HHSC erroneously sent STAR+PLUS enrollment packets to people enrolled in an intellectual and developmental disability (IDD) waiver who have Medicare and Medicaid (referred to as dual eligible). In addition, some people were enrolled in STAR+PLUS in error. Dual eligible participants in an IDD waiver are excluded from STAR+PLUS.
HHSC is aware of the error and wanted to let stakeholders know that these people will not be enrolled in STAR+PLUS. For those who were enrolled in error, HHSC is working to remove them from STAR+PLUS. Please direct program participants, or those helping them, that may have been affected and have concerns to call the enrollment broker helpline at 1-877-782-6440.
The people who got the letters by mistake receive services through one of these waivers:
We apologize for any inconvenience this may have caused.(1/29/2016)
Families of children who receive DADS services may be asked to participate in the upcoming Long-Term Services and Supports (LTSS) Child and Family survey. Randomly chosen families will be sent a letter starting in January inviting them to provide feedback about their experience with DADS programs.
Surveys will be conducted over the phone, online or via regular mail by Texas A&M's Public Policy Research Institute (PPRI). The survey results will be used to improve agency programs for children.
Providers are involved in 2 ways:
As contracted agents of DADS, PPRI and its staff have DADS authorization to obtain confidential participant information. This process meets all the HIPAA privacy requirements. The surveys are part of a national effort to collect information on satisfaction with the quality of services provided to children with intellectual and developmental disabilities and quality of life.
Questions about the survey can be emailed to firstname.lastname@example.org.(1/15/2016)
CMS has extended the March 24, 2016, deadline for Medicaid provider re-enrollment to Sept. 25, 2016.
Though this extension gives states additional time to ensure providers comply with Patient Protection and Affordable Care Act (PPACA) requirements, Texas Medicaid encourages all providers who have not yet submitted a re-enrollment application to begin this process immediately to avoid potential payment disruptions. More information about re-enrollment can be found on the DADS website.
Additional information will be announced in the coming weeks to assist providers who are working on the re-enrollment process.
Questions can be emailed to DADS Provider Enrollment Mailbox.(1/15/2016)
If you care for, support or advocate for a person with an IDD, DADS encourages you to take this free online course: Trauma-Informed Care for Individuals with an Intellectual or Developmental Disability (IDD). This is the second module in a 6-part e-learning training series titled, Mental Health Wellness for Individuals with Intellectual and Developmental Disabilities (MHW-IDD).
The module focuses on:
The other modules will be added to the DADS site soon. Topics for those are:
If you have questions regarding the content of this course, please email email@example.com. If you need assistance with the functionality of this course, please email firstname.lastname@example.org.(1/11/2016)
DADS has a new initiative to help people with IDD who also have complex medical and behavioral needs leave nursing facilities and get the services and supports they need in the community. It is funded by the Money Follows the Person Demonstration Program.
Because these individuals often require more experienced staff to help meet their needs, DADS has contracted with 8 local intellectual and developmental disability authorities (LIDDAs) across Texas to provide support to other LIDDAs and community HCS and TxHmL providers in designated service areas.
The 8 contracted LIDDAs have teams that offer educational activities, technical assistance and case review to themselves, other LIDDAs and community waiver providers. The teams will have licensed medical staff, such as physicians, registered nurses, psychiatrists and psychologists, with experience working with people with IDD.
The most current version of the HCS and TxHmL formatted rules are now available on the DADS website.
These include the rules that were effective Nov. 15, 2015.
The Long-term Services and Supports (LTSS) Texas Medicaid Provider Enrollment Application (Form 3684), and other required forms are now available on DADS Texas Medicaid LTSS Provider Re-enrollment forms page.
Providers who do not bill or do not intend to bill for acute care services through the Texas Medicaid Healthcare Partnership (TMHP) and have an active Medicaid contract with DADS must re-enroll through DADS by March 24, 2016. This includes the following programs and services:
Questions can be emailed to Texas.Medicaid.Enrollment@dads.state.tx.us.(11/13/2015)
Please be advised that the Health and Human Services Commission, on behalf of the Texas Department of Aging and Disability Services (DADS), has authorized amendments, new rules, and rule repeals for adoption in the Texas Register. The adopted rules:
The rules were published as proposed in the Texas Register on July 17, 2015. The adopted rules were published in the Texas Register on November 6, 2015, and are effective as of November 15, 2015.
Questions about this alert can be sent to email@example.com.(11/9/2015)
HHSC has awarded contracts for the STAR Kids program to 10 managed care organizations; the contracts were effective Oct. 1, 2015. A list of the MCOs awarded contracts is on the STAR Kids webpage.
STAR Kids is a managed care program created by Senate Bill 7 (2013 Texas legislative session.) The program provides Medicaid benefits to people under age 21 who have disabilities. STAR Kids is designed to improve coordination of and access to care, health outcomes, and quality of care. Operations are anticipated to begin in Fall 2016.(10/30/2015)
On October 6, 2015, Chief Justice of the United States John Roberts denied an application to stay a decision by the U.S. Court of Appeals for the District of Columbia upholding the U.S. Department of Labor's Home Care Final Rule. Therefore, the court's decision on August 21, 2015 took effect on October 13, 2015.
Enforcement of the final rule begins November 12, 2015. However, from November 12, 2015 through December 31, 2015, DOL will exercise prosecutorial discretion in determining whether to bring enforcement actions, giving strong consideration to the extent to which states and other entities have made good faith efforts to bring their home care programs into compliance.
The Home Care ruling addresses minimum wage and overtime protection policies in the following programs or services, including the Consumer Directed Services (CDS) Option:
For previous DADS alerts on the litigation, see "Department of Labor Appeals Home Care Ruling" and "Recent Court Decision Regarding Amended United States Department of Labor Regulations." For more information on the ruling, see DOL's webpage: http://www.dol.gov/whd/homecare/litigation.htm.
For further information, 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.
For CDS employers, DADS has reissued Information Letter 14-66, Impact of Department of Labor Companionship Exemption on Financial Management Services Agencies and Consumer Directed Services Employers (PDF), originally published on October 17, 2014.(10/14/2015)
Records 11 to 20 of 40