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DADS Provider Alerts — Adult Day Care/Day Activity and Health Services (ADC/DAHS)

Adoption of Repealed Rules in 40 Texas Administrative Code, Chapter 69, Contract Administration

The Texas Health and Human Services Commission, on behalf of the Department of Aging and Disability Services, adopts the repeal of Chapter 69, consisting of §§69.1 - 69.4, 69.11 - 69.19, 69.31 - 69.40, 69.51 - 69.55, 69.71 - 69.73, 69.81, 69.91 - 69.93, 69.101 - 69.103, 69.111 - 69.118, 69.131 - 69.139, 69.151 - 69.160, and 69.171 - 69.186, concerning Contract Administration, without changes to the proposal as published in the April 18, 2014, issue of the Texas Register (39 TexReg 3210).

The adoption of the repealed rules was published in the August 22, 2014 issue of the Texas Register. The adopted rules are effective September 1, 2014.

You may access the rules in the Texas Register online at:
http://www.sos.state.tx.us/texreg/archive/August222014/Adopted%20Rules/40.SOCIAL%20SERVICES%20AND%20ASSISTANCE.html#298

(8/25/2014)

Adoption of Rules in 40 Texas Administrative Code, Chapter 49, Contracting for Community Care Services

The Texas Health and Human Services Commission, on behalf of the Department of Aging and Disability Services, adopts the repeal of Chapter 49, Contracting for Community Care Services, Subchapter A, consisting of §49.1, concerning definitions; Subchapter B, consisting of §§49.11 - 49.18 and §49.20, concerning contractor requirements; Subchapter C, consisting of §§49.31 - 49.33, concerning records; Subchapter D, consisting of §49.41 and §49.42, concerning billings and payments; Subchapter E, consisting of §§49.51 - 49.54, concerning audits, monitoring, and reviews; Subchapter F, consisting of §§49.61 - 49.63, concerning sanctions and terminations; and Subchapter G, consisting of §§49.71 - 49.73, concerning personal attendants wages; and adopts new Chapter 49, Contracting for Community Services, Subchapter A, consisting of §49.101 and §49.102, concerning application and definitions; Subchapter B, consisting of §§49.201 - 49.211, concerning contractor enrollment; Subchapter C, consisting of §§49.301 - 49.312, concerning requirements of a contractor; Subchapter D, Division 1, consisting of §49.401, concerning applicability of Subchapter D; Division 2, consisting of §§49.411 - 49.414, concerning monitoring and investigation; Subchapter E, Division 1, consisting of §49.501, concerning applicability of Subchapter E; Division 2, consisting of §49.511, concerning immediate protection; Division 3, consisting of §§49.521 - 49.523, concerning actions; Division 4, consisting of §§49.531 - 49.534, concerning sanctions; Division 5, consisting of §49.541, appeals; Division 6, consisting of §49.551, concerning termination by contractor; Subchapter F, consisting of §49.601, concerning review by DADS of expiring or terminated contract; and Subchapter G, consisting of §49.701 and §49.702, concerning application denial period, in Chapter 49, Contracting for Community Care Services. New §§49.101, 49.102, 49.204, 49.205, 49.208, 49.304, 49.305, 49.308, 49.309, 49.310, 49.413, 49.522, and 49.551 are adopted with changes to the proposed text published in the April 18, 2014, issue of the Texas Register (39 TexReg 3148). New §§49.201 - 49.203, 49.206, 49.207, 49.209 - 49.211, 49.301 - 49.303, 49.306, 49.307, 49.311, 49.312, 49.401, 49.411, 49.412, 49.414, 49.501, 49.511, 49.521, 49.523, 49.531 - 49.534, 49.541, 49.601, 49.701 and 49.702 are adopted without changes to the proposed text.

The adopted rules were published in the August 22, 2014 issue of the Texas Register.  The adopted rules are effective September 1, 2014.

You may access the rules in the Texas Register online at:
http://www.sos.state.tx.us/texreg/archive/August222014/Adopted%20Rules/40.SOCIAL%20SERVICES%20AND%20ASSISTANCE.html#224

(8/25/2014)

Discontinuation of Facility Initiated Referral Request by Day Activity Health Service Providers in the Medicaid Rural Service Area Due to September 1, 2014 STAR+PLUS Expansion

The Health and Human Services Commission (HHSC) is expanding the STAR+PLUS Medicaid managed care delivery system into the West, Central and Northeast service areas. The anticipated start date is September 1, 2014. The counties affected by the change are listed in the table below.

