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DADS Provider Alerts — Texas Home Living (TxHmL)

DADS Launches CFC Support Management Material

Providers and FMSAs have a new resource to help implement Community First Choice — a support management webpage.

Support management is voluntary training on how to select, manage and dismiss attendants. It is available to all individuals who use CFC personal assistance services/habilitation service. Individuals may request Support Management during the person-centered planning process.

Providers and FMSAs will provide the CFC Support Management Handout (PDF), along with an oral explanation, to individuals whose service plan includes Support Management.

Questions can be emailed to cfcpolicy@dads.state.tx.us.

(6/2/2015)

Register now for June CFC Webinars

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. 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
  • Revised forms

June 29, 2015
1-3 p.m. Central Time

CLASS/DBMD
Register now: https://attendee.gotowebinar.com/register/71864445887570178

June 30, 2015
9:30-11:30 a.m. Central Time

HCS/TxHmL
Register now: https://attendee.gotowebinar.com/register/8786058145240950273

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

(6/2/2015)

Civil Money Penalty (CMP) Funds Available to Fund Projects

Beginning June 1, 2015, DADS will begin accepting applications from entities requesting an award of CMP funds to fund projects and activities that benefit nursing facility residents.

Federal law (sections 1819 and 1919 of the Social Security Act) allows this use of funds obtained from CMPs imposed by the Centers for Medicare & Medicaid Services.

For more information about this process and an application, please visit the DADS CMP Funds for Projects website.

If you have any questions about this process or alert, please call (512) 438-2626 or send questions to CmpApplication@dads.state.tx.us.

(6/2/2015)

Recording, PowerPoint of Feb. 6 CFC Webinar Now Online

Stakeholders who missed the Feb. 6 Community First Choice Transition for HCS and TxHmL webinar can view the PowerPoint and listen to a webinar recording on the DADS website.

Questions can be emailed to CFCPolicy@dads.state.tx.us.

(5/29/2015)

Register Now for 2015 Texas Autism Research Conference in Austin

DADS stakeholders have until June 12, 2015, to register for the 5th annual Texas Autism Research Conference, which will be June 18-19 at the Crowne Plaza Hotel in Austin. This year's theme is "New Insights: Research to Practice."

The event will feature keynote speakers Dr. Stephen Shore and Michael John Carley. Leaders in the field of autism research will present cutting edge research during workshops and presentations and their practical applications for practice.

The cost is $37.50 for 1 day or $75 for both days. No onsite registration is available.

June 3 is the last day to make reservations with the Crowne Plaza Hotel for the conference rate. Please use the "DARS-TARRC" booking code.

(5/29/2015)

Rules in 40 TAC Chapter 9, Intellectual Disability Services – Medicaid State Operating Agency Responsibilities, Subchapter D, Home and Community-based Services (HCS) Program, and in Subchapter N, Texas Home Living (TxHmL), are Adopted

The following rules in 40 TAC Chapter 9, Subchapter D and N, have been adopted effective July 1, 2015:

  • Subchapter D, §9.153, concerning definitions; §9.171, concerning DADS review of a program provider and residential visit; §9.185, concerning program provider compliance and corrective action; and §9.190, concerning local authority requirements for providing service coordination
  • Subchapter N, §9.553, concerning definitions; §9.576, concerning DADS review of a program provider; and §9.577, concerning program provider compliance and corrective action

Notice of the adoption was published in the May 22, 2015, issue of the Texas Register.

Questions about this alert can be sent to hcs@dads.state.tx.us.

(5/28/2015)

Comments Accepted on Draft TxHmL Waiver Amendment 3 through June 29

DADS stakeholders have until close of business June 29 to comment on proposed changes to TxHmL Waiver Amendment 3. Comments should be mailed to txhml@dads.state.tx.us. Click here to read the amendment in PDF format.

