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

Community Outreach Meetings Slated for STAR+PLUS Enrollees

People who are required to be included in the Sept. 1, 2014, STAR+PLUS expansion into the Medicaid Rural Service Areas, as well as those who are voluntarily enrolling in STAR+PLUS, are encouraged to attend a community outreach meeting in their area.

Outreach events provide opportunities for the enrollment broker, MAXIMUS, to educate people about the services and benefits available through the various managed care organizations.

A list of events can be found on the Texas Health and Human Services Commission Website at: http://www.txmedicaidevents.com. Follow the instructions on the page to find an event.

People who are required to be enrolled in STAR+PLUS already may have received a STAR+PLUS introductory letter in the mail. The majority also should have received a STAR+PLUS enrollment packet.

Intermediate care facility (ICF/IID), Community Living and Support Services (CLASS), Deaf Blind with Multiple Disabilities (DBMD), Home and Community-based Services (HCS) and Texas Home Living (TxHmL) clients who have not received a packet should call 1-877-782-6440 (TTY: 1-800-267-5008).

All others who did not receive either document, should call 1-800-964-2777 (TTY 1-800-267-5008).

To learn more, visit the Expansion of Managed Care webpage, which contains general information about the Medicaid Managed Care Initiatives and frequently asked questions.

If you have a question, please send it via email to: Managed_Care_Initiatives@hhsc.state.tx.us.

(7/2/2014)

STAR+PLUS Provider Training Webinars

HHSC will host STAR+PLUS provider training webinars for the following Long-term Services and Support Providers:

  • Community Based Alternatives (CBA)
  • Primary Home Care (PHC)
  • Day Activity and Health Services (DAHS)
  • Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)
  • Community Living Assistance and Support Services (CLASS)
  • Deaf Blind with Multiple Disabilities (DBMD)
  • Home and Community-based Services (HCS)
  • Texas Home Living (TxHmL)

On September 1, 2014, the STAR+PLUS Medicaid managed care program will expand statewide to the Medicaid rural service areas of Texas (Central, Northeast and West). People who are age 65 or older or who have disabilities and are covered by Medicaid will begin receiving services through a STAR+PLUS managed care health plan.

Also on September 1, 2014, individuals with intellectual and developmental disabilities (IDD) who are covered by Medicaid and reside in a community-based ICF/IID or receive services through a 1915© IDD waiver will begin receiving acute care services through a STAR+PLUS managed care health plan. Long-term services and supports will continue to be provided through the Department of Aging and Disability Services (DADS).

The Texas Health and Human Services Commission (HHSC) is holding provider trainings to educate providers on STAR+PLUS managed care and what changes to expect. The "STAR+PLUS Provider Training" will be a general STAR+PLUS managed care training targeted to providers in the rural service areas. The "STAR+PLUS Training for IDD Providers" will be targeted to providers who serve individuals with IDD statewide.

The webinars will be offered as follows:

Date Time Training
June 16, 2014 9 a.m. - 10 a.m. STAR+PLUS Provider Training
 

10 a.m. - Noon

STAR+PLUS Training for IDD Providers

July 8, 2014 1 p.m. - 2 p.m. STAR+PLUS Provider Training
  2 p.m. - 4 p.m. STAR+PLUS Training for IDD Providers
August 12, 2014 9 a.m. - 10 a.m. STAR+PLUS Provider Training
  10 a.m. - Noon STAR+PLUS Training for IDD Providers

Please click here to register for one of these webinars.

A series of provider trainings will be offered in person. For additional details and training dates, check the meeting notices on the HHSC website for listings entitled, “STAR+PLUS Trainings.”

(6/11/2014)

Heat Advisory Reminder

With the advent of hot weather, it is imperative that providers ensure the safety of individuals when they are being transported in vehicles in the heat.

Providers must take additional precautions to ensure that all individuals safely exit a vehicle when it reaches its destination. Specifically, staff should be trained and reminded of the following:

  • Have a list of all individuals who are being transported, and verify at drop-off locations that everyone has exited the vehicle.
  • Conduct a secondary check of the vehicle every time it is parked to ensure that no one remains inside.
  • Make sure that seat belts and seat surfaces are not too hot before individuals sit down and receive assistance with buckling up.

