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DADS Provider News, Alerts & Bulletins — Texas Home Living (TxHmL)

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:
https://www1.gotomeeting.com/register/415951600

August 21, 2014 from 1:30 p.m. until 4 p.m.
Space is limited.
Reserve your Webinar Seat Now at:
https://www1.gotomeeting.com/register/322963073

August 26, 2014 from 1:30 p.m. until 4 p.m.
Space is limited.
Reserve your Webinar Seat Now at:
https://www1.gotomeeting.com/register/361402737

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 Kathie.Carleton-Morales@dads.state.tx.us if you have any questions about the upcoming webinar.

(8/11/2014)

Database for Nurses Participating in the LVN On-Call Pilot for HCS, TxHmL and ICF/IIDs With a Capacity of 13 or Fewer Beds

As state in the Texas Department of Aging and Disability Services (DADS) stated in Information Letter 14-46 and Provider Letter 14-03, DADS is updating the nurse database for participation in the LVN On-Call Pilot. All LVNs and registered nurses who are participating in the pilot must access the database at https://www.surveymonkey.com/s/Y337KY2 to update their information. Participation in the pilot must be documented by September 8, 2014. Nurses who have not completed their entry in the database by the due date will be considered ineligible for continued participation in the pilot. To complete the database, the LVN must have access to documentation of the dates of completion of the required training.

DADS requests that all providers ensure that their nurses receive a copy of this alert and update their information in the database within the designated time frame.

For more information on the LVN On-Call Pilot Program, please visit the Nursing Services Changes website at http://www.dads.state.tx.us/providers/nschanges/index.cfm.

If you have any questions regarding the information in this alert, please contact the DADS Waiver Survey and Certification unit at 512-438-4163 or an ICF/IID policy specialist in the Regulatory Services Policy, Rules and Curriculum Development unit at 512-438-3161.

(8/8/2014)

Community First Choice Alert - Managed Care Organizations Outreach to the Department of Aging and Disability Services Intellectual and Developmental Disabilities Waiver Providers

Senate Bill 7 (S.B. 7), 83rd Legislature, Regular Session, 2013 requires the Health and Human Services Commission (HHSC) to implement a cost-effective option for basic attendant and habilitation services for people with disabilities who are eligible for Medicaid, including those in managed care.

A federal option, called Community First Choice (CFC), allows states to provide home and community-based attendant services and supports to individuals with disabilities who qualify for Medicaid as part of the state plan.

S.B. 7 requires managed care organizations (MCOs) that contract with HHSC for the provision of CFC attendant and habilitation services under the STAR+PLUS and STAR Health Medicaid managed care program to include the Department of Aging and Disability Services (DADS) Intellectual and Developmental Disabilities (IDD) waiver providers in their provider networks for the provision of basic attendant and habilitation services.

MCOs will be reaching out to the following DADS providers to offer them an opportunity to contract to provide CFC state plan services:

  • Community Living Assistance and Support Services (CLASS) Direct Services Agencies licensed as a Home and Community Support Services Agency (HCSSA)
  • Deaf Blind with Multiple Disabilities (DBMD), HCSSAs
  • Home and Community-based Services (HCS) certified providers
  • Texas Home Living (TxHmL) certified providers

Individuals already receiving services through a 1915(c) waiver will continue to receive those services as they do today from their existing providers.

Information regarding CFC can be accessed at the following link:
http://www.hhsc.state.tx.us/medicaid/managed-care/community-first-choice/

Questions about CFC can be submitted to HHSC by indicating “CFC” in the subject line at: Managed_Care_Initiatives@hhsc.state.tx.us.

HHSC is working on a process to collect questions and will be responding to the questions as more information is available through a Frequently Asked Questions (FAQ) document.

(8/6/2014)

Frequently Asked Questions List Published: Maintaining Continuous Eligibility for Individuals Enrolled in DADS IDD Programs

The Texas Department of Aging and Disability Services (DADS) has published a Frequently Asked Questions (FAQ) list. The list is a collection of questions received from participants of program specific webinars and trainings hosted by DADS regarding maintaining continuous Level of Care (LOC) eligibility and/or Individual Plan of Care (IPC) authorizations and financial eligibility (Medicaid) for the IDD programs to avoid impacting STAR+PLUS acute care eligibility for individuals at the time of the Medicaid managed care transition scheduled for Sept. 1, 2014. Some questions were also collected by email and phone conversations. This document will be updated with additional questions and answers as needed throughout the transition period.

