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DADS Provider Alerts — Texas Home Living (TxHmL)

Letter to Law Enforcement

DADS has released Information Letter 15-14 to assist law enforcement officers and agencies with responding to calls at residences that may be operated by DADS contracted providers. The letter provides information about the types of residences operated by these providers and asks law enforcement to contact DADS after responding to calls outside the scope of law enforcement duties or if concerns about the supervision or care of individuals arise. DADS has also created a website – www.dads.state.tx.us/law - to provide law enforcement personnel with additional information about the types of small residential setting serving individuals with physical, medical intellectual or developmental disabilities.

(2/18/2015)

Register Now for Positive Behavior Management and Supports Workshop in Fort Worth

DADS stakeholders can now register for a free, 1.5 day conference at the Botanic Garden in Fort Worth on March 16 and 17. 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.

Space is limited, so registration is on a first-come, first-served basis. 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 novella.evans@dads.state.tx.us; please include “PBMS Workshop: Fort Worth” 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.

(2/10/2015)

Community First Choice

UPDATE: Texas has moved implementation of Community First Choice (CFC) to June 1, 2015.

Senate Bill 7 from the 2013 Texas Legislature requires the Health and Human Services Commission (HHSC) to put in place a cost-effective option for attendant and habilitation services for people with disabilities who have STAR+PLUS Medicaid coverage.

A federal option, called Community First Choice, allows states to provide home and community-based attendant services and supports to Medicaid recipients with disabilities. This option provides states with a 6 percent increase in federal matching funds for Medicaid for these services.

For more information about CFC please see the HHSC website at http://www.hhsc.state.tx.us/medicaid/managed-care/community-first-choice/.

(2/9/2015)

TexMedConnect CBT and User Guide Updated to Include STAR+PLUS Claim Submission Guidelines

TMHP has updated the TexMedConnect for Long Term Care CBT and the Long Term Care User Guide to include new claims-filing procedures for nursing homes that have residents transitioning to STAR+PLUS managed care. The updates include:

  • How to file institutional claims on TexMedConnect that will be forwarded to a managed care organization (MCO).
  • How to use MESAV to view managed care eligibility segments.
  • How to contact MCOs directly if there are any issues or questions regarding a claim that has been forwarded to an MCO.
  • How to perform a Claims Status Inquiry (CSI) on a forwarded claim.

The updated TexMedConnect for Long Term Care Providers CBT will be available on the TMHP Learning Management System (LMS) website accessed through the TMHP education website. Users must have a User name and Password to access CBTs in the LMS by clicking the Registration link at the top left-hand corner of the LMS home page to create a new account. After creating an account, providers can access all available CBT materials in the LMS.

For more information, call the TMHP Call Center/Help Desk at 1-800-626-4117. For CBT log in or access issues, email TMHP Learning Management System (LMS) support at TMHPTrainingSupport@tmhp.com.

(2/4/2015)

Managed Care Webinar Recordings, Handouts Available

The Texas Health and Human Services Commission recently presented a series of webinars on the managed care transition that will happen March 1, 2015. DADS stakeholders can view recordings of previous events or register to attend February events.

Community First Choice

Dual Demonstration Project

Nursing facilities

For additional questions please email HHSC at: Managed_Care_Initiatives@hhsc.state.tx.us.

(2/3/2015)

Revision to HCS and TxHmL Rule Amendments Effective September 1, 2014 FAQs

DADS has revised HCS and TxHmL Rule Amendments Effective September 1, 2014 FAQs. The revised question and answer regarding employee’s written verification of work experience is located on pages 6 and 7.

(1/29/2015)

Recent Court Decisions Regarding Amended United States Department of Labor Regulations

The purpose of this notification is to inform providers and consumer directed services (CDS) employers in the programs or services listed below of two U.S. District Court decisions regarding the amended U.S. Department of Labor (DOL) regulations known as the "Home Care Final Rule." The amended regulations made changes regarding the companionship services exemption in the Fair Labor Standards Act and were to go into effect on January 1, 2015.

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; and
Texas Home Living.

On December 22, 2014, U.S. District Court Judge Richard Leon issued an opinion and order in Home Care Association of America v. Weil, Civil Action No. 14-967 (D.D.C.), vacating the third party regulation amended by the Home Care Final Rule. To view the decision, see: https://ecf.dcd.uscourts.gov/cgi-bin/show_public_doc?2014cv0967-21

On January 14, 2015, Judge Leon issued an opinion and order vacating the Final Rule’s revised definition of companionship services. To view the decision, see: https://ecf.dcd.uscourts.gov/cgi-bin/show_public_doc?2014cv0967-32. The district court's orders "vacating" the rule means the Home Care Rule is not in effect.

Based on these decisions, DADS rescinds DADS Bulletin dated December 2, 2014 and Information Letter 14-66 , dated October 17, 2014, regarding Impact of Department of Labor Companionship Exemption on Financial Management Services Agencies and Consumer Directed Services Employers.

For information about these district court decisions, please see the following DOL website at http://www.dol.gov/whd/homecare/; 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.

The DOL may appeal the district court’s decision. DADS will provide updates as information becomes available.

(1/20/2015)

DADS Proposed New Rule in TAC Chapter 9

DADS stakeholders have until Feb. 8, 2015, to provide written comments on two new proposed rules in TAC Chapter 9 Subchapters D and N that are related to the HCS and TxHmL programs.

The proposed rules were published in the Jan. 9, 2015, issue of the Texas Register.

Written comments may be submitted by mail to:
Texas Register Liaison
Legal Services-14R05
Department of Aging and Disability Services W-615
P.O. Box 149030
Austin, Texas 78714-9030

They also can be faxed to 512-438-5759 or emailed to rulescomments@dads.state.tx.us. Please include " Comments on Proposed Rule 14R05" in the subject line of faxes or emails.

Questions can be directed to hcs@dads.state.tx.us.

(1/14/2015)

Webinars: Medicaid Managed Care – Community First Choice – Provider Training

Texas Health and Human Services Commission (HHSC) staff and Medicaid managed care organization representatives will conduct webinars on Jan. 27 and Feb. 25, 2015, to offer information about and respond to questions regarding Community First Choice in STAR+PLUS Medicaid managed care and STAR Health programs, which will begin March 1, 2015.

After registering, you will receive a confirmation email containing information about joining the webinar. The provider training presentation is available on the HHSC website.

For additional questions, please email HHSC at: Managed_Care_Initiatives@hhsc.state.tx.us.

(1/12/2015)

Registration Open for Feb. 6, 2015 Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Webinar

HCS and TxHmL providers are invited to participate in a webinar on Friday, February 6, 2015 from 1:30 p.m.-3:00 p.m. (CST). This webinar will provide an overview of Community First Choice which will be effective March 1, 2015. Space is limited, so providers are encouraged to register as soon as possible at: https://www1.gotomeeting.com/register/490240320.

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

(1/9/2015)

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