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Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... and Form H1746-A to the Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ... and People with Disabilities (MEPD) specialist by close of business within two business days from receipt. The MEPD ... completed by the managed care organization (MCO) doing the pre-enrollment home health assessment. The MCO must ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... members are required to choose an MCO and a primary care provider (PCP) in the MCO's network. These members receive ... and People with Disabilities (MEPD) specialist by close of business of the second business day from receipt. The MEPD ... completed by the managed care organization (MCO) doing the pre-enrollment home health assessment. The MCO must ...

Section 6000, Service Delivery Options
... March 15, 2017   Under the Agency Option (AO), the provider is responsible for managing the day-to-day activities of the attendant and all business details. Most individuals select the AO model ... the business details (for example, paying taxes and doing the payroll). The provider also orients attendants to ...

Section 6000, Denials and Terminations
... in Appendix IX , Naming Conventions, within two business days of verification. Form H1746-A , MEPD Referral ... and Form H1746-A to the Texas Health and Human Services (HHS) Enterprise Administrative Record Tracking System (HEART) ... 4, 2018   The managed care organization (MCO) and provider staff must take special precautions when an ...

Section 1000, Overview and Eligibility
... to be used by all Texas Health and Human Services (HHS) agencies, and the contractors and providers in the ... an agency is the attendant's employer and handles the business details (for example, paying taxes and doing the payroll). The agency also orients attendants to ...

Section 7000, Applicant or Member Complaints, Internal MCO Appeals and State Fair Hearings
... of interpersonal relationships such as rudeness of a provider or employee, or failure to respect the [member’s] ... or dental immediacy of the case; and no later than one business day after receiving the member’s request for an ... staff, the DER creates a Texas Health and Human Services (HHS) Enterprise Administrative Record Tracking System (HEART) ...

Section 4000, Complaints, Internal MCO Appeals and State Fair Hearings
... of interpersonal relationships such as rudeness of a provider or employee, or failure to respect the member’s ... mail the adverse determination document no later than 10 business days prior the date the adverse action is to occur. ... staff, the DER creates a Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ...

Section 1000, STAR Kids Overview and Eligibility
... to TMHP. See the STAR Kids Handbook , Appendix I , MCO Business Rules for SK-SAI and SK-ISP, for detailed ... the business details (for example, paying taxes and doing the payroll). The agency also orients attendants to ... in the member’s Texas Health and Human Services (HHS) Enterprise Administrative Report and Tracking System ...

Section 2000, Case Management
... service plan and individual referral information to the provider selected by the individual; and discusses the plan ... 1, 2012. Completion of the CSQ The CSQ is available in the Long Term Care Services Intake (NTK) System and is completed ... contact with the caregiver must be attempted within five business days. (In situations where it is necessary to go ...