To view the FAQ list, you can click here or go to the specific website for a desired IDD program listed below and click on the “Medicaid Managed Care Resources” navigation button located in the menu on the left of the page; then click on the “DADS FAQ List” link.

Waiver Programs

Facility-based Programs

(7/31/2014)

Health Insurance Premium Payment (HIPP) Program

The Health Insurance Premium Payment (HIPP) program is a Medicaid program that reimburses eligible individuals for their share of an employer-sponsored health insurance premium payment.

To qualify for HIPP, an employee must either be Medicaid eligible or have a family member who is Medicaid eligible.  A client who is in Medicaid managed care can be considered for enrollment in HIPP. However, if they qualify for HIPP enrollment, they cannot stay enrolled in Medicaid managed care, with the exception of STAR+PLUS clients.

STAR+PLUS and HIPP
To ensure access to long-term services and supports, individuals enrolled in, or eligible for, the STAR+PLUS program may receive coverage through Medicaid and HIPP. Although clients will need to select a Medicaid-enrolled primary care provider (PCP) under STAR+PLUS, clients can continue to see the PCP and specialists they currently see through their employer-sponsored insurance. (Designation of a STAR+PLUS PCP will not impact designation of PCPs under employer-sponsored insurance) The client is responsible for all associated cost sharing related to their employer-sponsored insurance:

  1. for non-Medicaid covered benefits, or
  2. if the PCP and specialists they see are not Medicaid-enrolled providers.

Beginning on September 1, 2014, some individuals enrolled in a 1915© waiver for individuals with intellectual and developmental disabilities (IDD) or residing in a community-based intermediate care facility for individuals with an intellectual disability or related conditions (ICF/IID) will begin receiving their acute care services, such as doctor's visits and prescription drugs, through the STAR+PLUS program. The 1915© IDD waivers are Community Living Assistance and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD), Home and Community-based Services (HCS) and Texas Home Living (TxHmL). These individuals may also be enrolled in HIPP. Under these circumstances:

  • HIPP will reimburse clients for employer-sponsored insurance premiums,
  • STAR+PLUS MCOs will cover cost-sharing related to the employer-sponsored insurance for Medicaid-covered services provided by a Medicaid provider,
  • STAR+PLUS MCOs also will cover Medicaid-covered acute care services provided by a Medicaid provider not available through the employer sponsored insurance, and
  • The IDD waivers and ICFs-IID will provide long-term services and supports.

STAR and HIPP
Clients enrolled in STAR may apply for HIPP, and if found eligible for HIPP, the client will be disenrolled from STAR.

HIPP Coverage
The HIPP program may pay for clients and their family members to get employer-sponsored health insurance benefits if it is determined to be cost effective.

Medicaid-eligible HIPP enrollees do not have to pay out-of-pocket deductibles, co-payments, or co-insurance for health care services that Medicaid covers when seeing a provider that accepts Medicaid. Instead, Medicaid reimburses providers for these expenses. HIPP enrollees who are not Medicaid-eligible must pay deductibles, co-payments, and co-insurance required under the employer-sponsored insurance policy. Additionally, if a Medicaid-eligible HIPP enrollee needs a Medicaid-covered service that is not covered by their employer-sponsored insurance plan, Medicaid will provide this service at no cost to the enrollee as long as the services are provided by an enrolled Medicaid provider.

Additional information about the HIPP program is available at www.getHIPPTexas.com. Questions and concerns with HIPP enrollment should be directed to the HIPP helpline at 1-800-440-0493.

(7/25/2014)

Update to Upcoming Positive Behavior Management Workshops

Note:

  • Registration for the Fort Worth workshop has reached capacity and registration is closed.
  • The Corpus Christi workshop has been canceled.

Spaces are still available for the Austin and Longview workshops.

Working with people with an intellectual disability (ID) can be both a rewarding and challenging job. When an person with an ID engages in challenging behavior, it can create barriers to establishing meaningful relationships and skill acquisition. Discover "Why Problem Behavior Occurs (and Why it is Important to Know the Answer)" as Dr. Richard Smith, Carla Smith and Dr. Karen Toussaint, from the University of North Texas, and instructors from the Behavior Analysis Resource Center help participants learn evidence-based best practice prevention and management techniques to support positive behavior.

