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DADS Provider Alerts — Texas Home Living (TxHmL)

Some Program Participants Were Mistakenly Sent STAR+PLUS Enrollment Packages

HHSC erroneously sent STAR+PLUS enrollment packets to people enrolled in an intellectual and developmental disability (IDD) waiver who have Medicare and Medicaid (referred to as dual eligible). In addition, some people were enrolled in STAR+PLUS in error. Dual eligible participants in an IDD waiver are excluded from STAR+PLUS.

HHSC is aware of the error and wanted to let stakeholders know that these people will not be enrolled in STAR+PLUS. For those who were enrolled in error, HHSC is working to remove them from STAR+PLUS. Please direct program participants, or those helping them, that may have been affected and have concerns to call the enrollment broker helpline at 1-877-782-6440.

The people who got the letters by mistake receive services through one of these waivers:

  • Home and Community–based Services (HCS)
  • Community Living Assistance and Support Services (CLASS)
  • Deaf Blind with Multiple Disabilities (DBMD)
  • Texas Home Living (TxHmL)

We apologize for any inconvenience this may have caused.


DADS Kicks Off LTSS Child and Family Survey in January

Families of children who receive DADS services may be asked to participate in the upcoming Long-Term Services and Supports (LTSS) Child and Family survey. Randomly chosen families will be sent a letter starting in January inviting them to provide feedback about their experience with DADS programs.

Surveys will be conducted over the phone, online or via regular mail by Texas A&M's Public Policy Research Institute (PPRI). The survey results will be used to improve agency programs for children.

How Are Providers Involved?

Providers are involved in 2 ways:

  1. If you are contacted by a family about the survey, you can reassure them that this is a legitimate part of DADS quality efforts. You also can let them know that their privacy is protected under HIPPA.
  2. If you are asked to provide current contact information for case managers or survey participants, please do so. To verify that the person requesting client information is a PPRI staff member, call Alicia Novoa, project coordinator at 979-862-1891.

As contracted agents of DADS, PPRI and its staff have DADS authorization to obtain confidential participant information. This process meets all the HIPAA privacy requirements. The surveys are part of a national effort to collect information on satisfaction with the quality of services provided to children with intellectual and developmental disabilities and quality of life.

Questions about the survey can be emailed to


CMS Extends Provider Re-enrollment Deadline

CMS has extended the March 24, 2016, deadline for Medicaid provider re-enrollment to Sept. 25, 2016.

Though this extension gives states additional time to ensure providers comply with Patient Protection and Affordable Care Act (PPACA) requirements, Texas Medicaid encourages all providers who have not yet submitted a re-enrollment application to begin this process immediately to avoid potential payment disruptions. More information about re-enrollment can be found on the DADS website.

Additional information will be announced in the coming weeks to assist providers who are working on the re-enrollment process.

Questions can be emailed to DADS Provider Enrollment Mailbox.


DADS Has Released a Free Online Course Which Teaches How to Support Someone with an IDD Who Has Suffered Trauma

If you care for, support or advocate for a person with an IDD, DADS encourages you to take this free online course: Trauma-Informed Care for Individuals with an Intellectual or Developmental Disability (IDD). This is the second module in a 6-part e-learning training series titled, Mental Health Wellness for Individuals with Intellectual and Developmental Disabilities (MHW-IDD).

The module focuses on:

  • the signs and symptoms of trauma,
  • the impact of trauma on someone with an IDD, and
  • how to use a trauma-informed care approach with people you support.

The other modules will be added to the DADS site soon. Topics for those are:

  • Co-occurring disorders: IDD and Mental Illness
  • Functional behavioral assessment and behavior support
  • Genetic syndromes associated with IDD
  • Other medical diagnoses associated with IDD
  • Putting it all together: Supports and strategies for DSWs

If you have questions regarding the content of this course, please email If you need assistance with the functionality of this course, please email


IDD Medical, Behavioral and Psychiatric Support Teams Now Available Statewide

DADS has a new initiative to help people with IDD who also have complex medical and behavioral needs leave nursing facilities and get the services and supports they need in the community. It is funded by the Money Follows the Person Demonstration Program.

Because these individuals often require more experienced staff to help meet their needs, DADS has contracted with 8 local intellectual and developmental disability authorities (LIDDAs) across Texas to provide support to other LIDDAs and community HCS and TxHmL providers in designated service areas.

The 8 contracted LIDDAs have teams that offer educational activities, technical assistance and case review to themselves, other LIDDAs and community waiver providers. The teams will have licensed medical staff, such as physicians, registered nurses, psychiatrists and psychologists, with experience working with people with IDD.

More details and a coverage map are on the DADS LIDDA website.


HCS & TxHmL Updated Formatted Rules Available

The most current version of the HCS and TxHmL formatted rules are now available on the DADS website.

These include the rules that were effective Nov. 15, 2015.

Email questions to or, as appropriate.


DADS Deploys LTSS Texas Medicaid Provider Enrollment Application Forms

The Long-term Services and Supports (LTSS) Texas Medicaid Provider Enrollment Application (Form 3684), and other required forms are now available on DADS Texas Medicaid LTSS Provider Re-enrollment forms page.

