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Learn more about other programs for people with disabilities. Copyright 2016-2023. The FMSA State Fiscal Year 2022 Cost Survey template will be available to download on June 1, 2023. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal Procurements. All rights reserved. If you have an intellectual or developmental disability or multiple disabilities, a local intellectual and developmental disability authority can help you find the services you need. NF providers may utilize the additional funding for COVID-related expenses; including direct care staff salary and wages, personal protective equipment (PPE), and dietary needs/supplies. The Long-term Services and Supports (LTSS) cost report reform initiative requires preparers of most LTSS cost reports and accountability reports to attend state-sponsored cost report training in the same year that a cost report is required to be submitted to HHSC. If the cost-reporting period would be less than or equal to 30 calendar days or one entire calendar month. Before sharing sensitive information, make sure youre on an official government site. Before sharing sensitive information, make sure youre on an official government site. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. HCS and NF providers who receive add-ons but fail to complete the required attestation will be subject to recoupment of the associated payment add-ons. 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. You will receive a confirmation page once your report has been fully completed and submitted. Cost and Accountability reports documenting your spending on attendant compensation must be submitted to HHSC. If circumstances beyond the provider's control, such as the loss of records due to natural disasters or removal of records from the provider's custody by a regulatory agency, make cost report completion impossible. If you are an FMSA contracted with HHSC or an MCO, please complete and submit a cost survey even if you have not received the GovDelivery notice. WebThese programs provide funding to incentivize increased compensation, including increased wages and benefits, for attendants and direct care staff. Providers are notified of the requirement to submit this report in an HHSC Provider Finance Department letter that specifically requests this report. What should an FMSA do if they did not receive an email notification related to the cost survey template? Compare Long-term Services and Supports (LTSS) Programs, Long-term Services and Supports Available Through the Texas Medicaid State Plan (PDF), Texas Long-term Services and Supports Waiver Programs (PDF), Texas Title XX Community Services and Supports (PDF). The official PHE notifications can be viewed here. The .gov means its official. Texas | Medicaid Long Term Care Eligibility 2023 - Senior iii. DBMD will still require an accountability report every year, and 24RCC will still require a cost report every year. However, we monitor the attentiveness of our trainees, so make sure that the tablet can log in to the presentation and that the webinar is front-and-center (not running in the background). 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. This module includes special instructions for DADS employees on integrating the Screening Questionnaire process with the current intake system for community services and interests lists. You can also visit an Aging and Disability Resource Center to get help finding and applying for programs for seniors and people with disabilities. This is a program between the state and private insurance companies. The first quarterly report for SB809/Rider 143, titled Coronavirus Disease (COVID-19) Public Health Emergency Reporting was published March 1, 2022 and can be found here. It also includes information explaining the terms of use agreement and how intake workers can use a person-centered approach while asking questions. BY CLICKING BELOW ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD, AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Who do I contact if I have questions regarding this cost survey? For questions regarding enrollment for Rate Enhancement, final cost or accountability reports, and Vendor Holds related to Cost and Accountability Reports, please contact the PFD Rate Enhancement team at (737) 867-7793 or PFD-RE@hhs.texas.gov. PFD now keeps track of training completions without certificates. Cost Report Training | Provider Finance Department - Texas Money Follows the Person | Medicaid At least 85% of the direct care staff area of the rate must be spent directly on direct care staff compensation. There is a $60/month personal needs allowance that is not factored into the countable income. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Web2022 Cost Reports for 24 RCC, HCS/TxHmL, ICF/IID, MEI, NF, RC, and SSLC programs must have attended, and received credit for, the 2022 mandatory cost report training held in 2023. This module includes both worker and supervisor material; supervisors are required to complete both sections. The Texas Administrative Code lays out the specifications for allowable costs of depreciable transportation equipment in 1 TAC 355.103(b)(10)(C). If you have further questions about bill codes, please contact your contract manager. However, you will need to verify this excusal with PFD. This notice contains important billing information for providers participating in these programs. To change the official information that is on all of your cost and accountability reports, click Edit My Info on your STAIRS Dashboard. Please contact each MCO to obtain their rate enhancement information. (for example, the report for December 2021 data will be due Feb. 1). Please return all completed cost surveys to HHSC PFD Long-term Services and Supports, Center for Information and Training at PFD-LTSS@hhs.texas.gov. The .gov means its official. WebLTC Court-appointed Trustee. You must be a Preparer to make entries and edits. (link is external) Preadmission Screening and Appendix XVI, Long Term Services and Supports Codes and The 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 supports in community-based settings. Each training will be for one specific program. The rate enhancement program incentivizes increased direct care staffing, direct care wages, and benefits, specifically in nursing homes. Click here(.xslx) to download the template to submit the required final report for multiple CDS employers. Non income cap states allow applicants to spend down money for their care, whereas income cap states require the amount to be no higher than their limit at time of application. LTSS PFD has been reorganized, and there are no longer rate analysts assigned to specific programs. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. You may add STAR Kids contract information in Step 3.b. WebIn additional to a high level of medical care, residents get help getting into and out of bed and with feeding, bathing and dressing and other activities. A PDF copy of the attestation and initial report can be previewed under ARPA HCBS Provider Retention Payment Resources below. WebRate Enhancement programs are voluntary programs for Long-Term Services and Supports (LTSS) providers. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. All rights reserved, Arizonas Guide to Assisted Living Services, https://hhs.texas.gov/services/aging/long-term-care, https://hhs.texas.gov/services/aging/long-term-care/aging-disability-resource-center, https://www.yourtexasbenefits.com/Learn/Home. The list has been updated to align with licensing agencies. This module demonstrates how to use the search function to access someone's previously completed Screening Questionnaire. Cost reports and accountability reports documenting your staffing levels and direct care staff spending levels must be submitted to HHSC. BY ACCESSING AND USING THIS SYSTEM YOU ARE CONSENTING TO THE MONITORING OF YOUR USE OF THE SYSTEM, AND TO SECURITY ASSESSMENT AND AUDITING ACTIVITIES THAT MAY BE USED FOR LAW ENFORCEMENT OR OTHER LEGALLY PERMISSIBLE PURPOSES. Once the $155,000 worth of long term care coverage is used, you may apply for Medicaid with $155,000 worth of assets exempted. Age/Disability the applicant must be age 65 or older, or blind, or disabled. The purpose of the cost survey is to collect FMSA costs for the state fiscal year 2022 from all FMSAs in Texas. The cost survey template will allow FMSAs the opportunity to provide email information for future correspondence. State and federal government websites often end in .gov. Basically, all money and property, and any item that can be valued and turned into cash, is a countable asset unless it is listed as exempt. Complete the questions that apply to your specific provider type and send toHHSC_RAD_Survey@hhs.texas.gov once complete. The AMA is a third party beneficiary to this Agreement. 2020 reports collected in 2021), Odd Year cost reports collected in the Even Year. Provider Agencies and CDS Employers who wish to submit individually, Click here to submit the required attestation and initial report. Appendix XII, Create an Appeal Task in the HHSC Benefits Portal. The site is secure.The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. To register for a training webinar, go to the Registration section via the following link: https://pfd.hhs.texas.gov/long-term-services-supports/cost-report-training. The ADA is a third party beneficiary to this Agreement. Medicaid and CHIP Services (MCS) is hosting monthly meetings for Providers and Financial Management Services Agencies (FMSAs), who use the Long-term 3. All rights reserved. HHSC has an informal review process for disagreements with any adjustments that HHSC has made to your cost or accountability report. There may be a delay in response due to volume. If the community spouses assets do not equal the minimum of $29,724, the community spouse is able to retain assets from the institutionalized spouse until the minimum is reached. Overall, said Jana Eubank with the Texas Association of Community Health Centers, Medicaid expansion would improve the financial stability of safety-net clinics, Of the 560,000 people whom Texas has reported removing from Medicaid during the first months of eligibility checks, about 450,000, or roughly 80 percent, were The Anticipatory Guidance Provider Guide Regarding Texas Health Providers must submit an Initial Form, which includes funding and cost data covering the period January 2020 through August 2021. To inquire about any other type of recoupment, please contact your contract manager. The fifth quarterly report for SB809/Rider 143, titled Coronavirus Disease (COVID-19) Public Health Emergency Reporting was published March 1, 2023 and can be found here. You, your employees and agents are authorized to use CPT only as contained in materials on the Texas Medicaid & Healthcare Partnership (TMHP) website solely for your own personal use in directly participating in healthcare programs administered by THHS. Note that this list is derived at a point in time and not all inclusive as providers may enroll or change at various times. For all other programs, if your program requires a cost report for 2018, for instance, then you must complete the 2018 training for your program. After your training is completed, it may take three to five business days for HHSC to add the names of individuals who have completed the training to the Trained Preparers List. Instead, you must exit from this computer screen. The STAR Kids matrix contains billing for STAR Kids and STAR Health. How Many People Use Medicaid Long-Term Services and If you do not receive an email, please contact your contract manager to ensure that your paperwork is up-to-date. The temporary COVID-19 rate increases were effective April 1, 2020, and is estimated to conclude at the end of the federally-declared public health emergency (PHE). v. Non-saleable property, household furnishings, furniture, clothing, jewelry, and