The workshop offers caregivers, who provide training and habilitation services and supports, the opportunity to learn proactive approaches to establishing positive relationships with and supporting individuals who engage in challenging behavior. This session teaches participants to use reinforcement to "tip the scales" toward adaptive and positive behavior and how to safely and effectively prevent potentially harmful behaviors. Attendees who would benefit from this workshop include direct contact staff, caregivers, family members, nurses, qualified ID professionals, case or home managers, and home supervisors.

Through the Money Follows the Person (MFP) initiative Texas has received fundig from the Centers for Medicare & Medicaid (CMS) to expand its efforts in the support of persons with intellectual and developmental disabilities and persons with behavioral health needs. MFP funds make it possible for the Texas Department of Aging and Disability Services (DADS) to host 3, 1.5 day workshops:

Austin
July 24 & 25, 2014
Crowne Plaza Hotel – Austin
6121 North IH 35
Austin, TX 78752
Register for the Austin workshop at: https://www.surveymonkey.com/s/PBM_Austin

Longview
August 4 & 5
Maude Cobb Convention and Activity Complex
100 Grand Blvd.
Longview, TX 75604-5852
Register for the Longview workshop at: https://www.surveymonkey.com/s/PBM_Longview

Fort Worth
August 7 & 8
Fort Worth Botanic Garden, Lecture Hall
3220 Botanic Garden Blvd.
Fort Worth, TX 76107
Registration is closed for this event

Social work, psychology, LPA and LPC continuing education credits will be offered. BCBA continuing education credits will be offered by the University of North Texas Behavior Analysis Resource Center for $50.

This workshop is offered free of charge, but spaces are limited. Registration is now open. Click here for more information about the workshops, including course outline and registration. Please contact novella.evans@dads.state.tx.us with any questions, and include PBS Workshop: and location of interest in the subject line.

(7/22/2014)

Region 6 ONLY Intermediate Care Facilities for Individuals with an Intellectual Disability (ICF-IID) Provider Meeting to be held in Houston on September 3, 2014

You are invited to attend an ICF-IID provider meeting presented by the Texas Department of Aging & Disability Services, Regulatory Services Division, Region 6 staff. The following topics will be presented:

  • Positive Behavior Support: Preventing Challenging Behavior
    George E. Zukotynski, Assistant Commissioner, DADS State Supported Living Center, Austin, TX

  •  ICF-IID Provider RequirementsRelated to the STAR+PLUS Managed Care Expansion
    Debbie Little-Smith, Program Specialist, Program Operations, Health and Human Services, Austin, TX

  • Refresher on the Reportable Incident Process
    Alan Garms, LMSW-AP, DADS Regulatory Services, ICF-IID Program Manager, Region 6

  • ICF-IID Policy Updates
    Alan Garms, LMSW-AP, DADS Regulatory Services, ICF-IID Program Manager, Region 6

This meeting will be held on September 3, 2014 from 1 p.m. to 4 p.m. at the United Way of Greater Houston, 50 Waugh, Houston, TX 77007. Registration begins at 12:30 p.m. Please submit your questions by the registration deadline for on-line registration by August 8, 2014. Five (5) providers from each facility may attend.

Register at https://www.surveymonkey.com/s/Region6ICFIID2014

(7/21/2014)

Reminder: Registration Now Open: Positive Behavior Management Workshops

Working with individuals with an intellectual disability (ID) can be both a rewarding and challenging job. When an individual with an ID engages in challenging behavior, it can create barriers to establishing meaningful relationships and skill acquisition. Discover "Why Problem Behavior Occurs (and Why it is Important to Know the Answer)" as Dr. Richard Smith, Carla Smith, and Dr. Karen Toussaint from the University of North Texas, and instructors from the Behavior Analysis Resource Center help participants learn evidence-based best practice prevention and management techniques to support positive behavior.

The workshop offers caregivers, who provide training and habilitation services and supports, the opportunity to learn proactive approaches to establishing positive relationships with and supporting individuals who engage in challenging behavior. This session teaches participants to use reinforcement to "tip the scales" toward adaptive and positive behavior and how to safely and effectively prevent potentially harmful behaviors. Attendees who would benefit from this workshop include direct contact staff, caregivers, family members, nurses, qualified ID professionals, case or home managers, and home supervisors.

