The purpose of this information letter (IL) is to inform you about the impact of Community First Choice (CFC) benefits for individuals who are receiving Personal Care Services (PCS) through the Early and Periodic Screening, Diagnosis, and Treatment Comprehensive Care Program, a program administered by the Texas Health and Human Services Commission (HHSC), or through a managed care organization (MCO), and who are enrolled in one of the following 1915(c) Intermediate Care Facilities for … [Read more...] about Implementation of CFC for Individuals in a DADS ICF/IID Waiver Program and Receiving PCS
Requirement to Submit Request for Dental Evaluation
DADS notified case management agencies (CMAs) and direct services agencies (DSAs) of changes regarding submission of documents for dental services to receive an evaluation for a dental treatment plan in the Community Living Assistance and Support Services (CLASS) program. Currently, sections 2310, 2320, and 2330 of the CLASS Provider Manual require the CMA to include a completed Form 3660 with the individual plan of care (IPC) if dental treatment including an evaluation to develop a dental … [Read more...] about Requirement to Submit Request for Dental Evaluation
Expansion of Medicaid Acute Care Services – Role of STAR+PLUS Acute Care Service Coordinator in Long-term Support Services Planning
Information Letter 14-38 outlines the Role of STAR+PLUS Acute Care Service Coordinator in Long-term Support Services Planning. In accordance with the provisions of Senate Bill 7, 83rd Texas Legislature, Regular Session, 2013, certain individuals residing in an Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICF/IID) or receiving long-term services and support (LTSS) through the Home and Community-based Services (HCS), Texas Home Living … [Read more...] about Expansion of Medicaid Acute Care Services – Role of STAR+PLUS Acute Care Service Coordinator in Long-term Support Services Planning
ILs: New Service Codes
DADS released two information letters. CLASS CMA, CLASS CDA, and FMSA: DADS informed these providers that it has established new service codes for each of the six services that constitute specialized therapies and habilitation when provided through the CDA option. (Letter) Additionally, DADS will offer employment assistance through the CLASS program and add supported employment as a service that may be provided through the CDS option, effective February 1, 2014. (Letter) … [Read more...] about ILs: New Service Codes
ILs: FY13 Cutoff Notice, Service Limits Expiration
DADS released 12 information letters. CBA HCSSA: HCSSAs must follow the procedures listed in the letter when the DADS case manager notifies them that an applicant's initial medical necessity determination assessment has expired, effective August 1, 2013. (Letter) DADS reminded providers that the adopted rules that include limits on the amount of certain services an individual may receive and a process for DADS to grant an exception to those limits expire on August 31, 2013. … [Read more...] about ILs: FY13 Cutoff Notice, Service Limits Expiration
