hot weather, it is imperative that providers ensure the safety of individuals when they are being transported in vehicles in the heat.

Providers must take additional precautions to ensure that all individuals safely exit a vehicle when it reaches its destination. Specifically, staff should be trained and reminded of the following:

  • Have a list of all individuals who are being transported, and verify at drop-off locations that everyone has exited the vehicle.
  • Conduct a secondary check of the vehicle every time it is parked to ensure that no one remains inside.
  • Make sure that seat belts and seat surfaces are not too hot before individuals sit down and receive assistance with buckling up.

It is also important for providers to recognize the symptoms of heat-related illness and to ensure the safety of clients when they are outside in the heat. Further information on heat-related precautions can be found at the following websites:

(6/2/2014)

FY15 Rate Setting Webinar Supplemental Information

  • Supplemental instructions for completing the FY15 Nutrition Rate Negotiation Workbook/Budget were added to the Home-Delivered Meals website. Click on the following link, Budget Negotiation, to obtain the instructions for accurately recording STAR+PLUS meals, Texas Department of Agriculture Texans Feeding Texans meals and recording proposed units associated with local funding sources.
  • For common providers the rate negotiation process is a joint process between the AAA, DADS Community Services Contracts (CSC) and the nutrition provider.
  • A recording of the FY15 Rate Setting Webinar held on 5/16/2014 has been posted to the WebEx Website. To access the recording, please click here.

The webinar recording will be available on the WebEx website until June 6, 2014.

(5/30/2014)

HHSC to Host STAR+PLUS Provider Trainings for Long-term Services and Support Providers (Community Based Alternatives (CBA), Primary Home Care (PHC) and Day Activity Health Services (DAHS)

On September 1, 2014, the STAR+PLUS Medicaid managed care program will expand statewide to the rural service areas of Texas (Central, Northeast and West). People who are age 65 or older or who have disabilities and are covered by Medicaid will begin receiving services through a STAR+PLUS managed care health plan. The Texas Health and Human Services Commission is holding provider trainings across the three rural service areas to educate providers on STAR+PLUS managed care and what changes to expect.

The rural service area managed care organizations will be present to answer questions.

On June 26th, 2014, a STAR+PLUS provider training will take place in Tyler. For additional details and training dates, check the meeting notices on the HHSC website for listings entitled, “STAR+PLUS Trainings.”

(5/29/2014)

Information Letters from MAXIMUS Regarding STAR+PLUS Expansion

Beginning the week of May 5, 2014, MAXIMUS began sending a mail-out to individuals who will be covered under the STAR+PLUS Medicaid Managed Care expansion effective September 1, 2014. The expansion will affect individuals who reside in a Medicaid Rural Service Area (MRSA); AND individuals who are not in a MRSA but reside in an ICF/IID or are enrolled in the HCS, TxHmL, CLASS or DBMD waiver program as of September 1, 2014 or later.

MAXIMUS is sending the mail-out to individuals on behalf of the Health and Human Services Commission, in their capacity as the state's enrollment broker for managed care. The mail-out includes the letter, frequently asked questions and a comparison chart for the managed care organizations in each area. The materials (except for the comparison charts) in English and Spanish are posted at http://www.hhsc.state.tx.us/medicaid/managed-care/Letters-from-HHSC.shtml

(5/19/2014)

Mindful Planning to Promote Strong Integrated Employment Outcomes

During this online event, we will discuss what it means to be mindful in employment planning efforts and how to meet families and individuals where they are during various life stages. This approach should result in a plan that is action-oriented, realistic, and doable, and reflects tangible employment goals.

Designed for:
State and local agency representatives, service providers, and case managers, but all are welcome!

When
Date: May 20, 2014
Time: 3 p.m. ET
Length: 90 minutes

More details
For event details and to register click on this link: http://connectpro97884399.adobeconnect.com/selnfammindful/event/event_info.html.