Through the Money Follows the Person (MFP) initiative Texas has received funding from the Centers for Medicare & Medicaid (CMS) to expand its efforts in the support of persons with intellectual and developmental disabilities and persons with behavioral health needs. MFP funds make it possible for the Texas Department of Aging and Disability Services (DADS) to host three 1.5 day workshops:

  • Austin, TX – July 24 & 25, 2014
    Register for the Austin workshop at: https://www.surveymonkey.com/s/PBM_Austin
    Crowne Plaza Hotel – Austin
    6121 North Interstate Highway 35, Austin, TX 78752
    (512) 323-5466
  • Longview, TX – August 4 & 5, 2014
    Register for the Longview workshop at: https://www.surveymonkey.com/s/PBM_Longview
    Maude Cobb Convention and Activity Complex
    100 Grand Blvd, Longview, TX 75604-5852
    (903) 237-1230
  • Ft. Worth, TX – August 7 & 8, 2014
    Register for the Ft. Worth workshop at https://www.surveymonkey.com/s/PBM_FtWorth
    Fort Worth Botanic Garden, Lecture Hall
    3220 Botanic Garden Blvd., Fort Worth, TX 76107
    (817) 392-5531

PLEASE NOTE: the Corpus Christi workshop has been cancelled.

Social Work, Psychology, LPA, and LPC continuing education credits will be offered. BCBA continuing education credits will be offered by the University of North Texas Behavior Analysis Resource Center for $50.

This workshop is offered free of charge, but spaces are limited. Registration is now open. Click here for more information about the workshops, including course outline and registration. Please contact novella.evans@dads.state.tx.us with any questions, and include PBS Workshop: and location of interest in the subject line.

(7/17/2014)

Managed Care Expansion Resources Added to DADS Provider Websites

The Texas Department of Aging and Disability Services (DADS) has added a navigation link to each program page called "Managed Care Expansion Resources." From this link, IDD waiver and ICF/IID providers can easily access information published by DADS regarding the managed care expansion scheduled for Sept. 1, 2014. In addition, providers can easily navigate to information and resources available on the Texas Health and Human Services Commission website.

To view these changes, go to the specific website for the desired program. The new navigation button is located in the navigation menu on the left of the page.

Waiver Programs

Facility-based Programs

(7/10/2014)

Registration Now Open: Positive Behavior Management Workshops

Working with individuals with an intellectual disability (ID) can be both a rewarding and challenging job. When an individual with an ID engages in challenging behavior, it can create barriers to establishing meaningful relationships and skill acquisition. Discover "Why Problem Behavior Occurs (and Why it is Important to Know the Answer)" as Dr. Richard Smith and Dr. Karen Toussaint from the University of North Texas, and instructors from the Behavior Analysis Resource Center help participants learn evidence-based best practice prevention and management techniques to support positive behavior.

The workshop offers caregivers, who provide training and habilitation services and supports, the opportunity to learn proactive approaches to establishing positive relationships with and supporting individuals who engage in challenging behavior. This session teaches participants to use reinforcement to "tip the scales" toward adaptive and positive behavior and how to safely and effectively prevent potentially harmful behaviors. Attendees who would benefit from this workshop include direct contact staff, caregivers, family members, nurses, qualified ID professionals, case or home managers, and home supervisors.

Through the Money Follows the Person (MFP) initiative Texas has received funding from the Centers for Medicare & Medicaid (CMS) to expand its efforts in the support of persons with intellectual and developmental disabilities and persons with behavioral health needs. MFP funds make it possible for the Texas Department of Aging and Disability Services (DADS) to host three 1.5 day workshops:

Austin, TX – July 24 & 25, 2014
Longview, TX – August 4 & 5, 2014
Ft. Worth, TX – August 7 & 8, 2014
We apologize, the Corpus Christi workshop has been cancelled.

Social Work, Psychology, LPA, and LPC continuing education credits will be offered. BCBA continuing education credits will be offered by the University of North Texas Behavior Analysis Resource Center for $50.

This workshop is offered free of charge, but spaces are limited. Registration is now open. Click here for more information and to register. Please contact novella.evens@dads.state.tx.us with any questions, and include PBS Workshop: and location of interest in the subject line.

(7/3/2014)

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