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DADS Provider Alerts — Texas Home Living (TxHmL)

Last Chance to Register! Positive Behavior Management and Supports Workshop in Houston

This week is the last chance to register for a free, 1.5 day conference at the Region 4 Education Service Center, April 30 – May 1, 2015. Discover “Why Problem Behavior Occurs (and Why it is Important to Know the Answer”. Participants will learn to establish positive relationships with and support individuals with IDD who engage in challenging behavior and to safely and effectively prevent potentially harmful behaviors.

Register Now! Space is limited. Click here to register.

The program is designed for direct contact staff, caregivers, family members, nurses, qualified ID professionals, case or home managers, and home supervisors. Social Work, Psychology, LPA, and LPC continuing education credits will be offered.

More information about the event, including presenter biographies and FAQs, is available in PDF format. Questions can be emailed to angelica.rendon@dads.state.tx.us; please include “PBMS Workshop: Houston” in the subject line.

Through the Money Follows the Person (MFP) initiative, Texas has received funding from CMS to expand its efforts to support people with IDD and people with behavioral health needs. MFP funds make it possible for DADS to host this event and others planned for this year.

(4/22/2015)

DADS Provider Webinar: Register now for Community First Choice (CFC) Implementation Training in April and May

DADS stakeholders can now register for webinars that explain how the agency is implementing Community First Choice (CFC) in the CLASS, DBMD, HCS and TxHmL programs as well as in the CDS option. CFC provides specific services to people living in the community who are enrolled in Medicaid and who meet CFC eligibility requirements.

The program-specific webinars will cover topics such as:

  • CFC service plan changes and authorizations,
  • provider qualifications,
  • service codes,
  • billing, and
  • forms that are being revised.

April 28
9:30-11:30 a.m. Central Time

HCS/TxHmL
Register now: https://attendee.gotowebinar.com/register/5666315947217052673

May 4, 2015
9-11:00 a.m. Central Time

CLASS/DBMD
Register now: https://attendee.gotowebinar.com/register/4127134908261179906

May 14, 2015
2-4 p.m. Central Time

CDS Option
Register now: https://attendee.gotowebinar.com/register/4478639978876654082

Email questions to CfcPolicy@dads.state.tx.us.

(4/17/2015)

DADS Provider Webinar: Seats Still Available for Nursing Practice Webinar on April 22

Do you work in a community setting with people who have IDD? Then you should plan to attend the DADS webinar “Nursing Practice Related to ICF/IID Policies and Regulations” on April 22 from 2-3:30 p.m. Central Time.

The webinar will focus on identifying:

  • multiple roles of the nurse,
  • the health care requirements of the nurse,
  • the 6 fundamental tags used for determining the Health Care Services Condition of Participation (CoP), and
  • the nurse's responsibility in the requirements of the CoP

DADS and the Texas Board of Nursing are hosting this 4-part webinar series aimed at RNs and LVNs that work in the HCS, TxHmL and ICF/IID programs. Other service specialists, including social workers, nursing facility administrators, qualified ID/DD professions and psychology professionals, also are encouraged to participate.

Registration also is now open for Part 4 of the series, Nursing in Community IDD Programs, Part IV – Nursing and HCS and TxHmL Policies and Regulations, which will be April 27, 2015, 2-3:30 p.m., Central Time.

Continuing Education Credit

Nursing continuing education credits are not approved for this webinar series. Continuing education (CE) credit for Parts III and IV will be available for social workers (SW), licensed nursing facility administrators (LNFA), qualified ID/DD professionals, and psychology professionals. All professionals seeking credit must register and attend using the dedicated webinar access link in order to authenticate attendance and qualify for the CE certificate.

View Past Webinars

Providers who missed the previous two webinars can access recordings. Note: Continuing education credit is not available when reviewing the recording.

(4/16/2015)

Comments Accepted on Draft CFC Information Letters through April 16

Draft information letters concerning implementation of Community First Choice (CFC) option within CDS are posted on the DADS website. Comments should be emailed to CfcPolicy@dads.state.tx.us by close of business April 16, 2015.

There are three draft documents:

  1. One addressed to FMSAs and service coordinators about how CFC will be implemented in HCS and TxHmL.
  2. One addressed to FMSAs, CLASS case managers and DBMD providers about how CFC will be implemented in CLASS and DBMD.
  3. A draft letter to CDS employers to be distributed by FMSAs.
(4/14/2015)

Comments Accepted on Draft CFC Information Letters through April 16

Draft information letters concerning the implementation of the Community First Choice (CFC) option are posted on the DADS website. Comments should be emailed to CfcPolicy@dads.state.tx.us by close of business April 16, 2015.

There are three draft documents: one is addressed to HCS and TxHmL providers and the others to people receiving HCS and TxHmL services.

You can access the draft documents in PDF format at:

In addition, DADS launched a CFC web page April 10, 2015: http://www.dads.state.tx.us/providers/CFC/index.cfm.

