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DADS Provider Alerts — Texas Home Living (TxHmL)

Hydrocodone Now a Schedule II Drug

As of Oct. 6, 2014, the drug Hydrocodone became a Schedule II Drug. DADS providers need to know the following about all Schedule II medications:

  • They require a written prescription on a Texas Department of Public Safety (DPS) official form and cannot be called in to a pharmacy by the physician’s office, except under certain circumstances.
  • Prescriptions can only be written for a 30-day supply and cannot contain refills.
  • Patients must have a written prescription from their doctor for every new 30-day supply if they require Schedule II medications for longer than 30 days.
  • Advance practice registered nurses and Physician Assistants may write Schedule II prescriptions only under specific circumstances.

Information regarding hydrocodone combination products and the new law is available on the DPS website.

(10/7/2014)

Ebola Health Alert

For the latest and most reliable information about the Ebola virus in Texas, go here https://service.govdelivery.com/accounts/TXHHSC/subscriber/new and sign up for email updates from the Texas Department of State Health Services (DSHS).

DSHS has confirmed one case of Ebola in Dallas County, and has issued an alert that can be seen here www.dallascounty.org/department/hhs/documents/DSHS_EbolaTestHealthAlert.pdf. DSHS emphasizes that the virus is transmitted only through direct contact with the blood or body fluids of someone infected with the disease.

The Centers for Disease Control and Prevention has developed a checklist www.cdc.gov/vhf/ebola/pdf/hospital-checklist-ebola-preparedness.pdf to use in case your organization identifies anyone who has traveled to or from an area affected by Ebola.

The checklist will help detect and respond appropriately to possible Ebola cases, while protecting clients and facility staff.

(10/3/2014)

Revised, New HCS and TxHmL Forms Available

Based on stakeholder input, DADS has revised Form 8584, Comprehensive Nursing Assessment.

In addition to terminology, formatting and grammatical changes, two sections were removed from the original form to create new forms:

Providers are not required to use these optional forms and may develop their own forms or processes to document required information.

Questions may be sent to the HCS or TxHmL resource mailboxes: hcs@dads.state.tx.us or txhml@dads.state.tx.us.

(9/30/2014)

Approved TxHmL Waiver Amendment Posted to DADS Website

A copy of the approved Texas Home Living waiver amendment is available on the DADS website at: www.dads.state.tx.us/providers/TxHmL/waivers.html. The federal Centers for Medicare & Medicaid Services approved the amendment in August 2014 with retroactive effective date of Sept. 1, 2013.

(9/30/2014)

HCS, TxHmL Rule Change Webinar Recording Available

DADS hosted two webinars in September about revisions to Texas Administrative Code Chapter 9, Subchapter D, Home and Community-based Services (HCS), and Chapter 9, Subchapter N, Texas Home Living (TxHmL). These webinars provided an overview of the rule changes that became effective Sept.1, 2014.

The PowerPoint presentation and webinar recording have been posted to the DADS website at: http://www.dads.state.tx.us/providers/HCS/webinars/index.html. Answers to the questions submitted during the webinar will be posted to same webpage.

Please contact the HCS or TxHmL resource mailboxes if you have any questions: hcs@dads.state.tx.us or txhml@dads.state.tx.us.

(9/26/2014)

Updated Form 8493 Available on DADS Website

DADS has updated Form 8493, Notification to DADS Regarding a Death in HCS, TxHmL and DBMD Programs. Please use this version of the form, not an older version.

(9/23/2014)

HHSC to Host Feedback Sessions on STAR+PLUS Expansion for People with IDD

The Texas Health and Human Service Commission (HHSC) is hosting several feedback sessions to gather information about the STAR+PLUS expansion for people with intellectual and developmental disabilities (IDD).

During these sessions, people with IDD, their family members, advocates, and acute care and long-term care providers will be able to give their feedback about the STAR+PLUS transition. HHSC will not present information during these sessions, but instead will collect feedback and ideas that may affect future managed care initiatives.

A list of meeting locations is available on the HHSC website at http://www.hhsc.state.tx.us/news/meetings.asp. Questions can be directed to Heather Kuhlman at 512-462-6356 or through email at Heather.Kuhlman@hhsc.state.tx.us.

