The Texas Department of Aging and Disability Services (DADS) added Transition Assistance Service (TAS) by an amendment to the Home and Community-based Services (HCS) waiver which was approved by the Centers for Medicare and Medicaid Services (CMS) on March 4, 2014. CMS approved $1,000 for individuals transitioning from institutions into provider owned or contracted residential settings. Individuals transitioning from institutions into own home or family home settings can use up to $2,500 for TAS.
DADS has encountered a number of information technology challenges surrounding the implementation of TAS in HCS:
In order to facilitate timely implementation of TAS in HCS, DADS has developed options for billing TAS in the CARE system using one or more of the following options:
DADS is seeking stakeholder feedback regarding these options by COB Monday, July 28, 2014. Feedback can be sent to email@example.com.(7/22/2014)
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.
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)
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)
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)
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.
State and local agency representatives, service providers, and case managers, but all are welcome!
Date: May 20, 2014
Time: 3 p.m. ET
Length: 90 minutes
For event details and to register click on this link: http://connectpro97884399.adobeconnect.com/selnfammindful/event/event_info.html.
Texas Administrative Code Chapter 62, Contracting to Provide Transition Assistance Services, is being revised to:
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:
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.
|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 May 1, 2014, the Department of Aging and Disability Services (DADS) Community Services Contracts (CSC) Section will discontinue enrolling contract applicants in the above STAR+PLUS expansion counties for the following types of Community Based Alternatives (CBA) contracts:
The latest effective date for new CBA contracts in these areas will be May 1, 2014.
Enrollment for all other types of programs will continue without change in the counties listed above. For example, contracts for Primary Home Care/Family Care (PHC/FC) and CDS for PHC will continue to be enrolled in these counties.
For information about the expansion Medicaid Managed Care, refer to the HHSC website at: Medicaid Managed Care Initiatives. For questions about this letter, please contact Community Services Contracts at (512) 438-2080 or Paul Straka, Manager, at (512) 438-3460.
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.
This survey is the first step in learning more about:
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 firstname.lastname@example.org or at 512-438-5001.(4/4/2014)
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