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Home-Delivered Meals (HDM)
Provider Webinars for STAR+PLUS March 1, 2012 Expansion
HHSC has scheduled STAR, STAR+PLUS, children's dental services, and pharmacy benefits provider training webinars. These webinars will use the same power points that were used in the provider training sessions that just ended. This will give those providers who were unable to attend an opportunity to get the information; these will also be recorded and posted for later viewing.
The visual capacity of the webinars is 125 per session and the audio is 300 per session. The presentations that will be used are currently posted on the managed care initiatives website at: http://www.hhsc.state.tx.us/medicaid/MMC.shtml and http://www.hhsc.state.tx.us/medicaid/Children-Medicaid-Dental-Services.shtml
STAR+PLUS Medicaid Managed Care Expansion Presentation
Friday, December 16, 2011
10:30 a.m.
Registration information: http://stateoftexas.qwestccc.com/attendee/RegisterLogin.aspx?hubconfID=1196405&qtID=1&act=reg
STAR+PLUS Medicaid Managed Care Expansion Presentation
Tuesday, December 20, 2011
10:30 a.m.
Registration information:
http://stateoftexas.qwestccc.com/attendee/RegisterLogin.aspx?hubconfID=1197126&qtID=1&act=reg
STAR+PLUS Expansion Consumer Outreach Forums
To: DADS Providers Identified in Information Letter 11-119, Affected by the March 1, 2012 STAR+PLUS Expansion into the Lubbock, El Paso and Hidalgo Service Areas
This alert provides a link to the current Medicaid event calendar for consumer outreach events. These outreach events are held for consumers affected by the March 1, 2012 STAR+PLUS expansion into the Lubbock, El Paso and Hidalgo service areas. Outreach events provide opportunities for the enrollment broker, MAXIMUS, to educate individuals who will be enrolled in STAR+PLUS, and their families, about the services and benefits available through the various managed care organizations.
Following is the link to the Community Outreach Meeting calendar: http://www.txmedicaidevents.com
The calendar of events is updated regularly. Consumers can select any event they want to attend by following the instructions provided on the events link.
Consumers should have received a STAR+PLUS introductory letter in the mail. Consumers should also have received their STAR+PLUS enrollment packet by the end of December, 2011. If they do not receive either document, please have them call 1-800-964-2777 (TTY 1-800-267-5008). Following is the link for the Lubbock and El Paso service areas for the community outreach calendar, consumer introduction letters, and frequently asked questions (FAQs): http://www.hhsc.state.tx.us/medicaid/MMC/El-Paso-Lubbock.shtml.
Following is the link to the Hidalgo service area community outreach calendar, consumer introduction letters, and FAQs: http://www.hhsc.state.tx.us/medicaid/MMC/Hidalgo.shtml.
Any long-term services and supports (LTSS) provider/organization interested in hosting one or more consumer outreach events, which are open to the public, should contact the MAXIMUS Outreach Supervisor listed in the table below. Once an event is scheduled, the calendar will reflect the event.
The hosting LTSS provider/organization will need to provide the following information:
- Name of provider/organization
- Contact name and telephone number
- Address of proposed meeting location
- Seating capacity of proposed meeting location (should be seating for at least 30 individuals)
- Dates the meeting location is available (December 2011–February 2012)
- Times the meeting location would be available for use
Note: These events are specifically provided for mandatory enrollees and their families.
MAXIMUS Service Area Contacts for Scheduling Consumer Outreach Events
Lubbock Service Area
4601 South Loop 289 #16
Lubbock, Texas 79424-2206
Contact Main Number Cell Connie Jimenez, Regional Mgr
conniejimenez@maximus.com(806) 784-0716 Not available Dora Rodriguez, Outreach Supervisor
dorarodriguez@maximus.com(806) 784-0716 Not available Camelia Reyes, Administrative Specialist
cameliareyes@maximus.com(806) 784-0716 Not available
El Paso Service Area
221 N. Kansas #600
El Paso, Texas 79901-1441
Contact Main Number Cell Linda Hendry, Regional Mgr
lindamhendry@maximus.com(915) 241-6720 Marco A Gomez, Outreach Supervisor
marcoagomez@maximus.com(915) 544-1975 (915) 345-4182 Veronica Castro Administrative Specialist
veronicacastro@maximus.com(915) 544-1962 Not available
Hidalgo Service Area
1925 E. Iowa Road
Edinburg, Texas 78542
(11/30/2011)
Contact Main Number Cell Peggy Gulledge, Acting Regional Manager
peggygulledge@maximus.com(512) 533-3441 (512) 426-8816 Lynda Diaz, Outreach Supervisor
lyndadiaz@maximus.com(956) 388-8141 (956) 624-0341 Natalia Leon
Administrative Specialist
natalialeon@maximus.com(956) 388-8140 Not available
Discontinuation of Provider Enrollment for Community Based Alternatives in the New STAR+PLUS Service Areas for the March 1, 2012 Expansion -- Revised
The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care delivery system into the Lubbock, El Paso, and Hidalgo service areas. The anticipated start date is March 1, 2012. The counties affected by the change are listed in the table below. The latest start date for CBA contracts in these areas will be November 1, 2011.
