People who are required to be included in the Sept. 1, 2014, STAR+PLUS expansion into the Medicaid Rural Service Areas, as well as those who are voluntarily enrolling in STAR+PLUS, are encouraged to attend a community outreach meeting in their area.
Outreach events provide opportunities for the enrollment broker, MAXIMUS, to educate people about the services and benefits available through the various managed care organizations.
A list of events can be found on the Texas Health and Human Services Commission Website at: http://www.txmedicaidevents.com. Follow the instructions on the page to find an event.
People who are required to be enrolled in STAR+PLUS already may have received a STAR+PLUS introductory letter in the mail. The majority also should have received a STAR+PLUS enrollment packet.
Intermediate care facility (ICF/IID), Community Living and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD), Home and Community-based Services (HCS) and Texas Home Living (TxHmL) clients who have not received a packet should call 1-877-782-6440 (TTY: 1-800-267-5008).
All others who did not receive either document, should call 1-800-964-2777 (TTY 1-800-267-5008).
To learn more, visit the Expansion of Managed Care webpage, which contains general information about the Medicaid Managed Care Initiatives and frequently asked questions.
If you have a question, please send it via email to: Managed_Care_Initiatives@hhsc.state.tx.us.(7/2/2014)
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:
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:
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:
The webinar recording will be available on the WebEx website until June 6, 2014.(5/30/2014)
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)
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)
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.
State and local agency representatives, service providers, and case managers, but all are welcome!
Date: May 20, 2014
Time: 3 p.m. ET
Length: 90 minutes
For event details and to register click on this link: http://connectpro97884399.adobeconnect.com/selnfammindful/event/event_info.html.
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:
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.
|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:
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.
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:
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)
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