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DADS Provider Alerts — Home-Delivered Meals (HDM)

Chapter 49, Contracting for Community Services Webinar

The Department of Aging and Disability Services (DADS) is hosting three webinars on the proposed Chapter 49, Contracting for Community Services, rule revisions:

August 18, 2014 from 1:30 p.m. until 4 p.m.
Space is limited.
Reserve your Webinar Seat Now at:

August 21, 2014 from 1:30 p.m. until 4 p.m.
Space is limited.
Reserve your Webinar Seat Now at:

August 26, 2014 from 1:30 p.m. until 4 p.m.
Space is limited.
Reserve your Webinar Seat Now at:

With webinars, you may choose to listen to the audio portion of the presentations by using your computer speakers. A phone line will also be available for those who may have a need to call in. Please be aware that attendees who choose the phone option may be subject to long distance phone charges.

After registering, you will receive a confirmation email containing information about joining the webinar.

System Requirements
PC-based attendees:
Required: Windows® 8, 7, Vista, XP or 2003 Server
Mac®-based attendees:
Required: Mac OS® X 10.6 or newer
Mobile attendees
Required: iPhone®, iPad®, Android™ phone or Android tablet

Please contact Kathie Carleton-Morales at if you have any questions about the upcoming webinar.


DADS Guide to Employment for People with Disabilities Now Available

This new publication was designed for people who want to improve employment outcomes for people with disabilities including Texas Department of Aging and Disability Services (DADS) employees, contracted case managers and service coordinators, service providers, and people who receive DADS services and their families.

While some parts of the guide focus on employment services programs, the rest applies to all DADS program participants. As such, all stakeholders are encouraged to use it.

Highlights include:

  • Recommended roles and responsibilities at each stage of a job search
  • Strategies for overcoming the transportation obstacle
  • Tools and guidance for coordinating services with the Texas Department of Assistive and Rehabilitative Services
  • Index of DADS rules related to employment supports
  • Information about Medicaid Buy-In, and other ways to maintain needed services while working
  • Description of Social Security Administration work incentives

Community Outreach Meetings Slated for STAR+PLUS Enrollees

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: 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:


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:


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:


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.


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.”


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


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!

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

More details
For event details and to register click on this link:


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

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

The applicable provider types are:

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

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