| Service Areas | Counties |
|---|---|
| Lubbock Area | Crosby, Floyd, Garza, Hale, Hockley, Lamb, Lubbock, Lynn, Terry, Carson, Deaf Smith, Hutchinson, Potter, Randall, Swisher |
| El Paso Area | El Paso and Hudspeth |
| Hidalgo Area | Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy, Zapata |
After November 1, 2011, the Department of Aging and Disability Services (DADS) Community Services Contracts (CSC) Section will discontinue enrolling providers in the above STAR+PLUS expansion counties for the following types of contracts:
- Community Based Alternatives/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
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), CDS for PHC and TAS for PHC will continue to be enrolled in these counties.
For general information about the STAR+PLUS program, refer to the HHSC STAR+PLUS website at: http://www.hhsc.state.tx.us/starplus/Overview.htm
Refer to the Community Services Information Letter No. 11-119 for more information.
(10/21/2011)Electronic Form Submissions Pilot Provider Participation Request
Attention:
- Adult Foster Care (AFC) Providers
- Assisted Living/Residential Care (AL/RC) Providers
- Community Attendant Services (CAS) Providers
- Community Based Alternatives (CBA) Providers
- Consumer Directed Services Agencies (CDSAs)
- Day Activity and Health Services (DAHS) Providers
- Emergency Response Services (ERS) Providers
- Family Care (FC) Providers
- Home Delivered Meals (HDM) Providers
- Medically Dependent Children Program (MDCP) Providers
- Primary Home Care (PHC) Providers
- Transition Assistance Services (TAS) Providers
Effective December 2011, Texas Department of Aging and Disability Services (DADS) will implement a pilot project allowing the above referenced providers and Consumer Directed Services Agencies (CDSAs) to transmit and receive forms and documentation electronically from DADS regional offices specified below:
Houston office - 1332 E. 40th location
- Harris County
- CDSAs
- McLennan County
- CDSAs
- Community Service Providers:
- Midland, Ector, and Martin Counties
- CBA Providers only:
- Andrews, Borden, Gaines, Glasscock, Martin, Midland and Upton Counties
- MDCP Providers only:
- Andrews, Borden, Crane, Crockett, Dawson, Ector, Gaines, Glasscock, Howard, Loving, Martin, Midland, Pecos, Reagan, Reeves, Scurry, Terrell, Upton, Ward, and Winkler Counties
- CDSAs
- Ector County
- CDSAs
- CCAD Providers
- Loving, Reeves, and Ward Counties
- CBA Providers:
- Loving and Reeves Counties
- CDSAs
The current policies for submitting forms related to initial assessments, reassessments, changes, agency transfers, and other information to DADS remains the same. The pilot only changes the way in which these forms and documents are sent to and from providers and DADS regional staff.
The pilot is expected to last six months. DADS will notify providers if the duration of the pilot changes. If providers participate in this pilot and then decide they no longer wish to participate, they must send an email to DADS at PDO@dads.state.tx.us anytime during the pilot.
DADS requires providers interested in participating in this pilot to:
- have Internet service;
- establish and maintain at least one email address to which DADS will transmit electronic forms and documents;
- have a back-up email address;
- be able to submit and receive all forms and documents electronically;
- send documents electronically using encryption software;
- scan and upload forms that require signatures;
- use Form 2067, Case Information, when submitting forms and documents to DADS;
- participate in an evaluation at the conclusion of the pilot;
- participate in conference calls, which may be held during the pilot; and
- follow DADS policy regarding submitting forms and documents electronically.
If you are a provider of one of the above DADS programs that serves individuals in one of the selected counties in the pilot and would like to participate in the pilot, please complete the EDS Pilot Participation Request Form and return it to PDO@dads.state.tx.us by close of business on Tuesday, October 4, 2011.
