HHSC will posta list of providers whose Attestation, Initial Report, and Final Report submissions have been reviewed. View the HHSC created list of frequently asked questions (FAQ) (.pdf) (Updated 03/18/2022) with the answers to common questions to assist providers in completing the report. https://www.hhs.texas.gov/business/grants/grants-awarded-hhs, View the HHSC created list of frequently asked questions (FAQ) (.pdf), View COVID Related Information and Updates, View the temporary COVID-19 rate increases for HCS and NF, View the NF Informational Letter (IL) 2020-34, View the HCS Informational Letter (IL) 2020-32, Attestation List NF: Nursing Facilities, Attestation List HCS: Home and Community based Services. Providers who bill through CARE (HCS/TxHmL): Contact the HCS Billing and Payment Review Unit (B&P) at 512-438-5359. All rights reserved. This module demonstrates how users can pick up referrals sent to their program, assign and reassign referrals, acknowledge referrals, and change referral status. Aging and Disability Resource Centers (ADRCs) can help you find and apply for long-term care programs for seniors and people with disabilities. The AMA is a third party beneficiary to this Agreement. and include it in your allocation summary. State and federal government websites often end in .gov. Please contact us at (737) 867-7812 or CostInformationPFD@hhs.texas.gov if you believe you qualify for an excusal. Before sharing sensitive information, make sure youre on an official government site. Court-appointed Trustee Program. Menu button for Electronic Visit Verification">, Menu button for Home and Community Based Services Rules">, Menu button for IDD Waivers Program Enrollment/Utilization Review">, Menu button for Nursing Service Changes">, Menu button for Preadmission Screening & Resident Review">, Menu button for Regulatory Services Facility Surveyors/Liaisons">, Contract & Fiscal Compliance Monitoring Tools, Critical Incident Management System (CIMS), IDD Waivers Program Enrollment/Utilization Review, Behavior Support Plan Requirements & Expectations, Intellectual Disability & Related Conditions Assessment Resources, Inventory for Client and Agency Planning Resources, Long-term Care Provider Web-based Training, Long-term Services and Supports Worker Portal, PASRR: Local Intellectual & Developmental Disability Authorities, PASRR: Local Mental Health Authorities/Local Behavioral Health Authorities, PASRR: Out of State Nursing Facility Admissions, PASRR: Referring Entities/Hospital Discharge Planners, PASRR: Specialized Service Definitions & Provider Roles, Providing Services for Holocaust Survivors, Public Notice of Proposed Medicaid Contract Termination, Regulatory Services Facility Surveyors/Liaisons, Letters to Providers with New Emergency Preparedness Rules, Minimum TAC Requirements for Written Emergency Preparedness and Response Plans. The Anticipatory Guidance Provider Guide is a federally mandated component of Texas Health Steps (THSteps) medical and dental checkups. nursing facility direct care staff enhancement. Texas is an income first state, meaning the state limits the right to petition for an increased community spouse resource amount (CSRA) to couples whose combined income fails to meet the community spouses income needs. (i.e. CMS No Longer Enforcing Staff Vaccination in Long-term Facilities For assistance with Cost or Accountability Report completion, instructions, informal reviews, and/or general guidance, please contact the PFD LTSS Customer Information and Training (CIT) team at (737) 867-7817 or PFD-LTSS@hhs.texas.gov. Eligible providers who receive the add-ons, but fail to complete the required attestation and reporting, will be subject to recoupment of the associated payment add-ons. Appendix XII, Create an Appeal Task in the HHSC Benefits Portal. Texas Health and Human Services:https://hhs.texas.gov/services/aging/long-term-care, Aging and Disability Resource Center:https://hhs.texas.gov/services/aging/long-term-care/aging-disability-resource-center, How to Apply for your Texas