The Texas OIG List of Excluded Individuals and Entities (LEIE) website is unavailable until June 22, 2015. DADS providers are required to continue to check the Federal OIG LEIE and attempt to access the State OIG LEIE. The State OIG LEIE screen will return a message, “This site is currently Unavailable, please check back later.” Providers should print this screen, keep it on file, and be sure to check the website again on Monday, June 22, 2015. If the search identifies an excluded individual or entity, please report to HHSC-OIG the identity of the excluded individual or entity and any amount paid to that individual or entity, by accessing the HHSC-OIG self-reporting protocol, Section III. (Unavailable until June 22, 2015).(6/19/2015)
Beginning June 1, 2015, DADS will begin accepting applications from entities requesting an award of CMP funds to fund projects and activities that benefit nursing facility residents.
Federal law (sections 1819 and 1919 of the Social Security Act) allows this use of funds obtained from CMPs imposed by the Centers for Medicare & Medicaid Services.
If you have any questions about this process or alert, please call (512) 438-2626 or send questions to CmpApplication@dads.state.tx.us.(6/2/2015)
Amendments to several sections, new rules, and rule repeals in 40 TAC Chapter 62 have been adopted effective July 1, 2015.
Notice of the adoption was published in the May 22, 2015, issue of the Texas Register.
Questions about this alert can be sent to TAS@dads.state.tx.us.(5/28/2015)
Do you provide services to, care for or have a relationship with someone who has dementia? Then register now for the free “Texas Taking the Next Step: Dementia in Long-term Care and Community Settings” conference in Austin on Aug. 20 at the Palmer Events Center. The first 600 registrants will receive a free copy of the book “Untangling Alzheimer’s” by Tom Cummings.
The event is sponsored by the Texas Department of Aging and Disability Services and Texas State University.
Participants will be able to:
Continuing education will be available; details will be available soon.
Questions about the event can be emailed to Claudia.Leal@dads.state.tx.us.(5/5/2015)
DADS stakeholders that apply for a contract with the agency or that respond to a request for proposal after April 6, 2015, will need to complete a Data Usage Agreement if the resulting contract would provide the contractor access to confidential information.
Beginning May 1, 2015, the agency also will require a completed Information Security and Privacy Initial Inquiry if the contract will require access to confidential information.
This process is being implemented in all Texas health and human services agencies to establish a clear and consistent process for safeguarding confidential information and for reporting and correcting any unauthorized use or disclosure of the confidential information.
Providers can review the documents at: http://www.hhsc.state.tx.us/about_hhsc/BusOpp/BO_home.shtml.
Email questions pertaining to DADS active contracts to Kathie.firstname.lastname@example.org.
Email questions about this policy to Sylvia.email@example.com.(4/6/2015)
DADS stakeholders have until February 8, 2015, to provide written comments on proposed rule changes in Chapter 51, Medically Dependent Children Program, and 62, Contracting to Provide Transition Assistance Services.
Written comments may be submitted by mail to:
Texas Register Liaison
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 firstname.lastname@example.org. Please include " Comments on Proposed Rule 13R19" in the subject line of faxes or emails.
Questions can be directed to email@example.com.(1/14/2015)
Providers have until 5 p.m. Nov. 21 to submit comments regarding proposed revisions to the following compliance and monitoring tools:
Comments can be emailed to firstname.lastname@example.org. Please include “Revised Compliance Monitoring Tool Comments” in the subject line.
The revised compliance and monitoring tools have been updated to incorporate Texas Administrative Code (TAC) Chapter 49 changes and program specific TAC changes that were effective Sept. 1, 2014.(11/10/2014)
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)
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)
Automatic Medicaid Managed Care Enrollment for Some Individuals
Why am I receiving this alert?
You are a provider for one or more of the following:
The Health and Human Services Commission (HHSC) wants to make sure you have the latest information regarding the September 1, 2014 expansion of STAR+PLUS to the Medicaid Rural Service Areas (MRSAs).
Some mandatory STAR+PLUS candidates currently receiving CBA, PHC or DAHS program services in the MRSAs did not receive a STAR+PLUS enrollment packet in the mail. HHSC will automatically assign these individuals to a managed care organization (MCO) in the service area in which they live and these individuals will be automatically enrolled in the STAR+PLUS program effective September 1. HHSC will take into consideration the person's current primary care provider, previous medical history, and the STAR MCO they may currently be enrolled with when making this MCO assignment. HHSC is taking this action to ensure the individuals you serve are able to continue receiving their long term services and supports.
The mandatory STAR+PLUS candidates we’re referring to in this letter did not receive an enrollment packet for the following reasons:
Who will be automatically enrolled into a MCO?
Mandatory candidates who must enroll in STAR+PLUS are adults age 21 and older residing in the MRSA Central, MRSA West, or MRSA Northeast who:
Who is excluded from automatic enrollment into a MCO?
Individuals who are mandatory for STAR+PLUS and reside in an intermediate care facility for individuals with intellectual disabilities and related conditions (ICF-IID) or receive services through Texas Home Living, Home and Community-based Services, Deaf Blind Multiple Disabilities, Community Living Assistance and Support Services waivers will not be automatically enrolled at this time.
How can you help?
Please encourage the individuals you serve to update their address with the appropriate entity to ensure HHSC and the managed care enrollment broker, MAXIMUS, have the correct address. This will help with future mailings and appropriate assignment to a MCO.
Individuals, Medicaid authorized representatives, or representative payees, as appropriate, can provide current address information as follows:
What is the standard managed care enrollment process?
For candidates identified as mandatory for STAR+PLUS after September 1, HHSC will follow the standard enrollment process. These Individuals will receive an enrollment packet from MAXIMUS and have at least 15 days to choose a MCO. If a candidate does not choose an MCO, HHSC will auto-assign the individual to a MCO in the service area in which they live. Individuals can call MAXIMUS at any time to change their MCO or to ask questions by calling 1-877-782-6440. It can take 15 to 45 days for a MCO change to take effect.
Where do I go to learn more about the changes happening on September 1, 2014 ?
Please visit the HHSC website, "Expansion of Medicaid Managed Care" at http://www.hhsc.state.tx.us/medicaid/managed-care/mmc.shtml.
The Department of Aging and Disability Services (DADS) publishes information regarding the transition of LTSS from DADS to the STAR+PLUS program on the DADS website at: www.dads.state.tx.us/providers.
Refer to information letters and alerts regarding managed care and STAR+PLUS topics
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