(9/22/2014)

National Medication Schedule Change

The Texas Board of Nursing, Texas Medical Board and Texas State Board of Pharmacy are encouraging all DADS providers to review the attached information, in PDF format, about the reclassification of hydrocodone combination products (HCPs) by the U.S. Drug Enforcement Agency.

Remember, all providers that order, dispense, or prescribe HCPs in Texas must comply with requirements for prescribing Schedule II medications as set forth in state and federal law beginning Oct. 6, 2014.

(9/19/2014)

Providers Who Want to Discontinue their Participation in the Licensed Vocational Nurse (LVN) On-Call Pilot Program

The Texas Department of Aging and Disability Services (DADS) is asking providers that want to discontinue their participation in the LVN On-Call Pilot Program to complete Form 5944, Discontinuation of Provider from the Licensed Vocational Nurse (LVN) On-Call Pilot Program, and fax it to Waiver Survey and Certification (WS&C) at 512-438-4171.

This request applies to the following providers:

  • Home and Community-based Services
  • Texas Home Living
  • Intermediate Care Facility for Individuals with an Intellectual Disability or Related Conditions (ICF/IID), with a capacity of 13 bed or fewer

Providers that chose not to participate in the statewide pilot program are reminded they must use a registered nurse to provide on-call telephone services in accordance with  Texas Administrative Code, Title 22, Part 11, Chapter 217, Standards of Nursing Practice, §217.11(2) and (3) and Texas Board of Nursing policy.

For more information on the LVN On-Call Pilot Program, please visit the Nursing Services Changes website.

If you have any questions regarding the information in this alert, please contact:

  • the WS&C at 512-438-4163; or
  • an ICF/IID policy specialist at 512-438-3161.
(9/15/2014)

HCBS Rules: Webinar Training

In January 2014, the Center for Medicare and Medicaid Services issued final guidance on new rules effective March 17, 2014 governing 1915(c) Medicaid waivers and programs under 1915(i) and 1915(k) of the Social Security Act. The rules ensure individuals receive Medicaid Home and Community Based Services (HCBS) in settings that are integrated in and support full access to the greater community and include opportunities for competitive employment, control of personal resources and the ability to live in the same way as individuals not receiving home and community-based services (HCBS).

These webinars are being offered to help familiarize providers, advocates and individuals receiving services about the new rules and how stakeholders can provide input as the state continues the process of assessing compliance with the new regulations and making plans for any rule or policy changes that may be necessary.

Registration
Please reserve your webinar date from one of the options offered below. Space is limited, so you are encouraged to register early.

Space is limited. Reserve your Webinar seat now at:
September 11, 2014: 3 p.m. to 5 p.m. https://www1.gotomeeting.com/register/416572432
September 30, 2014: 10 a.m. to noon https://www1.gotomeeting.com/register/856428640

The rule text can be viewed at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Supports/Home-and-Community-Based-Services/Home-and-Community-Based-Services.html 

In addition, the Impact of Federal HCBS Rules on DADS 1915(c) Waiver Programs, which assesses compliance with the settings provisions, can be viewed at: http://www.dads.state.tx.us/providers/communications/alerts/HCBS_settingsassessment.pdf.

HCBS Rules: Public Meeting

The Health and Human Services Commission (HHSC), Department of State Health Services (DSHS) and the Department of Aging and Disability Services (DADS) are holding a public stakeholder meeting on October 13, 2014, from 9 a.m. to 5 p.m., to hear public testimony about recently-adopted Centers for Medicare and Medicaid Services (CMS) rules. The rules concern Home and Community Based Services (HCBS), and its impact on certain programs administered by HHSC, DSHS and DADS.

The public will be able to provide public testimony on the following 1915(c) Medicaid waivers:

  • Community Living Assistance and Support Services (CLASS)
  • Deaf Blind Multiple Disabilities (DBMD)
  • Medically Dependent Children Program (MDCP)
  • Home and Community-based Services (HCS)
  • Texas Home Living (TxHmL)
  • Youth Empowerment Services (YES)

Public Comment

HHSC, DADS and DSHS will accept comments through several channels. 

  • A person can attend the public meeting on October 13, 2014 in person and sign up onsite for a maximum of three (3) minutes of speaking time.
  • A person can submit written comments before, during, and after the public stakeholder meeting to:
(9/2/2014)

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