Medicaid Rural Service Areas Counties
West Andrews, Archer, Armstrong, Bailey, Baylor, Borden, Brewster, Briscoe, Brown, Callahan, Castro, Childress, Clay, Cochran, Coke, Coleman Collingsworth, Concho, Cottle, Crane, Crockett, Culberson, Dallam, Dawson, Dickens, Dimmit, Donley, Eastland, Ector, Edwards, Fisher, Foard, Frio, Gaines, Glasscock, Gray, Hall, Hansford, Hardeman, Hartley, Haskell, Hemphill, Howard, Irion, Jack, Jeff Davis, Jones, Kent, Kerr, Kimble, King, Kinney, Knox, La Salle, Lipscomb, Loving, Martin, Mason, McCulloch, Menard, Midland, Mitchell, Moore, Motley, Nolan, Ochiltree, Oldham, Palo Pinto, Parmer, Pecos, Presidio, Reagan, Real, Reeves, Roberts, Runnels, Schleicher, Scurry, Shackelford, Sherman, Stephens, Sterling, Stonewall, Sutton, Taylor, Terrell, Throckmorton, Tom Green, Upton, Uvalde, Val Verde, Ward, Wheeler, Wichita, Wilbarger, Winkler, Yoakum, Young, and Zavala,
Central Bell, Blanco, Bosque, Brazos, Burleson, Colorado, Comanche, Coryell, DeWitt, Erath, Falls, Freestone, Gillespie, Gonzales, Grimes, Hamilton, Hill, Jackson, Lampasas, Lavaca, Leon, Limestone, Llano, Madison, McLennan, Milam, Mills, Robertson, San Saba, Somervell, and Washington
Northeast Anderson, Angelina, Bowie, Camp, Cass, Cherokee, Cooke, Delta, Fannin, Franklin, Grayson, Gregg, Harrison, Henderson, Hopkins, Houston, Lamar, Marion, Montague, Morris, Nacogdoches, Panola, Rains, Red River, Rusk, Sabine, San Augustine, Shelby, Smith, Titus, Trinity, Upshur, Van Zandt, and Wood

Effective with this Alert, Provider Initiated Referrals for Day Activity Health Services (DAHS) Title XIX will no longer be accepted in anticipation of the September 1, 2014, STAR+PLUS operational start day. In accordance with Information Letter 14-31 - Applying for Primary Home Care and Day Activity Health Services Pending STAR+PLUS Enrollment, from this date forth, any services provided in response to a provider initiated referral for an individual pending STAR+PLUS enrollment will not be reimbursed retroactively. The DAHS provider should consult with their contracted Managed Care Organization regarding its established process for the authorization and delivery of DAHS.

DADS will continue to provide Title XIX DAHS services to individuals receiving Medicaid who are not eligible to be enrolled in the STAR+PLUS program.

For questions regarding the content of this letter, contact DADS at: ccad@dads.state.tx.us

For more information regarding this expansion, and other managed care initiatives, please refer to the HHSC Medicaid Managed Care Initiatives webpage at: Medicaid Managed Care Initiatives

Email Contact Information for STAR+PLUS Questions or Complaints:

ManagedCareExpansion2014@hhsc.state.tx.us

HPM_Complaints@state.tx.us

(8/21/2014)

TxCCC/DADS 2014 Culture Change Conference

The Keys to Orchestrating a Person Centered Culture by Rethinking Care to Reconnect and Restore Quality in Life

Introducing Keynote Speaker: Erin Bonitto

This conference seeks to promote the preferences of individuals living or working in long term care settings to achieve healthy and happy outcomes for both those who live and serve there.

Registration

Online registrations can be paid by credit card through PayPal or by check. If paying by check, please enter all information online and choose check as your payment choice. Print your emailed confirmation and send to TxCCC with your payment. Please note if you are paying by check, registration is not considered complete until payment has been received. A link to conference materials will be sent to registrants prior to the conference.

Early bird rate ends August 31st!

Register Now

(8/12/2014)

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)

Revisions to DAHS PM Sections 5000 and 6000

The attached files include draft revisions to DAHS PM Sections 5000 and 6000 for your review. Additional copies that indicate where the revisions were made (Sections 5000 and 6000) are also attached so the reader can tell where the changes were made in each section. Please review and provide any comments by COB Friday August 15, 2014.

Stakeholder comments on the DAHS revision may be sent to DAHS provider mailbox at dahs@dads.state.tx.us

(8/7/2014)

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)

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)

DAHS Forms Webinar Presentation and FAQS Now Available

This posting includes the PowerPoint presentation used in the DAHS Forms Webinar that was held in January 2014 along with the responses to the questions received during the webinar.

(7/8/2014)

DADS Guide to Employment for People with Disabilities Now Available

This new publication was designed for people who want to improve employment outcomes for people with disabilities including Texas Department of Aging and Disability Services (DADS) employees, contracted case managers and service coordinators, service providers, and people who receive DADS services and their families.

While some parts of the guide focus on employment services programs, the rest applies to all DADS program participants. As such, all stakeholders are encouraged to use it.

Highlights include:

  • Recommended roles and responsibilities at each stage of a job search
  • Strategies for overcoming the transportation obstacle
  • Tools and guidance for coordinating services with the Texas Department of Assistive and Rehabilitative Services
  • Index of DADS rules related to employment supports
  • Information about Medicaid Buy-In, and other ways to maintain needed services while working
  • Description of Social Security Administration work incentives
(7/3/2014)

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