Benefits:https://www.yourtexasbenefits.com/Learn/Home, Assisted Living ALTCS Application Medicaid Eligibility Group Homes, Long Term Care Memory Care In Home Care Pet Friendly Senior Living, Copyright Senior Planning LC. If you are viewing the webinar on a computer with a dual-monitor setup, for instance, please be sure that the GoToWebinar session is active in the foreground. If you are unable to meet the reporting deadline, please contact the Provider Finance Department at HHSC_RAD_Survey@hhs.texas.gov for assistance. Copyright 2017-2023. The LTSS Codes and Modifiers billing matrix is a table that provides the codes and modifiers for State Plan services utilized in STAR+PLUS as well as services specific to STAR+PLUS Home and Community Based Services (HCBS). THE LICENSE GRANTED HEREIN IS EXPRESSLY CONTINUED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Rate enhancement is a voluntary program for LTSS providers intended to incentivize increased compensation to attendants. In 2019, the Centers for Medicare & Medicaid Services (CMS) directed the Texas Health and Human Services Commission (HHSC) to update Texas Medicaid long-term services and supports (LTSS) billing codes to comply with the National Correct Coding Initiative (NCCI) by changing community-based LTSS billing in STAR Kids and STAR+PLUS from one hour to 15-minute billing units. For married couples each spouse needs to purchase their own policy. If you do contract with CACFP but have no revenue, please contact the CACFP office. Medicaid is the primary program providing comprehensive coverage of health care and long-term services and supports to more than 90 million low-income people in Texas Health & Human Services Commission. Before sharing sensitive information, make sure youre on an official government site. The deadline for the attestation and reports has been extended to Wednesday, August 9, 2023. The LTSS Screening Questionnaire and Worker Portal will make obtaining long-term services much easier for individuals across Texas. Medicare Savings Program can help pay for all or some of your Medicare premiums, co-pays and deductibles. Please contact the HHSC Provider Finance Department, Long-term Services and Supports Customer Information Team at PFD-LTSS@hhs.texas.gov or (737) 867 7817 if you have questions regarding HCBS ARPA Provider Retention Payments. Are all FMSAs expected to participate in this cost survey? You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The fourth quarterly report for SB809/Rider 143, titled Coronavirus Disease (COVID-19) Public Health Emergency Reporting was published December 1, 2022 and can be found here. HHSC requires providers who deliver eligible HCBS services with service dates between March 1, 2022, and August 31, 2022, to submit an attestation, an initial report, and a final report. If an asset is not listed as exempt then it needs to be liquidated and applied toward the costs of nursing home care before the applicant can receive Medicaid benefits. Note that this list is derived at a point in time and not all inclusive as providers may enroll or change at various times. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Residency and Citizenship the applicant must be a resident of Texas and a U.S. citizen or have proper immigration status. Managed care STAR+PLUS units can be obtained from the contracted MCO that should include all paid units of service for each reporting period. Nursing Facility (NF), Residential Care (RC), HCS/TxHmL, and ICF/IID providers will be required to submit cost reports in even years. All rights reserved. All questions related to SB 809 / Rider 143 should be emailed to HHSC_RAD_Survey@hhs.texas.gov. Cost and Accountability reports documenting your spending on attendant compensation must be submitted to HHSC. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Participating providers receive additional funding to their Medicaid WebThe Long-term Services and Supports (LTSS) Worker Portal is part of the Balancing Incentive Program (BIP) initiative to help more people access long-term services and SB809/Rider 143 Submission List as of August 1,2023. HHSC has developed a monthly report to obtain the information required by Rider 143 (.pdf) (2022-23 General Appropriations Act, Senate Bill (S.B.) WebMedicaid can provide health care and long-term services and supports to children and adults with disabilities. Income Limitations Texas allows applicants to place money into whats known as a Miller Trust, which specifically designates any funds above the income limit for the payment of Medicaid services. If training is required for another program, there will be separate times and dates to attend other upcoming training sessions. #kt-modal_059d8c-e8 .kt-blocks-modal-link{color:#ffffff;background:#74941f;border-radius:5px;font-size:15px;line-height:24px;font-weight:bold;border-width:0px 0px 0px 0px;padding:8px 16px 8px 16px;margin:0px 0px 0px 0px;}#kt-modal_059d8c-e8 .kt-modal-overlay, #kt-target-modal_059d8c-e8 .kt-modal-overlay, .kb-modal-content_059d8c-e8 .kt-modal-overlay{background:rgba(0, 0, 0, 0.6);}#kt-modal_059d8c-e8 .kt-modal-overlay, #kt-target-modal_059d8c-e8 .kt-modal-overlay, .kb-modal-content_059d8c-e8 .kt-modal-overlay{-ms-flex-pack:center;justify-content:center;-ms-flex-align:flex-start;align-items:flex-start;}#kt-modal_059d8c-e8 .kt-modal-container, #kt-target-modal_059d8c-e8 .kt-modal-container, .kb-modal-content_059d8c-e8 .kt-modal-container{width:100%;max-width:600px;-ms-flex-pack:flex-start;justify-content:flex-start;text-align:left;-ms-flex-align:flex-start;align-items:flex-start;}#kt-modal_059d8c-e8 .kt-modal-container, #kt-target-modal_059d8c-e8 .kt-modal-container, .kb-modal-content_059d8c-e8 .kt-modal-container{padding-top:30px;padding-right:30px;padding-bottom:30px;padding-left:30px;margin-top:20px;margin-right:20px;margin-bottom:20px;margin-left:20px;}#kt-modal_059d8c-e8 .kt-modal-container, #kt-target-modal_059d8c-e8 .kt-modal-container, .kb-modal-content_059d8c-e8 .kt-modal-container{background:#ffffff;border-top:0px solid #ffffff;border-right:0px solid #ffffff;border-bottom:0px solid #ffffff;border-left:0px solid #ffffff;}#kt-modal_059d8c-e8 .kt-modal-close svg, #kt-target-modal_059d8c-e8 .kt-modal-close svg, .kb-modal-content_059d8c-e8 .kt-modal-close svg{width:24px;height:24px;}@media all and (max-width: 1024px){#kt-modal_059d8c-e8 .kt-modal-container, #kt-target-modal_059d8c-e8 .kt-modal-container, .kb-modal-content_059d8c-e8 .kt-modal-container{width:100%;border-top:0px solid #ffffff;border-right:0px solid #ffffff;border-bottom:0px solid #ffffff;border-left:0px solid #ffffff;}}@media all and (max-width: 1024px){#kt-modal_059d8c-e8 .kt-modal-close svg, #kt-target-modal_059d8c-e8 .kt-modal-close svg, .kb-modal-content_059d8c-e8 .kt-modal-close svg{width:24px;height:24px;}}@media all and (max-width: 767px){#kt-modal_059d8c-e8 .kt-modal-container, #kt-target-modal_059d8c-e8 .kt-modal-container, .kb-modal-content_059d8c-e8 .kt-modal-container{width:100%;border-top:0px solid #ffffff;border-right:0px solid #ffffff;border-bottom:0px solid #ffffff;border-left:0px solid #ffffff;}#kt-modal_059d8c-e8 .kt-modal-close svg, #kt-target-modal_059d8c-e8 .kt-modal-close svg, .kb-modal-content_059d8c-e8 .kt-modal-close svg{width:24px;height:24px;}}. Texas | Medicaid Long Term Care Eligibility 2023 - Senior IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. WebLearn more about the TennCare Long-Term Services & Supports (LTSS). Or, you are not logged in as a Preparer for that AR or CR. This Agreement will terminate upon notice if you violate its terms. The FMSA State Fiscal Year 2022 Cost Survey template will be available to download on June 1, 2023. The site is secure. The Attendant Compensation Rate Enhancement and Direct Care Staffing Compensation Participants. Appendix XI, HHSC Benefits Portal and TIERS Reference Guides. You can also visit an Aging and Disability Resource Center to get help finding and applying for programs for seniors and people with disabilities. 6000, Denials and Terminations. The AMA does not directly or indirectly practice medicine or dispense medical services.
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