other personal effects are not counted. This Agreement will terminate upon notice to you if you violate the terms of the Agreement. Long-term Care Provider Resources - Texas Health and Human Area Agencies on Aging (AAA) can help you find services for people age 60 and older and their family members and caregivers. and include it in your allocation summary. Long-term Care Providers | Texas Health and Human Services Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government Use. must be no higher than $2742 for an individual. Alternatively, you may forward the information to the preparer yourself. Documents can be verified by reviewing all uploaded correspondence in the Upload Center in STAIRS. WebTexas Long-Term Service and Supports (LTSS) Waiver Programs (Revised 8/1/2018) Page 2of 24 State of Texas Access Reform (STAR)+PLUS Home and Community Based Users will need to log into their STAIRS account to access the list. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "ACCEPT". The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Note: This training was completed in conjunction with the final stages of the portal's development. From your STAIRS Dashboard, click Manage on the top right-hand side. On June 1, 2023, the FMSA State Fiscal Year 2022 Cost Survey template will be available to download on the Provider Finance Department (PFD), Long-term Services and Supports (LTSS) website. Some screen shots may look slightly different and some steps may change slightly in the final version of the questionnaire. 2. WebCompare Long-term Services and Supports. Programs for Seniors and Aging | Texas Health and Human Services If you are trained during an accountability report year, you will still need to take the cost report training the following year. Failure to submit reports required by Senate Bill 809 or Rider 143 could limit the funding a provider may receive from the grants or disqualify them completely. The employee must sign each timesheet. Irrevocable burial trust, no amount specified. WebContact Breadcrumb Home Handbooks STAR+PLUS Handbook Appendix XVI, Long Term Services and Supports Codes and Modifiers 1000, State of Texas Access Reform Plus 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. Texas Medicaid Long Term Care Programs These materials contain Current Dental Terminology, Fourth Edition (CDT), Copyright 2022 American Dental Association (ADA). Medicaid Buy-In for Adults allows people with disabilities who work to "buy-in" to Medicaid. After completing the required modules, answer the brief 10 question quiz, covering only the modules required by all users. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. All Cost Surveys are due by email by 11:59 p.m. on Thursday, August 31, 2023. Long-term Services and Supports Worker Portal (LTSS), State office community services interest list. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the American Medical Association (AMA) is not recommending their use. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Programs for Children and Adults with Disabilities | Texas Health This is based upon that employee's continuous daily time sheets and the costs of a direct care employee who works across more than one service delivery area would also be directly charged to each service delivery area based upon that employee's continuous daily time sheets. All rights reserved. The list can be found here (.xlsx) This list was updated with completed reports received by August 1, 2023. The site is secure. MCOs and providers must use the link below for services provided on or after Dec. 1, 2022. Before sharing sensitive information, make sure youre on an official government site. Learn more about the Medicare Savings Program. These rate increases will apply to the current day habilitation rates so that providers delivering services in group homes can maintain hourly direct care staff wages due to reduced client to staff ratios. If you are delinquent in submitting the Initial Form, please email us at HHSC_RAD_Survey@hhs.texas.gov. Please refer to the following link to view the current long-term care bill code crosswalk: https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/resources/long-term-care-bill-code-crosswalks. Copyright 2016-2023. The sole responsibility for the software, including any CDT and other content contained therein, is with TMHP or the CMS; and no endorsement by the ADA is intended or implied. 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. For DBMD and 24RCC, you must complete a training every odd year. Copyright 2016-2023. People with disabilities can get services through a nursing facility, The Provider Finance Department (PFD) develops reimbursement methodology rules for determining payment rates or rate ceilings for recommendation to the Health and Human Service as Commission (HHSC) for Medicaid payment rates and non-Medicaid payment rates for programs operated by the Health and Human Services Commission (HHS) and the Department of Family and Protective Services (DFPS). Texas Long-Term Service and Supports (LTSS) THE LICENSE GRANTED HEREIN IS EXPRESSLY CONTINUED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. Amount of assets community spouse may retain: The community spouse can keep one-half of countable assets with a maximum value of $148,620. Long Term Services and Supports - Texas Health and Providers must submit an Initial Form, which includes funding and cost data covering the period January 2020 through August 2021. Medicaid Buy-In for Children (MBIC) lets families of children with disabilities "buy-in" to Medicaid. A provider who participates in the Attendant Compensation Rate Enhancement or the Direct Care Staff Compensation programs (rate enhancement) are required to submit accountability reports in the years that they are not required to submit full cost reports. The units of service for these clients can be included in the Non-Reimbursed and Other section of Step 5 for the applicable service. The Anticipatory Guidance Provider Guide is a federally mandated component of Texas Health Steps (THSteps) medical and dental checkups. 