For questions regarding the content of this notice, please contact DADS Policy Development and Oversight at PDO@dads.state.tx.us.
(9/28/2011)Updated: STAR+PLUS Expansion Training Schedule
Additional trainings scheduled in South Texas and location change for Austin, Oct. 7, 2011
The Texas Health and Human Services Commission (HHSC) is hosting a series of provider trainings in the Managed Care Expansion service delivery areas. These meetings will allow HHSC to present information ensuring a successful expansion of the STAR and STAR+PLUS Medicaid managed care programs, managed care pharmacy benefits, and Medicaid and CHIP dental managed care. Providers will be given an opportunity to have questions answered relevant to Medicaid services. This will allow providers to make an informed decision on executing contracts with the Managed Care Organizations.
There is no cost to attend these trainings. Trainings are conducted in half-day segments in select cities across the state between September and November 2011. Two calendars of training are provided below.
Please take a moment to complete the registration form at the link below the training calendars, to receive location and meeting confirmation. Once you click on the registration link, you may select the location and type of training you would like to attend. For LTSSS providers, please select the STAR+PLUS option. Registration is requested for each individual who will be attending training.
Below is the list of trainings relevant to long-term services and supports specific to the STAR+PLUS expansion and new pharmacy benefits to be effective on March 1, 2012, for Lubbock, El Paso and South Texas (Hidalgo) service areas. In addition a second list is provided to present information about new pharmacy benefits for current STAR+PLUS areas.
| City | Date | Time (AM) | Time (PM) | Location(s) | Schedule |
|---|---|---|---|---|---|
| McAllen | 10/11/11 | N/A | 1:00 pm - 4:00 pm | McAllen Convention Center 700 Convention Center Blvd. Meeting Room 101 McAllen, Texas 78501 *Park on the East side of the Building |
STAR+PLUS Long-term Services and Supports/Children’s Dental Services Hidalgo service area STAR+PLUS MCOs |
| Harlingen | 10/12/11 | 9:00 am- 12:00 pm | N/A | Marine Military Academy Yeckel Auditorium 320 Iwo Jima Boulevard Harlingen, Texas 78550 |
STAR Acute Care/STAR+PLUS Long-term Services and Supports/Children's Dental Services Hidalgo service area STAR+PLUS MCOs |
| Brownsville | 10/13/11 | 9:00 am- 12:00 pm | N/A | Amigoland Convention Center 1000 Mexico Blvd. Brownsville, TX 78520 |
STAR+PLUS Long-term Services and Supports/Children's Dental Services Hidalgo service area STAR+PLUS MCOs |
| City | Date | Time (AM) | Time (PM) | Location(s) | Schedule |
|---|---|---|---|---|---|
| Eagle Pass | 11/2/11 | 9:00 am - 12:00 pm | 1:00 pm - 4:00 pm | Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd Eagle Pass, TX 78852 |
STAR+PLUS Long-term Services and Supports/Pharmacy Hidalgo service area STAR+PLUS MCOs |
| Laredo | 11/4/11 | 9:00 am - 12:00 pm | 1:00 pm - 4:00 pm | Laredo Medical Center Tower B - Conference Room 2 1700 E. Saunders Laredo, TX 78041 |
STAR+PLUS Long-term Services and Supports/Pharmacy Hidalgo service area STAR+PLUS MCOs |
| City | Date | Time (AM) | Time (PM) | Location(s) | Schedule |
|---|---|---|---|---|---|
| Amarillo | 11/15/11 | 9:00 am - 12:00 pm | 1:00 pm - 4:00 pm | Northwest Texas Pavillion 1501 S. Coulter Road Amarillo, TX 79106 |
STAR+PLUS Long-term Services and Supports / Pharmacy/ Dental Lubbock service area STAR+PLUS MCOs, Dental Plans |
| Lubbock | 11/16/11 | 9:00 am - 12:00 pm | 1:00 pm - 4:00 pm | TTUHSC Academic Classroom Building Classroom ACB 110 3601 4th Street Lubbock, TX 79430 |
STAR+PLUS Long-term Services and Supports / Pharmacy/ Dental Lubbock service area STAR+PLUS MCOs, Dental Plans |
| El Paso | 11/18/11 | 9:00 am - 12:00 pm | 1:00 pm - 4:00 pm | Sierra Medical Center Doctors Dining Rooms 1625 Medical Center Dr. El Paso, TX 79902 |