It is also important for providers to recognize the symptoms of heat-related illness and to ensure the safety of clients when they are outside in the heat. Further information on heat-related precautions can be found at the following websites:

(6/2/2014)

HHSC to Host STAR+PLUS Provider Trainings for Long-term Services and Support Providers (Community Based Alternatives (CBA), Primary Home Care (PHC) and Day Activity Health Services (DAHS)

On September 1, 2014, the STAR+PLUS Medicaid managed care program will expand statewide to the rural service areas of Texas (Central, Northeast and West). People who are age 65 or older or who have disabilities and are covered by Medicaid will begin receiving services through a STAR+PLUS managed care health plan. The Texas Health and Human Services Commission is holding provider trainings across the three rural service areas to educate providers on STAR+PLUS managed care and what changes to expect.

The rural service area managed care organizations will be present to answer questions.

On June 26th, 2014, a STAR+PLUS provider training will take place in Tyler. For additional details and training dates, check the meeting notices on the HHSC website for listings entitled, “STAR+PLUS Trainings.”

(5/29/2014)

Information Letters from MAXIMUS Regarding STAR+PLUS Expansion

Beginning the week of May 5, 2014, MAXIMUS began sending a mail-out to individuals who will be covered under the STAR+PLUS Medicaid Managed Care expansion effective September 1, 2014. The expansion will affect individuals who reside in a Medicaid Rural Service Area (MRSA); AND individuals who are not in a MRSA but reside in an ICF/IID or are enrolled in the HCS, TxHmL, CLASS or DBMD waiver program as of September 1, 2014 or later.

MAXIMUS is sending the mail-out to individuals on behalf of the Health and Human Services Commission, in their capacity as the state's enrollment broker for managed care. The mail-out includes the letter, frequently asked questions and a comparison chart for the managed care organizations in each area. The materials (except for the comparison charts) in English and Spanish are posted at http://www.hhsc.state.tx.us/medicaid/managed-care/Letters-from-HHSC.shtml

(5/19/2014)

Emergency Preparedness during the Hurricane Season, Which Runs from June 1 through November 30

The Texas Department of Aging and Disability Services (DADS) is issuing this alert to emphasize to all Adult Day Care Facilities (ADCs), Assisted Living Facilities (ALFs), Home and Community Support Service Agencies (HCSSAs), Intermediate Care Facilities for individuals with an Intellectual Disability or Related Conditions (ICFs/IID) and Nursing Facilities (NFs) the importance of reviewing their emergency preparedness and response plans, including the resources available in the event of an emergency.

DADS urges all ADCs, ALFs, HCSSAs, ICFs/IID and NFs to read the following provider letter: http://www.dads.state.tx.us/providers/communications/2014/letters/PL2014-11.pdf.

If you have any questions regarding the information in this alert, please contact a policy specialist in the Regulatory Services Policy, Rules and Curriculum Development unit at (512) 438-3161.

(5/19/2014)

Mindful Planning to Promote Strong Integrated Employment Outcomes

During this online event, we will discuss what it means to be mindful in employment planning efforts and how to meet families and individuals where they are during various life stages. This approach should result in a plan that is action-oriented, realistic, and doable, and reflects tangible employment goals.

Designed for:
State and local agency representatives, service providers, and case managers, but all are welcome!

When
Date: May 20, 2014
Time: 3 p.m. ET
Length: 90 minutes

More details
For event details and to register click on this link: http://connectpro97884399.adobeconnect.com/selnfammindful/event/event_info.html.

(5/14/2014)

Notice of Proposed Rules for the Chapter 49 Rules Rewrite

The notice of proposed rules for the Chapter 49 rules rewrite was published in the April 18, 2014 issue of the Texas Register. You can view it online at http://www.sos.state.tx.us/texreg/archive/April182014/Proposed%20Rules/40.SOCIAL%20SERVICES%20AND%20ASSISTANCE%20.html#36

The last day of the formal comment period is May 18, 2014.