(5/14/2014)

Notice of Proposed Rules for the Chapter 49 Rules Rewrite

The notice of proposed rules for the Chapter 49 rules rewrite was published in the April 18, 2014 issue of the Texas Register. You can view it online at http://www.sos.state.tx.us/texreg/archive/April182014/Proposed%20Rules/40.SOCIAL%20SERVICES%20AND%20ASSISTANCE%20.html#36

The last day of the formal comment period is May 18, 2014.

The applicable provider types are:

(1)
Medicaid waiver programs and services under Title XIX, §1915(c) of the Social Security Act as follows:
(A)
Community Living Assistance & Support Services (CLASS) Program:
(i)
CLASS-case management agency (CMA);
(ii)
CLASS-continued family services (CFS);
(iii)
CLASS-direct service agency (DSA); and
(iv)
CLASS-support family services (SFS);
(B)
Deaf Blind with Multiple Disabilities (DBMD) Program;
(C)
Home and Community Based Services (HCS) Program;
(D)
Medically Dependent Children (MDCP) Program:
(i)
MDCP-adaptive aids (AA);
(ii)
MDCP- home and community support services agency (HCSSA);
(iii)
MDCP-minor home modifications; and
(iv)
MDCP- Out of Home Respite (OHR):
(I)
MDCP-adaptive aids (AA);
(II)
MDCP- home and community support services agency (HCSSA);
(III)
MDCP-minor home modifications; and
(IV)
MDCP- Out of Home Respite (OHR):
(V)
MDCP-OHR-hospital; and
(VI)
MDCP-OHR-host family;
(E)
Texas Home Living (TxHmL) Program; and
(F)
Transition assistance services (TAS);
(2)
Medicaid state plan services under Title XIX, §1902(a)(10)(A) of the Social Security Act as follows:
(A)
hospice;
(B)
primary home care (PHC)/ community attendant services (CAS); and
(C)
day activity and health services (DAHS);
(3)
services and programs under Title XX, Subtitle A of the Social Security Act as follows:
(A)
adult foster care (AFC);
(B)
emergency response system;
(C)
home delivered meals (HDM);
(D)
residential care (RC);
(E)
DAHS;
(F)
family care (FC);
(G)
consumer managed personal attendant services (CMPAS);
(H)
special services to persons with disabilities (SSPD); and
(I)
SSPD – 24-hour shared attendant care;
(4)
relocation services;
(5)
financial management services under the consumer directed services option authorized under Texas Government Code, §531.051 as follows:
(A)
financial management services agency (FMSA)--CLASS;
(B)
FMSA-DBMD;
(C)
FMSA-HCS;
(D)
FMSA-MDCP;
(E)
FMSA-PHC/CAS/FC; and
(F)
FMSA-TxHmL.
(5/2/2014)

Discontinuation of Community Based Alternatives Contract Enrollment Due to September 1, 2014 STAR+PLUS Expansion

The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care delivery system into the West, Central and Northeast service areas. The anticipated start date is September 1, 2014. The counties affected by the change are listed in the table below.

Medicaid Rural
Service Areas
Counties
West Andrews, Archer, Armstrong, Bailey, Baylor, Borden, Brewster, Briscoe, Brown, Callahan, Castro, Childress, Clay, Cochran, Coke, Coleman Collingsworth, Concho, Cottle, Crane, Crockett, Culberson, Dallam, Dawson, Dickens, Dimmit, Donley, Eastland, Ector, Edwards, Fisher, Foard, Frio, Gaines, Glasscock, Gray, Hall, Hansford, Hardeman, Hartley, Haskell, Hemphill, Howard, Irion, Jack, Jeff Davis, Jones, Kent, Kerr, Kimble, King, Kinney, Knox, La Salle, Lipscomb, Loving, Martin, Mason, McCulloch, Menard, Midland, Mitchell, Moore, Motley, Nolan, Ochiltree, Oldham, Palo Pinto, Parmer, Pecos, Presidio, Reagan, Real, Reeves, Roberts, Runnels, Schleicher, Scurry, Shackelford, Sherman, Stephens, Sterling, Stonewall, Sutton, Taylor, Terrell, Throckmorton, Tom Green, Upton, Uvalde, Val Verde, Ward, Wheeler, Wichita, Wilbarger, Winkler, Yoakum, Young, and Zavala,
Central Bell, Blanco, Bosque, Brazos, Burleson, Colorado, Comanche, Coryell, DeWitt, Erath, Falls, Freestone, Gillespie, Gonzales, Grimes, Hamilton, Hill, Jackson, Lampasas, Lavaca, Leon, Limestone, Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba, Somervell, and Washington
Northeast Anderson, Angelina, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamar, Marion, Montague, Morris, Nacogdoches, Panola, Rains, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Trinity, Upshur, Van Zandt, and Wood

