The purpose of this information letter (IL) is to inform LIDDAs, effective October 2014, the monitoring report and additional information reported for individuals who transitioned from an SSLC to the HCS program was changed from one to five years. This change ensures the unique needs of individuals served in SSLCs continue to be met by the provider. In accordance with LA Broadcast Message #0837, sent May 31, 2013, LIDDAs are required to send its monitoring reports to the Texas Department of … [Read more...] about Increased Period of Monitoring Individuals who have Transitioned from a State Supported Living Center (SSLC) to the Home and Community-based Services (HCS) Program
Medical Level of Need Increase in the Home and Community-based Services Program
Effective May 1, 2016, an HCS program provider may request Texas Department of Aging and Disability Services (DADS) increase an individual’s level of need (LON) to the next higher LON if the individual:• has a LON 1, LON 5, or LON 8;• requires 181 minutes or more of face-to-face nursing services per week; and• has an Intellectual Disability/Related Condition (ID/RC) assessment reflecting a frequency code of "6" in the "Nursing" section. Visit us at Garlo Ward, PC. … [Read more...] about Medical Level of Need Increase in the Home and Community-based Services Program
Changes to Community First Choice in the Home and Community-based Services and Texas Home Living Programs
The purpose of this information letter (IL) is to inform HCS and TxHmL program providers, LIDDAs and FMSAs about the following changes related to Community First Choice (CFC). HCS and TxHmL program providers, LIDDAs, and FMSAs must implement these changes as described below.Changes to CFC1. Completing DADS Form 8510, HCS/TxHmL CFC personal assistance services/habilitation (PAS/HAB ) AssessmentIf an initial individual plan of care (IPC) has a begin date of March 20, 2016, or later and CFC PAS/HAB … [Read more...] about Changes to Community First Choice in the Home and Community-based Services and Texas Home Living Programs
How to Request Partial Reimbursement for Fire Sprinkler Systems Installed in a Four- Person Residence
The purpose of this letter is to inform home and community-based services (HCS) program providers of the process to request partial reimbursement from the Texas Department of Aging and Disability Services (DADS) for the cost of the installation of a fire sprinkler system in a four- person residence.DADS REVIEW OF REIMBURSEMENT REQUESTSDADS will accept a reimbursement request if the request is complete and meets the requirements described in this letter. DADS will notify a provider by email … [Read more...] about How to Request Partial Reimbursement for Fire Sprinkler Systems Installed in a Four- Person Residence
Implementation of CFC for Individuals in a DADS ICF/IID Waiver Program and Receiving PCS
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
Use of Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Field 27 of the Intellectual Disability/Related Condition Assessment
The purpose of this information letter (IL) is to provide information and guidance on the use of Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), when submitting the International Classification of Diseases, Version 10 (ICD-10) diagnosis codes in Field 27 of the Intellectual Disability/Related Condition (ID/RC) Assessment (Form 8578).Effective October 1, 2015, the Centers for Medicare and Medicaid Services (CMS) will require healthcare providers and governmental … [Read more...] about Use of Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Field 27 of the Intellectual Disability/Related Condition Assessment
Discontinuation of the Intellectual Disability/Related Condition Purpose Code E
The purpose of this information letter (IL) is to inform Home and Community-based Services (HCS) providers, Texas Home Living (TxHmL) providers and Local Intellectual and Developmental Disability Authorities (LIDDAs), effective November 1, 2015, the Department of Aging and Disability Services (DADS) is discontinuing submission of Purpose Code E (PC E) Intellectual Disability/Related Condition (ID/RC) forms to cover a gap in ID/RC authorization time periods. No other ID/RC purpose code … [Read more...] about Discontinuation of the Intellectual Disability/Related Condition Purpose Code E
Hot Water Temperatures
The purpose of this information letter is to inform HCS program providers that the Department of Aging and Disability Services (DADS) is changing how it determines whether a program provider is in compliance with the DADS Waiver Survey and Certification Residential Checklist, regarding the hot water temperature. In accordance with Texas Administrative Code (TAC), Title 40, §9.171(i), DADS uses this checklist, found at www.dads.state.tx.us., when conducting visits of each residence in which host … [Read more...] about Hot Water Temperatures
Program Provider Responsibilities Regarding Acute Care Services
Information Letter No. 14-81 addresses the impact of the carve-in of acute medical careservices into managed care for certain persons enrolled in the Home and Community-basedServices (HCS) or Texas Home Living (TxHmL) programs as required by Senate Bill (SB)7 (83rd Legislature, Regular Session, 2013) and the impact the carve-in will have onexpectations for program providers, including compliance with program rules as describedin Texas Administrative Code (TAC), Chapter 9, Subchapter D for HCS … [Read more...] about Program Provider Responsibilities Regarding Acute Care Services
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