The applicable provider types are:

(1)
Medicaid waiver programs and services under Title XIX, §1915(c) of the Social Security Act as follows:
(A)
Community Living Assistance & Support Services (CLASS) Program:
(i)
CLASS-case management agency (CMA);
(ii)
CLASS-continued family services (CFS);
(iii)
CLASS-direct service agency (DSA); and
(iv)
CLASS-support family services (SFS);
(B)
Deaf Blind with Multiple Disabilities (DBMD) Program;
(C)
Home and Community Based Services (HCS) Program;
(D)
Medically Dependent Children (MDCP) Program:
(i)
MDCP-adaptive aids (AA);
(ii)
MDCP- home and community support services agency (HCSSA);
(iii)
MDCP-minor home modifications; and
(iv)
MDCP- Out of Home Respite (OHR):
(I)
MDCP-adaptive aids (AA);
(II)
MDCP- home and community support services agency (HCSSA);
(III)
MDCP-minor home modifications; and
(IV)
MDCP- Out of Home Respite (OHR):
(V)
MDCP-OHR-hospital; and
(VI)
MDCP-OHR-host family;
(E)
Texas Home Living (TxHmL) Program; and
(F)
Transition assistance services (TAS);
(2)
Medicaid state plan services under Title XIX, §1902(a)(10)(A) of the Social Security Act as follows:
(A)
hospice;
(B)
primary home care (PHC)/ community attendant services (CAS); and
(C)
day activity and health services (DAHS);
(3)
services and programs under Title XX, Subtitle A of the Social Security Act as follows:
(A)
adult foster care (AFC);
(B)
emergency response system;
(C)
home delivered meals (HDM);
(D)
residential care (RC);
(E)
DAHS;
(F)
family care (FC);
(G)
consumer managed personal attendant services (CMPAS);
(H)
special services to persons with disabilities (SSPD); and
(I)
SSPD – 24-hour shared attendant care;
(4)
relocation services;
(5)
financial management services under the consumer directed services option authorized under Texas Government Code, §531.051 as follows:
(A)
financial management services agency (FMSA)--CLASS;
(B)
FMSA-DBMD;
(C)
FMSA-HCS;
(D)
FMSA-MDCP;
(E)
FMSA-PHC/CAS/FC; and
(F)
FMSA-TxHmL.
(5/2/2014)

2014 Houston Healthcare Hurricane and Emergency Preparedness Summit for Region 6 Providers

June 10, 2014
8:30 a.m. - 3 p.m.

George R. Brown Convention Center
1001 Avenida de las Americas
Houston, Texas

On June 10, 2014 the City of Houston Office of Emergency Management and Houston Department of Health and Human Services will partner with local agencies and companies to host the 2014 Houston Healthcare Hurricane & Emergency Preparedness Summit.

This event will provide a unique opportunity for non-hospital healthcare providers (i.e. nursing home, home health, assisted living, rehabilitation, dialysis, pharmacy, etc.), to enhance facility preparedness for hurricanes and other emergencies.

Summit attendees will hear from experienced speakers on a variety of topics critical to comprehensive preparedness as well as lessons learned.

Registration is now open. Stay informed about the event by visiting healthcaresummit.houstonoem.org regularly. Click Here to Register

Questions? Contact the Office of Emergency Management at 713-884-4500, or via email at info@houstonoem.org

(4/23/2014)

Reminder: Survey About Direct Service Workers Runs Through April 7

The Texas Health and Human Services Commission is asking all providers that employ direct service workers to take a short survey about their employees. The survey should take about five minutes. The deadline to complete the survey is close of business April 7, 2014.

Click here to take the survey.

This survey is the first step in learning more about:

  • the experiences of direct support workers,
  • what motivates them,
  • the problems they face and
  • what would make their jobs more rewarding.

The next step will be to select a representative sample of direct service workers from across the state to participate in a survey and focus groups.

If you have questions, please contact Ron Ayer, Texas Department of Aging and Disability Services project manager, at ron.ayer@dads.state.tx.us or at 512-438-5001.

(4/4/2014)

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