23-3, Miscellaneous Changes | Texas Health and Human Services

Printer-friendly version

Revision Notice 23-3; Effective May 22, 2023

The following sections were revised in the STAR Kids Program Support Unit Operational Procedures Handbook:

Section	Title	Change
1220	Individual Cost Limit	Adds clarifying language about Utilization Review (UR).
1270	Financial Eligibility	Adds Form 2606 references and removes Form H2065-D denial reason language.
1420	Service Coordination and Programs Serving Members with Intellectual or Developmental Disabilities	Reserves section for future use.
1430	Service Coordination and the Youth Empowerment Services Waiver Program	Reserves section for future use.
1440	Service Coordinators and Home and Community Based Services - Adult Mental Health	Reserved for Future Use. Removes personal needs allowance language.
2410	Traditional Money Follows the Person	Adds clarifying language about Money Follows the Person process.
2412.4	Traditional Money Follows the Person Non-STAR Kids Nursing Facility Residents: Program Support Unit Coordination	Adds clarifying language about the Money Follows the Person process.
2412.5	Traditional Money Follows the Person Non-STAR Kids Nursing Facility Residents: Denials	Adds clarifying language about the Money Follows the Person process.
2413.4	Traditional Money Follows the Person STAR Kids Nursing Facility Residents: Program Support Unit Staff Coordination	Adds clarifying language about the Money Follows the Person process.
2413.5	Traditional Money Follows the Person STAR Kids Nursing Facility Residents: Denials	Adds clarifying language about the Money Follows the Person process.
2414	MDCP Money Follows the Person Delays in NF Discharge.	Adds clarifying language about the Money Follows the Person process.
3300	Member Service Planning and Authorization	Clarifies member service planning process.
3310	Service Planning	Clarifies member service planning process.
3311	Updates to Individual Service Plan	Removes section.
3320	Service Planning for Medically Dependent Children Program Services	Clarifies MDCP service planning process.
3321	Medically Dependent Children Program Individual Service Plan Revision	Clarifies MDCP service planning process.
3322	Medically Dependent Children Program Individual Service Plan and Budget Revision	Reserves section for further use.
3323	Setting Aside Funds in the Medically Dependent Children Program Individual Service Plan	Reserves section for further use.
3325	Multiple Medically Dependent Children Program Members in the Same Household	Removes section.
3500	Transition from Medically Dependent Children Program to Adult Programs	Updates title. Adds clarifying information about transitions to adult programs.
3510	Procedures for Children Transitioning from STAR Kids Receiving MDCP, PDN or PPECC	Renames Section. Adds clarifying information about transitions to adult programs.
3511	Twelve Months Prior to the Member’s 21st Birthday	Removes section.
3512	STAR+PLUS Transition Activities	Removes section.
3513	Intrapulmonary Percussive Ventilator Benefit	Removes section.
6300.9	Failure to Meet Other Program Requirements	Renames section title to, No Longer Meets the Age Requirement for MDCP, and includes denial processes for MDCP members transitioning to adult programs.
6300.10	Other Reasons	Adds miscellaneous updates.
7213	State Fair Hearing Evidence Packet	Adds Form 4801 references.
7222.2	Termination of MDCP Services Due to a Member Not Requesting a State Fair Hearing	Changes section title to, Discontinuation of MDCP Services Due to Member Not Requesting a State Fair Hearing. Adds clarifying language. Changes time frame in which PSU staff will upload the state fair hearing evidence packet.
7231	Uploading the State Fair Hearing Evidence Packet to the HHSC Benefits Portal	Changes section title to, Uploading the State Fair Hearing Evidence Packet. Adds clarifying language. Changes time frame in which PSU staff will upload the state fair hearing evidence packet.
7520	Reversed State Fair Hearing Decision	Updates PSU staff time frame for generating Form H2065-D and adds clarifying language.
Appendix II	Form H2065-D MDCP Reason for Denial and Comments Language	Adds denial reason and comments language.
Appendix IX	STAR Kids TxMedCentral Naming Conventions	Corrects naming conventions.
Appendix XVIII	STAR Kids HEART Naming Conventions	Updates and adds HEART naming conventions.
Appendix XXI	Reserved for Future Use	Update section title to, Creating an Appeal in TIERS. Adds information on creating an appeal in TIERS.
Appendix XXX	County Codes and City and County List	Adds new appendix to house county codes, city codes and a list of counties.
Form 2128	120 Day Notice	Adds form to handbook.