(4/13/2015)

DADS to Require New Forms as Part of Contracting Process

DADS stakeholders that apply for a contract with the agency or that respond to a request for proposal after April 6, 2015, will need to complete a Data Usage Agreement if the resulting contract would provide the contractor access to confidential information.

Beginning May 1, 2015, the agency also will require a completed Information Security and Privacy Initial Inquiry if the contract will require access to confidential information.

This process is being implemented in all Texas health and human services agencies to establish a clear and consistent process for safeguarding confidential information and for reporting and correcting any unauthorized use or disclosure of the confidential information.

Providers can review the documents at: http://www.hhsc.state.tx.us/about_hhsc/BusOpp/BO_home.shtml.

Email questions pertaining to DADS active contracts to Kathie.carleton-morales@dads.state.tx.us.

Email questions about this policy to Sylvia.kauffman@hhsc.state.tx.us.

(4/6/2015)

Register Now for Positive Behavior Management and Supports Workshop in Houston

DADS stakeholders still have time to register for a free, 1.5 day conference April 30-May 1, 2015, at the Region 4 Education Service Center.

The event is designed for direct contact staff, caregivers, family members, nurses, qualified ID professionals, case or home managers, and home supervisors. Social work, psychology, LPA and LPC continuing education credits will be offered.

Registration is on a first-come, first-served basis at https://www.surveymonkey.com/s/PBMS_Houston.

Discover “Why Problem Behavior Occurs (and Why it is Important to Know the Answer)” participants will learn to:

  • establish positive relationships with people with IDD,
  • support people with IDD who engage in challenging behavior, and
  • safely and effectively prevent potentially harmful behaviors.

More information about the event, including presenter biographies and FAQs, is available in PDF format.

Questions can be emailed to angelica.rendon@dads.state.tx.us; please include “PBMS Workshop: Houston” in the subject line.

Through the Money Follows the Person (MFP) initiative, Texas has received funding from CMS to expand its efforts to support people with IDD and people with behavioral health needs. MFP funds make it possible for DADS to host this event and others planned for this year.

(4/2/2015)

Department of Labor Appeals Home Care Ruling

The U.S. Department of Labor (DOL) has appealed the ruling in the lawsuit brought by associations of home care companies challenging the Home Care Final Rule (PDF). (See DADS alert titled “Recent Court Decision Regarding Amended United States Department of Labor Regulations.”)

The DOL stated its enforcement schedule, announced Oct. 9, 2014, would not change. The appeal is proceeding on an expedited schedule and a decision could be made as early as this summer.

The changes that are being appealed effect the companionship services exemption in the Fair Labor Standards Act that may pertain to these DADS programs:

  • Financial Management Services (also called CDS)
  • 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
  • Texas Home Living

If the Court of Appeals issues a decision favorable to the DOL on or after July 1, 2015, the DOL stated it immediately will implement the selective enforcement process as outlined in the enforcement schedule. Providers and CDS employers should continue to assess the budgetary, staffing and administrative impact of the Home Care Final Rule, if any, and be prepared to alter the budgets or hire additional staff to meet compliance should the DOL win its appeal.

For more information, visit the DOL homecare website, call the DOL at 1-866-487-9243 or consult your legal counsel.

(4/2/2015)

Providers are Reminded to Share and Coordinate Medical Information with MCOs

DADS providers that serve people with IDD are reminded they must share and coordinate information and documentation regarding medical service planning with the managed care organizations (MCOs). A signed release of information is not required when the information being shared among the local authorities, DADS providers and MCOs is designed to coordinate the provision of acute care services.

The release of an individual’s information to an MCO by a DADS provider or local authority is covered by the following policies:

  • Title 45 of the Code of Federal Regulations (CFR) includes ยง164.506(c)(4), Uses and disclosures to carry out treatment, payment, or health care operations. Under subparagraph (ii), disclosure of protected health information is permitted for the purpose of health care operations. The definition of ‘health care operations,’ is found under Privacy of Individually Identifiable Health Information, at 45 CFR 164.501.
  • DADS Information Letter 14-38, Expansion of Medicaid Acute Care Services - Role of STAR+PLUS Acute Care Service Coordinator in Long-term Support Services Planning (PDF format).

For additional information regarding the managed care expansion, please visit the HHSC Medicaid managed care initiatives website.

For questions related to this alert, email pdo@dads.state.tx.us.

(3/26/2015)

Have Questions about Managed Care? Read Our FAQs

HCS and TxHmL providers are encouraged to read “Frequently Ask Questions and Answers: Managed Care Organizations and HCS/TxHmL Program Providers” (PDF) to better understand the Sept. 1, 2014, transition to managed care for acute care medical services.

Providers that still have questions after reading the document can email them to HCS@dads.state.tx.us or TxHmL@dads.state.tx.us.

(3/23/2015)

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