Providers who do not bill or do not intend to bill for acute care services through the Texas Medicaid Healthcare Partnership (TMHP) and have an active Medicaid contract with DADS must re-enroll through DADS by March 24, 2016. This includes the following programs and services:

  • Primary Home Care (PHC)
  • Community Attendant Services (CAS)
  • Community Living Assistance and Support Services (CLASS-DSA, CLASS-CMA, CLASS-CFS, CLASS-SFS)
  • Deaf Blind with Multiple Disabilities (DBMD)
  • Medically Dependent Children Program (MDCP)
  • Hospice
  • Day Activity and Health Services (DAHS)
  • Financial Management Services Agency (FMSA) [for all Consumer Directed Services]
  • Home and Community-based Services (HCS)
  • Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)
  • MDCP – Adaptive Aids (AA)
  • MDCP – Minor Home Modifications (MHM)
  • Nursing Facility (NF)
  • Programs for All-Inclusive Care for the Elderly (PACE)
  • Texas Home Living (TxHmL)
  • Transition Assistance Services (TAS)

Questions can be emailed to


Adoption of Rules Effective November 15, 2015, in 40 TAC Chapter 9, Intellectual Disability Services – Medicaid State Operating Agency Responsibilities, Subchapter D, HCS Program, and Subchapter N, TxHmL

Please be advised that the Health and Human Services Commission, on behalf of the Texas Department of Aging and Disability Services (DADS), has authorized amendments, new rules, and rule repeals for adoption in the Texas Register. The adopted rules:

  • make transition assistance services, pre-enrollment minor home modifications (MHMs), and a pre-enrollment MHMs assessment available to certain applicants in the HCS Program;
  • replace "local authority" with "LIDDA" throughout Chapter 9, Subchapters D and N;
  • require a service coordinator to have a face-to-face contact with an individual to provide service coordination during a month in which it is anticipated that the individual will not receive an HCS or TxHmL Program service;
  • require DADS to keep the name of a military family member who resides out of the state on the HCS or TxHmL interest list while a military member is on active duty or for up to one year after the former military member's active duty ends;
  • require an HCS program provider to ensure there is a sufficient supply of hot water in sinks and bathing facilities and that the temperature of the water does not exceed 120 degrees Fahrenheit;
  • require HCS and TxHmL program providers to ensure that a service provider of behavioral health completes DADS web-based training;
  • require HCS and TxHmL program providers submit evidence of corrective action within a time period determined by DADS instead of submitting evidence within 14 calendar days after the date of the residential visit;
  • address the transition of an individual 21 years of age or older moving from a nursing facility and enrolling in the HCS or TxHmL Programs; and
  • describe how DADS maintains the HCS interest list and the TxHmL interest list and makes and withdraws offers of HCS and TxHmL Program services.

The rules were published as proposed in the Texas Register on July 17, 2015. The adopted rules were published in the Texas Register on November 6, 2015, and are effective as of November 15, 2015.

The adopted rules can be reviewed on the Texas Register website until Friday, November 13, 2015. After that, you can find the November 6, 2015 issue on the Texas Register archive page.

Questions about this alert can be sent to


HHSC Announces MCO Contracts for STAR Kids Program

HHSC has awarded contracts for the STAR Kids program to 10 managed care organizations; the contracts were effective Oct. 1, 2015. A list of the MCOs awarded contracts is on the STAR Kids webpage.

STAR Kids is a managed care program created by Senate Bill 7 (2013 Texas legislative session.) The program provides Medicaid benefits to people under age 21 who have disabilities. STAR Kids is designed to improve coordination of and access to care, health outcomes, and quality of care. Operations are anticipated to begin in Fall 2016.


U. S. Dept of Labor Home Care Final Rule Took Effect October 13, 2015

On October 6, 2015, Chief Justice of the United States John Roberts denied an application to stay a decision by the U.S. Court of Appeals for the District of Columbia upholding the U.S. Department of Labor's Home Care Final Rule. Therefore, the court's decision on August 21, 2015 took effect on October 13, 2015.

Enforcement of the final rule begins November 12, 2015.  However, from November 12, 2015 through December 31, 2015, DOL will exercise prosecutorial discretion in determining whether to bring enforcement actions, giving strong consideration to the extent to which states and other entities have made good faith efforts to bring their home care programs into compliance. 

The Home Care ruling addresses minimum wage and overtime protection policies in the following programs or services, including the Consumer Directed Services (CDS) Option:

  • Medically Dependent Children Program;
  • Primary Home Care, Community Attendant Services, and Family Care;
  • Consumer Managed Personal Attendant Services;
  • Community Living Assistance and Support Services;
  • Deaf Blind with Multiple Disabilities;
  • Home and Community-based Services; and
  • Texas Home Living.

For previous DADS alerts on the litigation, see "Department of Labor Appeals Home Care Ruling" and "Recent Court Decision Regarding Amended United States Department of Labor Regulations." For more information on the ruling, see DOL's webpage:

For further information, see the following DOL website at; call DOL's toll-free information and helpline, 1-866-4USWAGE (1-866-487-9243), available 8am to 5pm in your time zone; or consult your legal counsel.

For CDS employers, DADS has reissued Information Letter 14-66, Impact of Department of Labor Companionship Exemption on Financial Management Services Agencies and Consumer Directed Services Employers (PDF), originally published on October 17, 2014.


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