  • Update performance measure A.a.3 to replace Home and Community-based Services (HCS) interest list with Texas Home Living (TxHmL) interest list.
  • Create a separate interest list for TxHmL to increase efficiency at enrollment and allow for improved data collection.
  • Add allowance for family members of the military to remain on the TxHmL interest list while temporarily residing outside the State due to military assignments.
  • Add the definition Level of Care VIII to clarify the level of care criteria for the reserve capacity group “Individuals with level of care I or VIII residing in a nursing facility.”
  • Update terminology from “Mental Retardation” to “Intellectual Disability” and “Mental Retardation/Related Condition and Assessment” to “Intellectual Disability/Related Condition and Assessment” throughout appendix
  • Remove the requirement that respite services be provided in non-routine circumstances. Limiting respite to non-routine circumstances is an unnecessary restriction on the use of the service.
  • Add camps accredited by the American Camping Association (ACA) to the list of allowable respite settings to allow individuals to receive respite at camp.
  • Add the requirement that service providers of behavioral support services receive certain training prescribed by DADS to clarify training requirements for service providers of behavioral support services.
  • Update appendix C to replace “DADS certified psychologist” with “DADS certified authorized provider” based on changes to Texas Health and Safety Code, §§593.004-593.005.
  • Update terminology from “consumer directed services agency” to “financial management services agency”; from “consumer directed services agencies” to “financial management services agencies” throughout appendix C.
  • Change the monitoring frequency of TxHmL financial management services agencies from once every two years to once every three years. This change will make the monitoring frequency for TxHmL financial management services agencies consistent with the monitoring schedule for HCS financial management services agencies.
  • Update terminology from “consumer directed services agency” to “financial management services agency” throughout appendix E.
  • Amend the list of critical incidents program providers must report to DADS to increase DADS ability to monitor the health and safety of individuals in the TxHmL program.
  • Update terminology from “consumer directed services agency” to “financial management services agency” throughout appendix G.
(5/28/2015)

DADS Plans to Propose Personal Attendant Base Wages Rules

DADS plans to propose rules concerning personal attendant base wages. The rules apply to certain community services contractors, consumer directed services employers and financial management service agencies.

The proposed rules have a planned effective date of Sept. 1, 2015. Pending legislative approval of appropriations, the proposal will be presented to the Medical Care Advisory Committee on June 9, 2015, and the Texas Aging and Disability Services Council on June 11, 2015. The proposed rules are scheduled to be published in the Texas Register on June 26, 2015. Comments on the proposed rules may be submitted in accordance with the instructions in the notice of proposed rules.  

The proposed rules will implement the 2016-17 General Appropriations Act (Article II, Special Provisions, House Bill 1, 84th Legislature, Regular Session, 2015), by requiring certain community services contractors and FMSAs to pay a minimum base wage to an employee or subcontractor of a contractor or an employee of a CDS employer providing certain attendant services. Specifically, the proposed rules will change the base wage certain contractors and FMSAs must pay a personal attendant from $7.86/hour to $8/hour. The proposed rules also will change the base wage an employer or designated representative must budget to pay an employee providing certain services through the CDS option from $7.86/hour to $8/hour.

The proposed increase in the base wage for a personal attendant will apply to:

  • PHC
  • FC
  • CAS
  • DAHS
  • RC
  • MDCP flexible family support and respite services
  • CMPAS personal attendant services
  • CLASS habilitation
  • DBMD residential habilitation, chore services and day habilitation
  • HCS supported home living
  • TxHmL community support

Questions can be emailed to bill.campbell@dads.state.tx.us.

(5/26/2015)

Modifications to CFC Forms Are Being Made - HCS and TxHmL

As part of implementing Community First Choice (CFC), DADS staff converted many HCS and TxHmL forms to meet state accessibility requirements and to improve form functionality. It was identified that some form fields needed to be expandable to accommodate additional information. Staff are making these updates now.

Until the forms can be amended, providers are asked to submit any information that will not fit into the current form by attaching a contact note or other documentation, such as a Word document. Until the person-directed plan (PDP) form is corrected, local intellectual and developmental disability authority (LIDDA) service coordinators may use an older version of the PDP form as long as CFC services are addressed in an Action Plan.

Questions about eligibility or plan of care documentation can be directed to the PE/UR message line at 512-438-5055.

If a program provider or service coordinator has any other questions, please email them to CfcPolicy@dads.state.tx.us

(5/13/2015)

Notify DADS of Address Changes

HCS and TxHmL providers are reminded to notify DADS of changes in mailing or physical address. A representative of your agency who has signature authority must fax or email a written request to update the address.

Requests must be submitted on company letterhead and include the component code and contract number(s) to ensure the information is properly updated for all contracts. Correspondence should be sent to the attention of Daile R. Stout by fax at 512-438-3639 or by email at hcsmailbox@dads.state.tx.us.

40 Texas Administrative Code (TAC) §49.302 (i) (1 and 2) states:

i) If there is a change to a contractor's physical, mailing, or e-mail address, as stated on the contractor's contract application packet or on a prior written notice of change to the information, the contractor must notify DADS of the change and provide the new physical, mailing, or e-mail address:

  • (1) at least 30 days before the address changes; or
  • (2) if a natural or unforeseen disaster prevents compliance with paragraph (1) of this subsection, within three days after the change.
(5/11/2015)

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