Effective May 1, 2014, the Department of Aging and Disability Services (DADS) Community Services Contracts (CSC) Section will discontinue enrolling contract applicants in the above STAR+PLUS expansion counties for the following types of Community Based Alternatives (CBA) contracts:

  • Home and Community Support Services (CBA/HCSSA)
  • Consumer Directed Services (CDS) for CBA
  • Transition Assistance Services (TAS) for CBA
  • Assisted Living/Residential Care Services for CBA
  • Adult Foster Care for CBA
  • Home Delivered Meals for CBA
  • Emergency Response Services for CBA

The latest effective date for new CBA contracts in these areas will be May 1, 2014.

Enrollment for all other types of programs will continue without change in the counties listed above. For example, contracts for Primary Home Care/Family Care (PHC/FC) and CDS for PHC will continue to be enrolled in these counties.

For information about the expansion Medicaid Managed Care, refer to the HHSC website at: Medicaid Managed Care Initiatives. For questions about this letter, please contact Community Services Contracts at (512) 438-2080 or Paul Straka, Manager, at (512) 438-3460.

(4/25/2014)

FFY15 Rate Setting Workbook and Waiver Release

The Federal Fiscal Year (FFY) 2015 Rate Setting Workbook, Home-Delivered Meals Waiver and instructions are available by clicking on this link: HDM Budget Negotiations.

The FFY15 Rate Setting release includes the following:

  • FFY15 Rate Setting Workbook
  • FFY15 instruction for completing Rate Setting workbook
  • Workbook submission instructions
  • FFY15 Form 2027 - Waiver
  • Form 2027 instructions document
  • Waiver submission instructions

For common providers and non-common providers – The Community Services Contracts contract manager (CSC-CM) will inform each provider of the date the rate setting workbook and HDM Waiver must be submitted for review. For common providers, the waiver and rate setting workbook will be coordinated for review between the AAA and CSC-CM before the final due dates listed below.

Accepted HDM Waiver form 2027 requests must be received in Austin no later than 8 a.m. Monday, June 16, 2014.

Accepted rate setting workbooks for must be received in Austin by 8 a.m. Thursday, July 31, 2014.

Common providers may send questions regarding the workbooks and rate setting process to AAA.Help@dads.state.tx.us.

Non-common providers may send questions regarding the workbook and rate setting process to their regional CSC-CM.

(4/17/2014)

Reminder: Survey About Direct Service Workers Runs Through April 7

The Texas Health and Human Services Commission is asking all providers that employ direct service workers to take a short survey about their employees. The survey should take about five minutes. The deadline to complete the survey is close of business April 7, 2014.

Click here to take the survey.

This survey is the first step in learning more about:

  • the experiences of direct support workers,
  • what motivates them,
  • the problems they face and
  • what would make their jobs more rewarding.

The next step will be to select a representative sample of direct service workers from across the state to participate in a survey and focus groups.

If you have questions, please contact Ron Ayer, Texas Department of Aging and Disability Services project manager, at ron.ayer@dads.state.tx.us or at 512-438-5001.

(4/4/2014)

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