STAR+PLUS Long-term Services and Supports / Pharmacy/ Dental El Paso service area STAR+PLUS MCOs, Dental Plans |
For Current STAR+PLUS areas
| City | Date | Time (AM) | Time (PM) | Location(s) | Schedule |
|---|---|---|---|---|---|
| San Antonio | 10/04/11 | 9:00 am-12:00 pm | 1:00 pm-4:00 pm | San Antonio Food Bank 5200 W Old US Hwy 90 San Antonio, TX 78227 |
Pharmacy/ Dental Bexar service area STAR & STAR+PLUS MCOs Dental Plans |
| Austin | 10/07/11 | 9:00 am-12:00 pm | 1:00 pm-4:00 pm | Wingate by Wyndham & Williamson Conference Center 1209 N. Interstate Highway 35 Round Rock, Texas 78664
|
Pharmacy/ Dental Travis service area STAR & STAR+PLUS MCOs, Dental Plans |
| City | Date | Time (AM) | Time (PM) | Location(s) | Schedule |
|---|---|---|---|---|---|
| Dallas | 10/11/11 | 9:00 am-12:00 pm | 1:00 pm-4:00 pm | Visiting Nurse Association 1440 W Mockingbird Lane Dallas, TX 75247 |
Pharmacy/ Dental Dallas service area STAR & STAR+PLUS MCOs, Dental Plans |
| Fort Worth | 10/12/11 | 9:00 am-12:00 pm | 1:00 pm-4:00 pm | Catholic Charities - Main Building 249 W. Thornhill Drive Fort Worth, TX 76115 |
Pharmacy/ Dental Tarrant service area STAR & STAR+PLUS MCOs, Dental Plans |
| City | Date | Time (AM) | Time (PM) | Location(s) | Schedule |
|---|---|---|---|---|---|
| Beaumont | 11/08/11 | 9:00 am-12:00 pm | 1:00 pm-4:00 pm | HHSC Liberty Street Office 285 Liberty Street Beaumont, TX 77701 |
Pharmacy/ Dental Jefferson service area STAR & STAR+PLUS MCOs, Dental Plans |
| Houston | 11/09/11 | 9:00 am-12:00 pm | 1:00 pm-4:00 pm | Harris County CPS 2525 Murworth Houston, TX 77054 |
Pharmacy/ Dental Harris service area STAR & STAR+PLUS MCOs, Dental Plans |
| Corpus Christi | 11/10/11 | 9:00 am-12:00 pm | 1:00 pm-4:00 pm | Corpus Christi-Nueces County Public Health District Auditorium 1702 Horne Road Corpus Christi, TX 78416 |
Pharmacy/ Dental Nueces service area STAR & STAR+PLUS MCOs, Dental Plans |
For additional information please visit the HHSC Medicaid managed care initiatives webpage at (please continue to visit this webpage as updates will be added as we move forward to the March 2012 implementation: http://www.hhsc.state.tx.us/medicaid/MMC-Proposals.shtml and the TMHP webpage at: http://www.tmhp.com/Pages/PCCM/PCCM_Home.aspx.
(9/23/2011)Electronic Form Submissions Pilot
The Texas Department of Aging and Disability Services (DADS) has decided to implement a pilot project that would allow providers of the above DADS programs to transmit and receive forms electronically to and from DADS regional staff. DADS will notify affected providers once it has selected the pilot project area(s).
The goal of the pilot project is to ease administrative requirements for providers by enabling faster and more accurate communication utilizing electronic communication methods. The pilot project is tentatively scheduled to begin on December 1, 2011.
If you have questions regarding this information or need additional information regarding this alert, please contact the Policy Development and Oversight line at 512-438-3015.
(9/22/2011)Benefits and work incentive sessions planned for this fall
Do you know anyone who receives Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI) and/or Medicaid, wants to work, but is worried about how work will affect these crucial benefits? Register (link to registration form) now for one of the Benefits and Work Incentives Planning Supports and Services trainings being held around the state in September, October and November. This unique free training is designed to give you basic knowledge about SSDI and SSI work incentives programs and the many Texas-specific programs that support someone who wishes to obtain, maintain, or advance in employment.
- Please click here for a flyer in PDF format about the events.
- Please click here for a registration form in MS Word 2007. If you are having trouble opening this document, please visit the Microsoft website to download a compatability pack.