8, Section 33); $90,000,000 ($75,000 per licensed facility) in direct grant awards; $110,000,000 distributed via a competitive grant process; $178.3 million for assisted living facilities, home health agencies, intermediate care facilities for individuals with intellectual and developmental disabilities or related conditions, and providers of community attendant services (S.B. The Entity Certification will be uploaded in Step 11. Before sharing sensitive information, make sure youre on an official government site. Links to your program and to the cost report training page can be found on the left hand navigation. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. 2. HHSC is collecting the cost report in accordance with HHSCs Medicaid State Plan which requires HHSC to collect provider cost data to support the FMSA reimbursement methodology on a biennial basis. ARPA HCBS Provider Retention payments should support recruitment and retention efforts for direct care staff delivering HCBS services. Copyright 2016-2023. SB809/Rider 143 Submission List as of August 1,2023. The Entity Certification Page must be completed and uploaded by the Primary Entity Contact whose name is identified in Step 1. No. 4. nursing facility direct care staff enhancement. If training is required for another program, there will be separate times and dates to attend other upcoming training sessions. Court-appointed Trustee Program. This email is sent automatically via STAIRS after the Entity Contact is determined via HHSC contract records. For married couples each spouse needs to purchase their own policy. In 2019, the Centers for Medicare & Medicaid Services (CMS) directed the Texas Health and Human Services Commission (HHSC) to update Texas Medicaid long Texas Health & Human Services Commission. Appendix I-D, Reserved for Future Use - Texas Health and Human The Texas Health and Human Services Commission (HHSC) Executive Commissioner directed the Provider Finance Department (PFD) to expand cost report reform to all Long-term Services and Supports (LTSS) programs. For prior authorizations and claims regarding services provided prior to December 1, 2022, providers must use the code and modifier combinations without the NCCI-related edits (published April 2022): For services that will be provided on or after December 1, 2022, providers must use the updated matrices posted on the Handbook Policy Updates web pages: Providers can find more information in the following handbook appendices: For additional information, contact managed_care_initiatives@hhs.texas.gov. Fee for Service (FFS) paid units of service can be confirmed via your TMHP Remittance and Status (R&S) report, claims reports, and service logs. You will be sent an email with your login information from Fairbanks LLC. The list will be updated every 14 calendar days. The AMA does not directly or indirectly practice medicine or dispense medical services. 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. No, if there is no activity, then you may qualify for a cost report excusal. Applications are available at the American Medical Association website, www.ama-assn.org/go/cpt. If you do not meet your staffing requirement, you do not meet the spending requirement, or both, you will be subject to recoupment of revenues associated with unmet staffing goals, unexpended funds, or both. 2019 reports collected in 2020). State and federal government websites often end in .gov. Compensation can include lump-sum bonuses, retention bonuses, and paid time off to receive a COVID-19 vaccination or to isolate after receiving a positive COVID-19 test. Appendix XVI, Long Term Services and Supports Codes and Modifiers, 1000, State of Texas Access Reform Plus (STAR+PLUS) Managed Care, 3000, STAR+PLUS HCBS Program Eligibility and Services, 4000, Complaints, Internal MCO Appeals and State Fair Hearings, 5000, Automation and Payment Issues in STAR+PLUS, 6000, Specific STAR+PLUS HCBS Program Services, 7000, STAR+PLUS HCBS Program and Services, 10000, State Plan Long Term Services and Supports, Appendix II, Guidelines for Completing Form H1746-A, MEPD Referral Cover Sheet, Appendix III, Medicaid Type Program Codes for STAR+PLUS Home and Community Based Services and Community First Choice, Appendix VIII, Monthly Income/Resource Limits, Appendix XI, Board of Nurse Examiners Rules Pertaining to Delegation, Appendix XIII, Your Financial Rights in an Assisted Living Facility STAR+PLUS, Appendix XIV, Determination of High Needs Status for the STAR+PLUS HCBS Program, Appendix XV, Services Available from Other State Agencies, Appendix XVII, It's Your Choice: Deciding How to Manage Your Personal Assistance Services, Appendix XVIII, Mutually Exclusive Services, Appendix XIX, Nursing Facility Counter Logic, Appendix XX, Nursing Facility Billing Matrix, Appendix XXII, MCO Transition Specialist Pilot Project, Appendix XXIV Minimum Standards for STAR+PLUS AFC Homes and Home Providers, Appendix XXV, Community First Choice Support Management, Appendix XXVI, Long Term Care Online Portal User Guide for Managed Care Organizations, Appendix XXVIII, CDS Training for Service Coordinators and CDS Training Manual, Appendix XXIX, Emergency Response Service Provider Requirements and Service Initiation Requirements, Appendix XXXI, STAR+PLUS Members Transitioning from an NF in One Service Area to the Community in Another Service Area, SPW Service Authorization System (SAS) Updates. 809 (.pdf) (87th Legislature, Regular Session, 2021). (i.e. The CDS participant, as the employer of record, may choose to submit the required attestation and reports or work with the Financial Management Services Agency (FMSA) to submit the attestation and reports on the CDS participants behalf. Any provider that is identified as a Health Care Institution defined in Section 74.001 of the Civil Practice and Remedies Code is required to complete the reports.