Reminder: DADS stakeholder survey available through Aug. 31
Attention individuals who receive services from DADS and families, providers, consumer advocacy groups, provider associations and other agency stakeholders.
This alert is a gentle reminder that DADS is interested in maximizing the agency's ability to communicate with its constituents and would like to hear from you! We are committed to supporting a broad cross-section of agency stakeholders to have an effective voice in agency matters. Our goal is to create an environment of continuous, balanced input to inform DADS policy and operational decisions. Specifically, DADS would like to gather information concerning the kinds of agency communication forums you participate in and find helpful, and what needs you may have that are not currently being met by our agency. We would also be interested in receiving your ideas regarding how DADS can best meet the needs of our stakeholder community in an efficient and productive manner for all.
We are conducting a brief survey using Survey Monkey to collect this information in a format DADS can use to evaluate our current efforts and to prioritize focal areas in which survey results indicate an opportunity for the agency to address unmet needs. The survey is available online at http://www.surveymonkey.com/s/CSBWPJ8.
This survey will remain available through Aug. 31, 2011; it should take approximately 15 minutes to complete. DADS would greatly appreciate your participation in this survey and looks forward to partnering with constituents toward the goal of continuous quality improvement in DADS communications with our stakeholder community.
For questions regarding this survey or the DADS initiative, please contact Cheryl Craddock-Melchor, CLASS Operations manager, at cheryl.craddockmelchor@dads.state.tx.us or Misti Ackermann, Billing and Payment manager, at misti.ackermann@dads.state.tx.us.
(8/19/2011)Transition Update: Star+Plus Contiguous Counties Expansion -- community based alternatives reassessments for service plans with an expiration date of October 31, 2011 or later to be completed by the managed care organization
Attention: Home and Community Support Services Agencies
Effective with the September 1, 2011 implementation of STAR+PLUS in the STAR+PLUS contiguous counties, the consumer selected/designated Managed Care Organization has the responsibility to complete all case action activities related to STAR+PLUS Waiver (SPW) members who transition from the DADS Community Based Alternative (CBA) program. This includes, but is not limited to reassessments for SPW (formerly CBA) service plans with an expiration date of October 2011 or later. Home and Community Support Services Agencies (HCSSAs) no longer have that responsibility.
As early as August 22, 2011, and as late as September 1, 2011, LTSS providers can access the MCO name and Plan Code of the consumer selected/designated MCO in the TexMedConnect - Medicaid Eligibility Service Authorization Verification (MESAV) application, under the managed care tab. Please refer to Information Letter 11-08, Expansion of the STAR+PLUS Program into Contiguous STAR+PLUS Service Areas, for the MCO Plan Codes and the MCO contact information. With the implementation of STAR+PLUS in the contiguous counties, all consumer-related questions should be directed to that MCO. In addition Information Letter 11-04, Billing Procedures for Individuals Who Move Between Fee-for-Service and STAR+PLUS Service Areas can be used as a reference regarding the letter subject matter.
STAR+PLUS Program Contact Information
If you have general questions about the DADS components of the STAR+PLUS contiguous counties expansion initiative, please contact Rhonda Pratt via email at rhonda.pratt@dads.state.tx.us or telephone at 512-438-5813.
For more information regarding this STAR+PLUS expansion, please refer to the STAR and STAR+PLUS Contiguous County Expansion Summary,http://www.hhsc.state.tx.us/medicaid/CCES.shtml
(8/19/2011)Important Information Regarding Submitting Forms Electronically to the Department of Aging and Disability Services (DADS)
Attention:
- Community Attendant Services Providers
- Community Based Alternatives Providers
- Consolidated Waiver Program Providers
- Consumer Directed Services Agencies
- Day Activity and Health Services Providers
- Emergency Response Services Providers
- Family Care Providers
- Home Delivered Meals Providers
- Medically Dependent Children Program Providers
- Primary Home Care Providers
DADS is considering allowing providers of the above DADS programs to transmit and receive forms electronically to and from DADS regional staff and your input is needed.
DADS will be hosting a conference call on Friday, August 19, 2011 from 1:30 p.m. - 4:00 p.m. to discuss the process for transmitting and receiving forms electronically.
The conference call number is 1-877-226-9790 and the access code is 3104516.
If you have questions regarding this information or need additional information regarding this alert, please contact the Policy Development and Oversight line at 512-438-3015.
(8/11/2011)
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Updated: April 19, 2013